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
Mayfield Heights, OH
See all hospitals reporting HCPCS J2704 →Price type
Cleveland Clinic Health System - East Region’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, 21 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 | Anthem hpn facility · percent of total billed charges · outpatientfrom % of charges | $0.17 | $0.15 | $0.07 – $0.18 |
| 2 | Aetna acop facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 3 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $0.20 | $0.17 | $0.08 – $0.21 |
| 4 | UnitedHealthcare all products facility · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 5 | Aetna international facility · fee schedule · outpatient | $0.18 | $0.18 | $0.18 – $0.18 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.24 | $0.21 | $0.09 – $0.25 |
| 7 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $0.31 | $0.27 | $0.12 – $0.32 |
| 8 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $0.39 | $0.34 | $0.15 – $0.41 |
| 9 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $0.60 | $0.52 | $0.23 – $0.64 |
| 10 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $0.61 | $0.53 | $0.24 – $0.65 |
| 11 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $0.62 | $0.54 | $0.24 – $0.66 |
| 12 | Aetna all products facility · percent of total billed charges · bothfrom % of charges | $0.81 | $0.71 | $0.32 – $0.86 |
| 13 | Humana all products facility · percent of total billed charges · bothfrom % of charges | $0.92 | $0.80 | $0.36 – $0.97 |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $0.97 | $0.84 | $0.38 – $1.03 |
| 15 | Aetna qhp/ipf facility · percent of total billed charges · bothfrom % of charges | $1.08 | $0.94 | $0.42 – $1.14 |
| 16 | Aetna asa_whirlpool_peia facility · other · outpatient | $2.17 | $2.17 | $2.17 – $2.17 |
| 17 | Optum managed medicaid transplant facility · case rate · outpatient | $8.23 | $8.23 | $8.23 – $8.23 |
| 18 | Anthem managed medicaid facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 19 | Molina managed medicaid facility · case rate · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 20 | Caresource managed medicaid facility · case rate · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 21 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
Last updated: Jun 15, 2026
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