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 600 MG/10ML IV (WET SOLR VIAL)
Augusta, GA
See all hospitals reporting HCPCS J2804 →Price type
Piedmont Augusta’s median price of $359 is 1632% above the median hospital's median price ($21), higher than 77% 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: 10 payers, 13 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 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Anthem anthem pathway fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $166 | $166 | $9 | 5% | — | $157 – $175 |
| 5 | UnitedHealthcare united healthcare fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 6 | UnitedHealthcare united healthcare exchange fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 7 | Cigna cigna fee schedule · both | $239 | $239 | — | — | — | $239 – $239 |
| 8 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $320 | $320 | $17 | 5% | — | $303 – $337 |
| 9 | Medcost medcost percent of total billed charges · bothfrom % of charges | $408 | $408 | $22 | 5% | — | $386 – $429 |
| 10 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $450 | $450 | $24 | 5% | — | $426 – $474 |
| 11 | Phcs phcs percent of total billed charges · bothfrom % of charges | $450 | $450 | $24 | 5% | — | $426 – $474 |
| 12 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $757 | $757 | $40 | 5% | — | $717 – $798 |
| 13 | First Health first health percent of total billed charges · bothfrom % of charges | $870 | $870 | $46 | 5% | — | $824 – $916 |
Last updated: Jul 1, 2026
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