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 Soln 2 mL AMPUL
Rapids, MN
See all hospitals reporting HCPCS J0500 →Price type
Allina Health Systems’s median price of $37 is 18% below the median hospital's median price ($45), higher than 42% of the 1,924 hospitals reporting HCPCS J0500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $2 | 15% | — | $12 – $16 |
| 4 | Bcbs Mn bc premier (m u) facility · other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $2 | 15% | — | $13 – $18 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $4 | 15% | — | $20 – $28 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | $4 | 15% | — | $22 – $30 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | $5 | 15% | — | $26 – $35 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $37 | $6 | 15% | — | $32 – $43 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | $6 | 15% | — | $34 – $46 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $48 | $48 | $7 | 15% | — | $40 – $55 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | $8 | 15% | — | $41 – $57 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $8 | 15% | — | $43 – $59 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $8 | 15% | — | $43 – $59 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $54 | $54 | $8 | 15% | — | $46 – $62 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $55 | $55 | $8 | 15% | — | $46 – $63 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $57 | $57 | $9 | 15% | — | $49 – $66 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $9 | 15% | — | $49 – $66 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $9 | 15% | — | $49 – $66 |
Last updated: Jun 17, 2026
See Dicyclomine 20 mg injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.