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 EPI .5% 50ML
HOULTON, ME
See all hospitals reporting HCPCS J2004 →Price type
Houlton Regional Hospital’s median price of $20 is 208% above the median hospital's median price ($7), higher than 69% 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: 6 payers, 7 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 | Tricare tricare percent of total billed charges · bothfrom % of charges | $13.44 | $14.09 | $9.39 – $20.09 |
| 2 | WellCare wellcare percent of total billed charges · bothfrom % of charges | $13.69 | $14.35 | $9.56 – $20.46 |
| 3 | Anthem anthem medicare advantage percent of total billed charges · bothfrom % of charges | $14.20 | $14.88 | $9.92 – $21.22 |
| 4 | Aetna aetna medicare advantage percent of total billed charges · bothfrom % of charges | $14.48 | $15.18 | $10.12 – $21.64 |
| 5 | Anthem anthem percent of total billed charges · bothfrom % of charges | $27.20 | $28.51 | $19.01 – $40.65 |
| 6 | Cigna cigna percent of total billed charges · bothfrom % of charges | $29.36 | $30.78 | $20.52 – $43.89 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $30.65 | $32.13 | $21.42 – $45.82 |
Last updated: Mar 25, 2026
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