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
rifAMPin 600 mg Solr 1 each VIAL
Rapids, MN
See all hospitals reporting HCPCS J2804 →Price type
Allina Health Systems’s median price of $208 is 905% above the median hospital's median price ($21), higher than 66% of the 1,403 hospitals reporting HCPCS J2804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 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 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $77 | $89 | $31 | 34% | — | $60 – $131 |
| 8 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $85 | $99 | $34 | 34% | — | $66 – $145 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $134 | $156 | $54 | 34% | — | $105 – $230 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $143 | $166 | $57 | 34% | — | $111 – $245 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $169 | $197 | $68 | 34% | — | $132 – $290 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $208 | $243 | $83 | 34% | — | $162 – $357 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $224 | $261 | $89 | 34% | — | $174 – $383 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $267 | $311 | $106 | 34% | — | $208 – $457 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $273 | $318 | $109 | 34% | — | $213 – $468 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $285 | $332 | $114 | 34% | — | $222 – $489 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $285 | $332 | $114 | 34% | — | $222 – $489 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $300 | $350 | $120 | 34% | — | $234 – $515 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $305 | $355 | $122 | 34% | — | $238 – $523 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $320 | $373 | $128 | 34% | — | $250 – $549 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $320 | $373 | $128 | 34% | — | $250 – $549 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $320 | $373 | $128 | 34% | — | $250 – $549 |
Last updated: Jun 17, 2026
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