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 1 /EPI 1 100000 10 ML VL
Coral Gables, FL
See all hospitals reporting HCPCS J2004 →Price type
Hsa Cgh Llc’s median price of $22 is 231% above the median hospital's median price ($7), higher than 70% 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: 4 payers, 9 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 | Humana humana commercial hmo facility · other · outpatient | $17.49 | $21.32 | $8.32 – $49.35 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $18.24 | $22.23 | $8.67 – $51.47 |
| 3 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $30.99 | $37.76 | $14.73 – $87.42 |
| 4 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $30.99 | $37.76 | $14.73 – $87.42 |
| 5 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $34.99 | $42.63 | $16.63 – $98.70 |
| 6 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $35.49 | $43.24 | $16.87 – $100.11 |
| 7 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $35.49 | $43.24 | $16.87 – $100.11 |
| 8 | Aetna aetna national advantage program (nap) facility · percent of total billed charges · inpatientfrom % of charges | $37.48 | $45.68 | $17.82 – $105.75 |
| 9 | Aetna aetna national advantage program (nap) facility · percent of total billed charges · outpatientfrom % of charges | $37.48 | $45.68 | $17.82 – $105.75 |
Last updated: Aug 31, 2026
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