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 IM SOLN
Reported by 10 hospitals in the network under the other methodology.
Low
$13
Average
$62
Median
$21
High
$332
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 6.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $16 | $18 | $10 | 54% | — | $9 – $37 |
| 2 | Brfhh Monroe, Llc Monroe, LA | $20 | $19 | $11 | 57% | — | $7 – $33 |
| 3 | Ochsner Bayou Llc Raceland, LA | $14 | $18 | $9 | 53% | — | $12 – $42 |
| 4 | Southern Regional Medical Corporation Houma, LA | $10 | $13 | $7 | 50% | — | $10 – $35 |
| 5 | Hospital Service District Of The Parish Of St. Bernard, State Of Louisiana Chalmette, LA | $20 | $20 | — | — | — | $17 – $49 |
| 6 | Rush Medical Foundation Meridian, MS | $45 | $47 | $10 | 21% | — | $37 – $68 |
| 7 | Kaplan General Hospital, Inc ST, LA | $69 | $87 | $22 | 25% | — | $17 – $115 |
| 8 | Rush Hospital/Butler, Inc. Butler, AL | $34 | $38 | $8 | 20% | — | $29 – $63 |
| 9 | Ochsner Medical Center � Hancock Llc Bay St. Louis, MS | $20 | $22 | $3 | 13% | — | $20 – $26 |
| 10 | Monument Health Rapid City Hospital Inc City, SD | $329 | $332 | $4 | 1% | — | $12 – $337 |
Ask Claude or any MCP client for NDC 00641-6173-01 pricing at a specific hospital — see how to connect.