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
Enumclaw, WA
See all hospitals reporting HCPCS J0500 →Price type
Enumclaw Regional Hospital Association’s median price of $97 is 116% above the median hospital's median price ($45), higher than 76% 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: 10 payers, 26 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 | Aetna commercial|awh fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Kaiser medicare|all plans fee schedule · outpatient | $71 | $71 | $24 | 33% | — | $47 – $94 |
| 4 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $71 | $71 | $24 | 33% | — | $47 – $94 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $71 | $71 | $24 | 33% | — | $47 – $95 |
| 6 | Optum medicare|all plans fee schedule · outpatient | $71 | $71 | $24 | 33% | — | $48 – $95 |
| 7 | Premera medicare|all plans fee schedule · outpatient | $73 | $73 | $24 | 33% | — | $49 – $97 |
| 8 | Regence medicare|all plans fee schedule · outpatient | $73 | $73 | $24 | 33% | — | $49 – $97 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $76 | $76 | $25 | 33% | — | $50 – $101 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $76 | $76 | $25 | 33% | — | $51 – $102 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $76 | $76 | $25 | 33% | — | $51 – $102 |
| 12 | Aetna medicare|all plans fee schedule · outpatient | $86 | $86 | $29 | 33% | — | $58 – $115 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $117 | $117 | $39 | 33% | — | $78 – $155 |
| 14 | Molina medicaid|all plans fee schedule · inpatient | $117 | $117 | $39 | 33% | — | $78 – $156 |
| 15 | Molina commercial|marketplace exchange fee schedule · outpatient | $136 | $136 | $45 | 33% | — | $90 – $181 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $141 | $141 | $47 | 33% | — | $94 – $188 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $145 | $145 | $48 | 33% | — | $97 – $194 |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $153 | $153 | $51 | 33% | — | $102 – $204 |
| 19 | Aetna commercial|awh fee schedule · inpatient | $157 | $157 | $52 | 33% | — | $105 – $209 |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $188 | $188 | $63 | 33% | — | $126 – $251 |
| 21 | Cigna commercial|all plans fee schedule · outpatient | $196 | $196 | $65 | 33% | — | $131 – $262 |
| 22 | Cigna commercial|all plans fee schedule · inpatient | $216 | $216 | $72 | 33% | — | $144 – $288 |
| 23 | Aetna commercial|rental fee schedule · inpatient | $283 | $283 | $94 | 33% | — | $189 – $377 |
| 24 | Aetna commercial|rental fee schedule · outpatient | $283 | $283 | $94 | 33% | — | $189 – $377 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $353 | $353 | $118 | 33% | — | $236 – $471 |
Last updated: Feb 28, 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.