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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J2004

Injection, lidocaine hcl with epinephrine, 1 mg

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.02 – $32.002 plans$1.04 – $15.06$1.00 – $37.65
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.02 – $8.882 plans$1.03 – $4.87$1.01 – $12.17
EvergreenHealth Medical CenterKirkland$23.04 – $66.9614 plans$57.60$72.00
Highline Medical CenterBurienFile dated 2026-02-28$1.12 – $2156 plans$1.39 – $73.09$1.30 – $239
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61$49.44
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.18 – $4.746 plans$1.20 – $2.38$1.01 – $5.93
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.01 – $5.723 plans$1.06 – $3.14$1.00 – $7.84
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.00 – $10.973 plans$1.01 – $6.02$1.02 – $15.03
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.01 – $5.573 plans$1.04 – $3.06$1.01 – $7.63
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.08 – $8.762 plans$1.03 – $4.87$1.01 – $12.17
Olympic Medical CenterPort AngelesFile dated 2026-06-24$24.83 – $71.886 plans$35.54 – $57.50$44.42 – $71.88
PeaceHealth Peace Island Medical CenterFriday Harbor—$41.78 – $59.52$64.27 – $91.57
PeaceHealth Southwest Medical CenteVancouver—$41.78 – $59.52$64.27 – $91.57
PeaceHealth St John Medical CenterLongview—$41.78 – $59.52$64.27 – $91.57
PeaceHealth St Joseph Medical CenterBellingham—$41.78 – $59.52$64.27 – $91.57
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$41.78 – $59.52$64.27 – $91.57
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66$101
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$40.02 – $53.25$76.96 – $102
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66$101
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66$101
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$37.12 – $42.91$71.38 – $82.52
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66$101
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00$42.86
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$39.97 – $47.93$76.86 – $92.17
St Anthony HospitalGig HarborFile dated 2026-02-28$1.43 – $1804 plans$1.39 – $72.80$1.30 – $239
St Clare HospitalLakewoodFile dated 2026-02-28$1.43 – $1804 plans$1.32 – $69.00$1.30 – $239
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.02 – $2159 plans$1.61 – $84.58$1.30 – $239
St Francis Community HospitalFederal WayFile dated 2026-02-28$1.43 – $1804 plans$1.43 – $75.12$1.30 – $239
St Joseph Medical CenterTacomaFile dated 2026-02-28$1.43 – $1804 plans$1.51 – $79.28$1.30 – $239
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.04 – $21510 plans$1.15 – $106$1.30 – $239
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04$75.08
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.01 – $18.343 plans$1.02 – $10.06$1.00 – $25.13
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.02 – $1.501 plan$1.07$1.00 – $2.67

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.