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 IM SOLN
ST, LA
See all hospitals reporting HCPCS J0500 →Price type
Kaplan General Hospital, Inc’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, 12 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 La all payor fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Bcbs La all payor other · outpatient | $68 | $81 | $19 | 23% | — | $67 – $107 |
| 3 | Optum all payor other · outpatient | $68 | $81 | $19 | 23% | — | $67 – $107 |
| 4 | WellCare all payor other · outpatient | $68 | $81 | $19 | 23% | — | $67 – $107 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $79 | $94 | $22 | 23% | — | $78 – $125 |
| 6 | Aetna all payor other · outpatient | $97 | $99 | $30 | 30% | — | $67 – $155 |
| 7 | Humana all payor other · outpatient | $111 | $110 | $40 | 36% | — | $67 – $186 |
| 8 | UnitedHealthcare all payor other · outpatient | $111 | $110 | $40 | 36% | — | $67 – $186 |
| 9 | Aetna all payor other · inpatient | $98 | $116 | $27 | 23% | — | $96 – $155 |
| 10 | Cigna all payor other · outpatient | $105 | $125 | $29 | 23% | — | $104 – $167 |
| 11 | Aetna Better Health all payor other · outpatient | $117 | $139 | $33 | 23% | — | $115 – $186 |
| 12 | Amerihealth Caritas all payor other · outpatient | $117 | $139 | $33 | 23% | — | $115 – $186 |
Last updated: Apr 1, 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.