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
$12
Average
$51
Median
$34
High
$267
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 7.2× 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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69 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $13 | $13 | — | — | 22 | $13 – $13 |
| 2 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $25 | $25 | — | — | 10–100 | $25 – $25 |
| 3 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $102 | $120 | $58 | 49% | — | $60 – $231 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $97 | $114 | $55 | 49% | — | $57 – $219 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Avera Specialty Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 18 | Grinnell Regional Medical Center Grinnell, IA fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 19 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $108 | $108 | — | — | — | $108 – $108 |
| 20 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · both | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 21 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $53 | $1 | 1% | — | $53 – $54 |
| 23 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $69 | $69 | — | — | — | $69 – $69 |
| 24 | Landmann-Jungman Hosp Scotland, SD percent of total billed charges · inpatientfrom % of charges | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 25 | Landmann-Jungman Hosp Scotland, SD percent of total billed charges · outpatientfrom % of charges | 1 | $267 | $267 | — | — | — | $267 – $267 |
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