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
$3
Average
$44
Median
$18
High
$337
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
91 hospitals; the 90th percentile is 8.5× 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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130 hospital rates
iThe hospitals that file a Highmark 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 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | 1–10 | $337 – $337 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Boone Memorial Hospital Madison, WV other · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $60 | $2 | 3% | — | $58 – $62 |
| 7 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 11 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 12 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $55 | $46 | $17 | 38% | — | $16 – $58 |
| 13 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 15 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 7 | $13 | $33 | $30 | 89% | — | $11 – $98 |
| 17 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 18 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 2 | $13 | $13 | $1 | 9% | — | $11 – $14 |
| 20 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $30 | $91 | $89 | 98% | — | $26 – $219 |
| 21 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 22 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 23 | Gettysburg Hospital Gettysburg, PA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Good Samaritan Hospital Lebanon, PA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 3 | $59 | $57 | $3 | 6% | — | $52 – $59 |
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