Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LIDO 200MG/EPI 0.2MG MDV
Anchorage, AK
See all hospitals reporting HCPCS J2004 →Price type
Alaska Regional Hospital’s median price of $11 is 75% above the median hospital's median price ($7), higher than 58% of the 1,679 hospitals reporting HCPCS J2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $5.43 | $5.43 | $5.43 – $5.43 |
| 2 | Aetna soa percent of total billed charges · outpatientfrom % of charges | $6.42 | $6.42 | $6.42 – $6.42 |
| 3 | UnitedHealthcare selectpayerappendix percent of total billed charges · outpatientfrom % of charges | $7.03 | $7.03 | $5.82 – $8.24 |
| 4 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $8.55 | $8.55 | $7.08 – $10.02 |
| 5 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $9.96 | $9.96 | $8.25 – $11.67 |
| 6 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $10.30 | $10.30 | $8.53 – $12.07 |
| 7 | UnitedHealthcare corepayerappendix percent of total billed charges · outpatientfrom % of charges | $11.98 | $11.98 | $9.92 – $14.03 |
| 8 | MultiPlan primarybeechstreet percent of total billed charges · outpatientfrom % of charges | $12.92 | $12.92 | $10.70 – $15.14 |
| 9 | First Health comm percent of total billed charges · outpatientfrom % of charges | $13.31 | $13.31 | $11.02 – $15.59 |
| 10 | First Health wcomp percent of total billed charges · outpatientfrom % of charges | $13.31 | $13.31 | $11.02 – $15.59 |
| 11 | MultiPlan beechlogo percent of total billed charges · outpatientfrom % of charges | $13.88 | $13.88 | $11.49 – $16.26 |
| 12 | MultiPlan nonlogo percent of total billed charges · outpatientfrom % of charges | $13.88 | $13.88 | $11.49 – $16.26 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $14.35 | $14.35 | $11.88 – $16.81 |
Last updated: Sep 1, 2026
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