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
Ulysses, KS
See all hospitals reporting HCPCS J0500 →Price type
Commonspirit Kansas, Inc.’s median price of $343 is 665% above the median hospital's median price ($45), higher than 97% 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: 6 payers, 13 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 Ks commercial ppo/hmo fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $156 | $190 | $99 | 52% | — | $116 – $403 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $156 | $190 | $99 | 52% | — | $116 – $403 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $156 | $190 | $99 | 52% | — | $116 – $403 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $156 | $190 | $99 | 52% | — | $116 – $403 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $390 | $474 | $247 | 52% | — | $291 – $1.0k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $390 | $474 | $247 | 52% | — | $291 – $1.0k |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $407 | $494 | $258 | 52% | — | $303 – $1.1k |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $407 | $494 | $258 | 52% | — | $303 – $1.1k |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $439 | $533 | $278 | 52% | — | $327 – $1.1k |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $439 | $533 | $278 | 52% | — | $327 – $1.1k |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $453 | $551 | $288 | 52% | — | $338 – $1.2k |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $453 | $551 | $288 | 52% | — | $338 – $1.2k |
Last updated: Feb 3, 2026
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