Dicyclomine 20 mg injection at Fairview Maple Grove Surgery Center

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

DICYCLOMINE HCL 10 MG/ML IM SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J0500 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $52 is 17% above the median hospital's median price ($45), higher than 55% of the 1,924 hospitals reporting HCPCS J0500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0500 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 24 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.

Filter by billing methodology

Filter by billing class

#
1	Ucare mhcp fee schedule · both	$11	$11	—	—	—	$11 – $11
2	Medicaid medicaid fee schedule · both	$12	$12	—	—	—	$12 – $12
3	Medica ma non-snp fee schedule · both	$16	$16	—	—	—	$16 – $16
4	Medica ma snp fee schedule · both	$16	$16	—	—	—	$16 – $16
5	Medica prime solution fee schedule · both	$16	$16	—	—	—	$16 – $16
6	Medica vantage fee schedule · both	$16	$16	—	—	—	$16 – $16
7	Medica accessability fee schedule · both	$16	$16	—	—	—	$16 – $16
8	Medica medicaid fee schedule · both	$16	$16	—	—	—	$16 – $16
9	Blue Cross Blue Shield medicaid fee schedule · both	$17	$17	—	—	—	$17 – $17
10	Blue Cross Blue Shield federal fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
13	Blue Cross Blue Shield federal fee schedule · both	$25	$25	—	—	—	$25 – $25
14	Blue Cross Blue Shield commercial fee schedule · both	$25	$25	—	—	—	$25 – $25
15	UnitedHealthcare commercial fee schedule · both	$29	$29	—	—	—	$29 – $29
16	Cigna commercial fee schedule · both	$30	$30	$3	9%	—	$27 – $32
17	Medica bold fee schedule · both	$47	$47	—	—	—	$47 – $47
18	Medica choice without / elect fee schedule · both	$52	$52	—	—	—	$52 – $52
19	Medica city of st paul / essential uplan fee schedule · both	$52	$52	—	—	—	$52 – $52
20	Medica choice with fee schedule · both	$54	$54	—	—	—	$54 – $54
21	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$70	$75	$40	54%	—	$36 – $214
22	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$70	$75	$40	54%	—	$36 – $214
23	First Health commercial percent of total billed charges · outpatientfrom % of charges	$114	$123	$66	54%	—	$58 – $350
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$118	$128	$69	54%	—	$60 – $363

Last updated: May 18, 2026

Compare to other hospitals

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.