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
$11
Average
$107
Median
$70
High
$328
Each hospital's average Regence rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 12.1× 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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71 hospital rates
iThe hospitals that file a Regence 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 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $77 | $19 | 25% | 3–30 | $49 – $91 |
| 2 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $184 | $120 | 65% | — | $65 – $446 |
| 4 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 6 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $231 | $292 | $163 | 56% | — | $135 – $757 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 4 | $231 | $292 | $163 | 56% | — | $135 – $757 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 4 | $231 | $292 | $163 | 56% | — | $135 – $757 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 5 | $242 | $304 | $169 | 56% | — | $135 – $757 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $329 | $172 | 52% | — | $202 – $700 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $231 | $292 | $163 | 56% | — | $135 – $757 |
| 11 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · inpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 12 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 13 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $73 | $73 | $24 | 33% | — | $49 – $97 |
| 14 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $184 | $120 | 65% | — | $65 – $446 |
| 15 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 6 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $162 | $173 | $91 | 52% | — | $74 – $287 |
| 18 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $162 | $173 | $91 | 53% | — | $74 – $287 |
| 19 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Payers reporting HCPCS J0500 · Snapshot 20261111T120946Z-9134e7f7