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
DIPRIVAN 10 MG/ML INTRAVENOUS EMULSION
Cleveland, OH
See all hospitals reporting HCPCS J2704 →Price type
Cleveland Clinic Children's Hospital For Rehabilitation’s median price of $1 is 95% below the median hospital's median price ($11), higher than 32% of the 2,233 hospitals reporting HCPCS J2704. 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, 26 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 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $0.31 | $0.27 | $0.12 – $0.32 |
| 2 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $0.39 | $0.34 | $0.15 – $0.41 |
| 3 | Cigna all products facility · percent of total billed charges · bothfrom % of charges | $0.40 | $0.35 | $0.16 – $0.42 |
| 4 | Anthem hpn facility · percent of total billed charges · outpatientfrom % of charges | $0.45 | $0.39 | $0.18 – $0.48 |
| 5 | Anthem hpn facility · percent of total billed charges · inpatientfrom % of charges | $0.47 | $0.41 | $0.18 – $0.49 |
| 6 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $0.51 | $0.44 | $0.20 – $0.54 |
| 7 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $0.51 | $0.44 | $0.20 – $0.54 |
| 8 | Optum commercial chd care solutions facility · percent of total billed charges · bothfrom % of charges | $0.52 | $0.45 | $0.20 – $0.55 |
| 9 | UnitedHealthcare all products facility · percent of total billed charges · bothfrom % of charges | $0.52 | $0.45 | $0.20 – $0.55 |
| 10 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $0.53 | $0.46 | $0.21 – $0.56 |
| 11 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $0.53 | $0.46 | $0.21 – $0.56 |
| 12 | Anthem ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $0.55 | $0.48 | $0.21 – $0.58 |
| 13 | Optum commercial crs care solutions facility · percent of total billed charges · bothfrom % of charges | $0.55 | $0.48 | $0.21 – $0.58 |
| 14 | Aetna all products facility · percent of total billed charges · bothfrom % of charges | $0.81 | $0.71 | $0.32 – $0.86 |
| 15 | Aetna acop facility · percent of total billed charges · outpatientfrom % of charges | $0.84 | $0.73 | $0.33 – $0.89 |
| 16 | Cigna all products psychiatrist facility · percent of total billed charges · outpatientfrom % of charges | $0.86 | $0.75 | $0.34 – $0.91 |
| 17 | Aetna asa_whirlpool_peia (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $0.97 | $0.84 | $0.38 – $1.03 |
| 18 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $0.97 | $0.84 | $0.38 – $1.03 |
| 19 | Aetna international facility · percent of total billed charges · outpatientfrom % of charges | $1.03 | $0.89 | $0.40 – $1.08 |
| 20 | Aetna asa_whirlpool_peia (pos_epo_ppo) facility · percent of total billed charges · outpatientfrom % of charges | $1.03 | $0.89 | $0.40 – $1.09 |
| 21 | Aetna qhp/ipf facility · percent of total billed charges · bothfrom % of charges | $1.08 | $0.94 | $0.42 – $1.14 |
| 22 | Optum managed medicaid transplant facility · case rate · outpatient | $13.40 | $13.40 | $13.40 – $13.40 |
| 23 | Anthem managed medicaid facility · case rate · outpatient | $14.81 | $14.81 | $14.81 – $14.81 |
| 24 | Molina managed medicaid facility · case rate · outpatient | $14.81 | $14.81 | $14.81 – $14.81 |
| 25 | Caresource managed medicaid facility · case rate · outpatient | $15.09 | $15.09 | $15.09 – $15.09 |
Last updated: Jun 15, 2026
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