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
Prochlorperazine 5MG IFC TAB (COMPAZINE)
Low
$0
Average
$41
Median
$1
High
$385
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 159.5× 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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53 hospital rates
iThe hospitals that file a Ambetter 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 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 6% | 1–10 | $1 – $1 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 4 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 5 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 6 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 7 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 8 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 9 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 10 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 11 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 12 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 13 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 14 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 15 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 39% | — | $0 – $1 |
| 16 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $385 | $385 | — | — | — | $385 – $385 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $0 | 2% | — | $20 – $21 |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $385 | $385 | — | — | — | $385 – $385 |
| 22 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $1 | 33% | — | $2 – $5 |
| 23 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $4 | $1 | 34% | — | $2 – $5 |
| 24 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS Q0164 · Snapshot 20261111T120946Z-9134e7f7