NDC 00641-6173-01
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 HCL 10 MG/ML IM SOLN
Reported by 2 hospitals in the network under the case rate methodology.
Low
$77
Average
$128
Median
$128
High
$179
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Finley Hospital Dubuque, IA | $77 | $77 | — | — | — | $13 – $109 |
| 2 | Gottlieb Memorial Hospital Melrose Park, IL | $179 | $179 | — | — | — | $179 – $179 |
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