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
Hialeah, FL
See all hospitals reporting HCPCS J2004 →Price type
Hsa Pgh Llc’s median price of $24 is 263% above the median hospital's median price ($7), higher than 72% 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, 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 | $19.39 | $23.63 | $9.22 – $54.71 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $20.29 | $24.73 | $9.65 – $57.25 |
| 3 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $24.99 | $30.45 | $11.88 – $70.50 |
| 4 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $28.49 | $34.72 | $13.54 – $80.37 |
| 5 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $28.49 | $34.72 | $13.54 – $80.37 |
| 6 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $29.99 | $36.54 | $14.26 – $84.60 |
| 7 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $33.49 | $40.81 | $15.92 – $94.47 |
| 8 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $33.49 | $40.81 | $15.92 – $94.47 |
| 9 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $34.99 | $42.63 | $16.63 – $98.70 |
Last updated: Sep 1, 2026
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