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 INTRAMUSC SOLN [1411]
Arlington, TX
See all hospitals reporting HCPCS J0500 →Price type
AMH Cath Labs LLC’s median price of $84 is 87% above the median hospital's median price ($45), higher than 71% of the 1,909 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: 8 payers, 25 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Blue Cross Blue Shield hmo fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 8 | Blue Cross Blue Shield exchange fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
Last updated: Apr 21, 2026
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