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
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION
American Fork, UT
See all hospitals reporting HCPCS J2704 →Price type
IHC Health Services Inc., DBA Intermountain Health American Fork Hospital’s median price of $25 is 136% above the median hospital's median price ($11), higher than 66% of the 2,233 hospitals reporting HCPCS J2704. 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, 29 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 | Aetna medicare adv hmo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 3 | Humana medicare choice ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 4 | Molina medicare advantage professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 5 | Molina medicare choice care hmo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 6 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 7 | Regence medadvantage ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 9 | UnitedHealthcare charter ut facility · percent of total billed charges · inpatientfrom % of charges | $21.42 | $36.39 | $8.64 – $108.00 |
| 10 | UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges | $21.42 | $36.39 | $8.64 – $108.00 |
| 11 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $22.04 | $37.45 | $8.89 – $111.15 |
| 12 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $22.04 | $37.45 | $8.89 – $111.15 |
| 13 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $22.49 | $38.21 | $9.07 – $113.40 |
| 14 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $22.49 | $38.21 | $9.07 – $113.40 |
| 15 | Regence high performance facility · percent of total billed charges · inpatientfrom % of charges | $24.99 | $42.46 | $10.08 – $126.00 |
| 16 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $25.17 | $42.76 | $10.15 – $126.90 |
| 17 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $25.17 | $42.76 | $10.15 – $126.90 |
| 18 | UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges | $25.35 | $43.07 | $10.22 – $127.80 |
| 19 | UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges | $25.35 | $43.07 | $10.22 – $127.80 |
| 20 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $27.13 | $46.10 | $10.94 – $136.80 |
| 21 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $27.13 | $46.10 | $10.94 – $136.80 |
| 22 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $28.56 | $48.52 | $11.52 – $144.00 |
| 23 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $28.92 | $49.13 | $11.66 – $145.80 |
| 24 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $30.35 | $51.56 | $12.24 – $153.00 |
| 25 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $30.35 | $51.56 | $12.24 – $153.00 |
Last updated: Aug 5, 2026
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