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
LID/EPI1%1:1 1ML(50ML)MDV
San Bernardino, CA
See all hospitals reporting HCPCS J2004 →Price type
Community Hospital Of San Bernardino’s median price of $29 is 345% above the median hospital's median price ($7), higher than 76% 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: 8 payers, 17 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 medicaid|all plans fee schedule · inpatient | $13.25 | $16.58 | $8.00 – $34.00 |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $13.25 | $16.58 | $8.00 – $34.00 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $23.85 | $29.85 | $14.40 – $61.20 |
| 4 | Cigna commercial|ppo fee schedule · outpatient | $23.85 | $29.85 | $14.40 – $61.20 |
| 5 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $27.56 | $34.49 | $16.64 – $70.72 |
| 6 | Magellan commercial|all plans fee schedule · inpatient | $31.80 | $39.80 | $19.20 – $81.60 |
| 7 | Magellan commercial|all plans fee schedule · outpatient | $31.80 | $39.80 | $19.20 – $81.60 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $32.86 | $41.13 | $19.84 – $84.32 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $32.86 | $41.13 | $19.84 – $84.32 |
| 10 | First Health commercial|all plans fee schedule · inpatient | $37.10 | $46.43 | $22.40 – $95.20 |
| 11 | First Health commercial|all plans fee schedule · outpatient | $37.10 | $46.43 | $22.40 – $95.20 |
| 12 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $39.75 | $49.75 | $24.00 – $102.00 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $42.40 | $53.07 | $25.60 – $108.80 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $42.40 | $53.07 | $25.60 – $108.80 |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $47.17 | $59.04 | $28.48 – $121.04 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $51.41 | $64.34 | $31.04 – $131.92 |
| 17 | Anthem commercial|mcs fee schedule · outpatient | $53.00 | $66.33 | $32.00 – $136.00 |
Last updated: Feb 28, 2026
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