Dicyclomine 20 mg injection at Mercy Perry

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 10 MG/ML INTRAMUSCULAR SOLUTION

Perryville, MO

See all hospitals reporting HCPCS J0500 →

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How this price compares nationally

Mercy Perry’s median price of $56 is 25% above the median hospital's median price ($45), higher than 57% 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 Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
2	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
3	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
6	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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