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
DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION
Low
$0
Average
$90
Median
$44
High
$945
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
357 hospitals; the 90th percentile is 15.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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588 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $91 | $94 | 104% | 158 | $20 – $492 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $30 | $29 | 96% | 115 | $9 – $128 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $65 | $62 | 96% | 90 | $20 – $274 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $102 | $112 | 109% | 52 | $20 – $591 |
| 5 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $178 | $180 | $19 | 11% | 35–44 | $157 – $204 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $99 | $106 | 107% | 34–340 | $20 – $559 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $91 | $95 | 104% | 34–340 | $20 – $495 |
| 8 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $196 | $186 | $21 | 11% | 29–38 | $157 – $204 |
| 9 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $306 | $31 | 10% | 22–40 | $262 – $328 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $65 | $62 | 96% | 19 | $20 – $274 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $65 | $62 | 96% | 12 | $20 – $274 |
| 12 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 4 | $51 | $55 | $13 | 23% | 8–80 | $42 – $77 |
| 13 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 3 | $18 | $26 | $16 | 63% | 5–50 | $18 – $66 |
| 14 | SAINT JOSEPH HEALTH SYSTEM, INC London, KY fee schedule · outpatient | 3 | $18 | $28 | $20 | 71% | 5–50 | $18 – $77 |
| 15 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY fee schedule · outpatient | 3 | $18 | $32 | $26 | 82% | 5–50 | $18 – $96 |
| 16 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY fee schedule · outpatient | 3 | $18 | $32 | $27 | 84% | 5–50 | $18 – $99 |
| 17 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $99 | $50 | 50% | 3–30 | $49 – $168 |
| 18 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 2 | $22 | $22 | $10 | 47% | 2–20 | $12 – $33 |
| 19 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 20 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 21 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 22 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 23 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $260 | $260 | — | — | 1–10 | $260 – $260 |
| 24 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 25 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 2 | $39 | $39 | $6 | 15% | 1–10 | $33 – $44 |
← Payers reporting HCPCS J0500 · Snapshot 20261111T120946Z-9134e7f7