Dicyclomine 20 mg injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION

Payers reporting HCPCS J0500

Payer pricing summary

Low

Average

$95

Median

$80

High

$365

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	307	$49	$54	$61	112%	190–883	$0 – $1.3k
2	Cigna fee schedule · outpatient · +20 other terms	380	$26	$53	$81	153%	116–602	$0 – $2.3k
3	Ambetter fee schedule · both · +14 other terms	15	$71	$46	$32	69%	111	$20 – $130
4	Wellmark fee schedule · outpatient · +14 other terms	21	$13	$15	$5	30%	32–122	$12 – $25
5	Anthem fee schedule · outpatient · +17 other terms	122	$25	$34	$60	179%	31–310	$9 – $1.1k
6	Aetna fee schedule · outpatient · +23 other terms	257	$29	$64	$100	156%	26–260	$1 – $1.1k
7	UnitedHealthcare fee schedule · outpatient · +25 other terms	483	$24	$55	$241	437%	23–230	$1 – $7.3k
8	Kaiser fee schedule · both · +13 other terms	49	$15	$20	$18	92%	12–120	$12 – $108
9	Caresource fee schedule · outpatient · +12 other terms	48	$14	$32	$43	136%	1–10	$12 – $217
10	Bcbs Al facility · other · outpatient · +1 other terms	5	$307	$450	$354	78%	1–10	$16 – $1.0k
11	Humana fee schedule · outpatient · +21 other terms	172	$25	$119	$182	154%	—	$1 – $1.2k
12	MultiPlan fee schedule · outpatient · +15 other terms	82	$199	$210	$208	99%	—	$1 – $1.2k
13	Highmark facility · fee schedule · outpatient · +12 other terms	51	$13	$15	$11	71%	—	$3 – $64
14	Molina fee schedule · outpatient · +18 other terms	51	$36	$36	$32	90%	—	$1 – $226
15	Medica fee schedule · outpatient · +13 other terms	42	$53	$64	$48	75%	—	$3 – $369
16	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	37	$228	$230	$126	55%	—	$2 – $1.0k
17	First Health fee schedule · outpatient · +15 other terms	31	$163	$129	$121	94%	—	$10 – $858
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	30	$119	$126	$106	85%	—	$3 – $483
19	Oscar facility · fee schedule · outpatient · +10 other terms	27	$14	$15	$1	10%	—	$11 – $16
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$50	$44	$79	177%	—	$1 – $268
21	Regence professional · fee schedule · outpatient · +11 other terms	26	$24	$20	$5	25%	—	$14 – $24
22	Medicaid facility · fee schedule · outpatient · +8 other terms	24	$15	$28	$31	112%	—	$11 – $135
23	Tricare facility · fee schedule · outpatient · +13 other terms	22	$147	$141	$107	76%	—	$11 – $555
24	Aetna Better Health fee schedule · outpatient · +12 other terms	21	$26	$26	$11	43%	—	$11 – $60
25	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	21	$11	$11	—	—	—	$11 – $11

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