HCPCS Q0172

Chlorpromazine 25 mg oral tablet

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Chlorpromazine HCl 25mg oral

Payer pricing summary

Low

Average

$78

Median

High

$506

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	24	$1	$1	$1	50%	—	$1 – $2
2	Highmark facility · fee schedule · outpatient	3	$1	$1	$0	4%	—	$1 – $1
3	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms	3	$63	$439	$445	101%	—	$6 – $1.1k
4	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$0	$0	—	—	—	$0 – $0
5	Aetna professional · fee schedule · both · +6 other terms	2	$0	$0	—	—	—	$0 – $0
6	Humana professional · percent of total billed charges · bothfrom % of charges · +2 other terms	2	$8	$8	—	—	—	$8 – $8
7	UnitedHealthcare facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms	2	$18	$22	$13	57%	—	$5 – $33
8	Anthem fee schedule · outpatient · +2 other terms	1	$2	$2	—	—	—	$2 – $2
9	Bcbs Ca facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$45	$45	—	—	—	$45 – $45
10	Cigna fee schedule · both · +6 other terms	1	$0	$0	—	—	—	$0 – $0
11	First Health percent of total billed charges · bothfrom % of charges · +1 other terms	1	$16	$16	—	—	—	$16 – $16
12	Florida Blue percent of total billed charges · bothfrom % of charges	1	$10	$10	$2	18%	—	$8 – $12
13	Kaiser fee schedule · outpatient · +2 other terms	1	$0	$0	—	—	—	$0 – $0
14	Magellan facility · percent of total billed charges · outpatientfrom % of charges	1	$54	$54	—	—	—	$54 – $54
15	Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$5	$5	$1	13%	—	$4 – $6
16	Molina facility · fee schedule · outpatient · +2 other terms	1	$3	$3	—	—	—	$3 – $3
17	Premera facility · percent of total billed charges · bothfrom % of charges	1	$2	$2	—	—	—	$2 – $2
18	Regence facility · percent of total billed charges · bothfrom % of charges	1	$2	$2	$1	42%	—	$1 – $2
19	Tricare facility · percent of total billed charges · bothfrom % of charges	1	$1	$1	—	—	—	$1 – $1