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/EPI0.05MG INJ
Spruce Pine, NC
See all hospitals reporting HCPCS J2004 →Price type
Blue Ridge Regional Hospital’s median price of $25 is 286% above the median hospital's median price ($7), higher than 73% 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 | $13.83 | $13.27 | $0.03 – $26.66 |
| 2 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $14.51 | $13.92 | $0.03 – $27.96 |
| 3 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $14.72 | $14.12 | $0.03 – $28.38 |
| 4 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $14.94 | $14.33 | $0.03 – $28.79 |
| 5 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $17.29 | $16.59 | $0.03 – $33.33 |
| 6 | Cigna hix percent of total billed charges · outpatientfrom % of charges | $29.39 | $28.20 | $0.05 – $56.65 |
| 7 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $29.39 | $28.20 | $0.05 – $56.65 |
| 8 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $29.39 | $28.20 | $0.05 – $56.65 |
| 9 | Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges | $31.99 | $30.69 | $0.06 – $61.65 |
| 10 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $34.84 | $33.42 | $0.06 – $67.15 |
| 11 | Cigna existingbusiness percent of total billed charges · outpatientfrom % of charges | $35.36 | $33.92 | $0.07 – $68.15 |
| 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 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $40.89 | $39.23 | $0.08 – $78.82 |
| 15 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $42.08 | $40.37 | $0.08 – $81.10 |
| 16 | Medcost standard percent of total billed charges · outpatientfrom % of charges | $43.85 | $42.07 | $0.08 – $84.51 |
| 17 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $60.77 | $58.30 | $0.11 – $117.14 |
| 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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