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 400MG/EPI 0.1MG INJ
Franklin, NC
See all hospitals reporting HCPCS J2004 →Price type
Angel Medical Center’s median price of $27 is 310% above the median hospital's median price ($7), higher than 75% 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: 9 payers, 18 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 | Blue Cross Blue Shield mcr percent of total billed charges · outpatientfrom % of charges | $14.70 | $14.10 | $0.03 – $28.33 |
| 2 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $15.47 | $14.84 | $0.03 – $29.81 |
| 3 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $15.70 | $15.06 | $0.03 – $30.26 |
| 4 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $15.93 | $15.28 | $0.03 – $30.71 |
| 5 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $19.02 | $18.25 | $0.04 – $36.66 |
| 6 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $29.39 | $28.20 | $0.05 – $56.65 |
| 7 | Cigna hix percent of total billed charges · outpatientfrom % of charges | $30.00 | $28.78 | $0.06 – $57.82 |
| 8 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $30.00 | $28.78 | $0.06 – $57.82 |
| 9 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $30.00 | $28.78 | $0.06 – $57.82 |
| 10 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $33.37 | $32.01 | $0.06 – $64.32 |
| 11 | Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges | $33.71 | $32.35 | $0.06 – $64.99 |
| 12 | Caresource hix percent of total billed charges · outpatientfrom % of charges | $38.04 | $36.49 | $0.07 – $73.32 |
| 13 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $38.90 | $37.32 | $0.07 – $74.98 |
| 14 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $43.75 | $41.98 | $0.08 – $84.33 |
| 15 | Medcost standard percent of total billed charges · outpatientfrom % of charges | $44.75 | $42.94 | $0.08 – $86.26 |
| 16 | Cigna existingbusiness percent of total billed charges · outpatientfrom % of charges | $49.45 | $47.44 | $0.09 – $95.31 |
| 17 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $54.12 | $51.92 | $0.10 – $104.31 |
| 18 | MultiPlan comm percent of total billed charges · outpatientfrom % of charges | $69.16 | $66.35 | $0.13 – $133.30 |
Last updated: Sep 1, 2026
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