Metoclopramide hydrochloride injection, 5 mg per mL at Allina Health Systems

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

metoclopramide pediatric 5 mg/mL 2 mL VIAL

Ulm, MN

See all hospitals reporting HCPCS J2765 →

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How this price compares nationally

Allina Health Systems’s median price of $26 is 392% above the median hospital's median price ($5), higher than 82% of the 2,321 hospitals reporting HCPCS J2765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2765 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 23 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.

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#
1	Bcbs Mn bc pmap (n) facility · other · outpatient	$1	$1	—	—	—	$1 – $1
2	Bcbs Mn bc premier(n) facility · other · outpatient	$1	$1	—	—	—	$1 – $1
3	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$2	$2	—	—	—	$2 – $2
4	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$2	$2	—	—	—	$2 – $2
5	Bcbs Mn bc state health plan (n) facility · other · outpatient	$2	$2	—	—	—	$2 – $2
6	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$8	$8	$0	1%	—	$8 – $9
7	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$13	$13	$0	1%	—	$13 – $13
8	Medicaid medicaid ma (n) facility · other · outpatient	$18	$18	$0	1%	—	$18 – $19
9	Medica medica medicare (r) facility · fee schedule · outpatient	$19	$19	$0	1%	—	$18 – $19
10	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$19	$19	$0	1%	—	$19 – $19
11	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$19	$19	$0	1%	—	$19 – $20
12	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$26	$26	$0	1%	—	$25 – $26
13	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	$0	1%	—	$26 – $26
14	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	$0	1%	—	$27 – $28
15	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$0	1%	—	$28 – $28
16	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$29	$29	$0	1%	—	$29 – $30
17	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	$0	1%	—	$33 – $34
18	Cigna hpi cigna (n) facility · other · outpatient	$34	$34	$0	1%	—	$34 – $35
19	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$35	$35	$0	1%	—	$35 – $36
20	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	$0	1%	—	$35 – $36
21	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	$0	1%	—	$35 – $36
22	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$35	$35	$0	1%	—	$35 – $36
23	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	$0	1%	—	$35 – $36

Last updated: Jun 16, 2026

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