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
Eureka, IL
See all hospitals reporting HCPCS J0500 →Price type
Carle Eureka Hospital’s median price of $118 is 164% above the median hospital's median price ($45), higher than 81% 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, 19 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $58 | $60 | $27 | 45% | — | $36 – $111 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $58 | $60 | $27 | 45% | — | $36 – $111 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $58 | $60 | $27 | 45% | — | $36 – $111 |
| 8 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $131 | $136 | $61 | 45% | — | $81 – $250 |
| 9 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $131 | $136 | $61 | 45% | — | $81 – $250 |
| 10 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $131 | $136 | $61 | 45% | — | $81 – $250 |
| 11 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $131 | $136 | $61 | 45% | — | $81 – $250 |
| 12 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $139 | $145 | $65 | 45% | — | $87 – $266 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $179 | $186 | $84 | 45% | — | $111 – $342 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $180 | $187 | $85 | 45% | — | $112 – $344 |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $192 | $200 | $90 | 45% | — | $119 – $367 |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $192 | $200 | $90 | 45% | — | $119 – $367 |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $194 | $202 | $91 | 45% | — | $121 – $372 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $218 | $227 | $102 | 45% | — | $135 – $416 |
| 19 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $244 | $254 | $115 | 45% | — | $151 – $466 |
Last updated: Apr 15, 2026
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