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 1 MG INJ
Dulles, VA
See all hospitals reporting HCPCS J2004 →Price type
Stonesprings Hospital Center’s median price of $49 is 646% above the median hospital's median price ($7), higher than 88% 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 | Cigna hmo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Cigna ifp fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Cigna ppo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 5 | Aetna mgmcr percent of total billed charges · outpatientfrom % of charges | $14.50 | $14.37 | $0.03 – $28.43 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $30.16 | $29.88 | $0.07 – $59.14 |
| 7 | Carefirst hmo percent of total billed charges · outpatientfrom % of charges | $42.53 | $42.14 | $0.10 – $83.40 |
| 8 | Carefirst rpn percent of total billed charges · outpatientfrom % of charges | $42.53 | $42.14 | $0.10 – $83.40 |
| 9 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $43.50 | $43.10 | $0.10 – $85.29 |
Last updated: Mar 1, 2026
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