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 10 MG/ML INTRAMUSCULAR SOLUTION
Reported by 95 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$29
Median
$26
High
$67
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 95 hospitals; the 90th percentile is 3.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $57 | $65 | $42 | 64% | 28–46 | $15 – $128 |
| 2 | Piedmont Rockdale Conyers, GA | $21 | $20 | $7 | 34% | 1–10 | $13 – $165 |
| 3 | The Finley Hospital Dubuque, IA | $13 | $13 | — | — | — | $13 – $109 |
| 4 | Gottlieb Memorial Hospital Melrose Park, IL | $21 | $20 | $1 | 5% | — | $19 – $21 |
| 5 | UPMC Lititz Lititz, PA | $12 | $15 | $8 | 53% | — | $2 – $35 |
| 6 | UPMC Memorial York, PA | $12 | $14 | $8 | 53% | — | $2 – $35 |
| 7 | UPMC Hanover Hanover, PA | $12 | $15 | $8 | 53% | — | $2 – $35 |
| 8 | UPMC Carlisle Carlisle, PA | $12 | $15 | $8 | 53% | — | $2 – $35 |
| 9 | UPMC Pinnacle Hospitals Harrisburg, PA | $13 | $16 | $8 | 50% | — | $2 – $31 |
| 10 | UPMC Somerset Somerset, PA | $11 | $27 | $32 | 118% | — | $3 – $97 |
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