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
RIFAMPIN IN NS IV SYRINGE 3 MG/ML (NEO/PED) - CNR
Silver Spring, MD
See all hospitals reporting HCPCS J2804 →Price type
Holy Cross Hospital-Silver Spring’s median price of $434 is 1996% above the median hospital's median price ($21), higher than 81% of the 1,403 hospitals reporting HCPCS J2804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 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 | Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges | $429 | $429 | $351 | 82% | — | $78 – $780 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $439 | $439 | $359 | 82% | — | $80 – $798 |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $439 | $439 | $359 | 82% | — | $80 – $798 |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $439 | $439 | $359 | 82% | — | $80 – $798 |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $442 | $442 | $361 | 82% | — | $80 – $803 |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $442 | $442 | $361 | 82% | — | $80 – $803 |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $447 | $447 | $365 | 82% | — | $81 – $812 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $449 | $449 | $367 | 82% | — | $82 – $816 |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $452 | $452 | $369 | 82% | — | $82 – $821 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $458 | $458 | $375 | 82% | — | $83 – $833 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $476 | $476 | $390 | 82% | — | $87 – $866 |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $481 | $481 | $394 | 82% | — | $87 – $875 |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $481 | $481 | $394 | 82% | — | $87 – $875 |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $481 | $481 | $394 | 82% | — | $87 – $875 |
Last updated: Mar 31, 2026
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