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
PROCHLORPER MAL 5 MG PO
Austin, TX
See all hospitals reporting HCPCS Q0164 →Price type
St.davids Surgical Hospital’s median price of $12 is 982% above the median hospital's median price ($1), higher than 94% of the 1,564 hospitals reporting HCPCS Q0164. 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | UnitedHealthcare smallgroup fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 21 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $47 | $45 | $4 | 8% | — | $40 – $48 |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
Last updated: Sep 1, 2026
See Prochlorperazine 5 mg oral anti-nausea pill for chemotherapy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.