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
METOCLOPRAMIDE PER 10 MG
Spring, TX
See all hospitals reporting HCPCS J2765 →Price type
St. Luke's Community Health Services’s median price of $28 is 430% above the median hospital's median price ($5), higher than 84% of the 2,321 hospitals reporting HCPCS J2765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 38 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 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Cigna commercial|ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Cigna commercial|hmo fee schedule · outpatient | $3 | $3 | — | — | 51 | $3 – $3 |
| 8 | Cigna commercial|surefit fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Aetna commercial|hmo fee schedule · inpatient | $14 | $14 | $1 | 9% | — | $12 – $16 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $14 | $14 | $1 | 9% | — | $12 – $16 |
| 14 | Aetna commercial|ppo fee schedule · inpatient | $15 | $15 | $1 | 4% | — | $14 – $16 |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $15 | $15 | $1 | 4% | — | $14 – $16 |
| 16 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $15 | $15 | $1 | 4% | — | $14 – $16 |
| 17 | Optum medicare|all plans fee schedule · outpatient | $15 | $16 | $1 | 4% | — | $15 – $17 |
| 18 | Aetna commercial|transplant fee schedule · inpatient | $18 | $18 | $1 | 4% | — | $18 – $20 |
| 19 | Aetna commercial|transplant fee schedule · outpatient | $18 | $18 | $1 | 4% | — | $18 – $20 |
| 20 | Cigna commercial|hmo fee schedule · inpatient | $20 | $21 | $1 | 4% | — | $20 – $22 |
| 21 | Cigna commercial|ppo fee schedule · inpatient | $20 | $21 | $1 | 4% | — | $20 – $22 |
| 22 | Cigna commercial|surefit fee schedule · inpatient | $20 | $21 | $1 | 4% | — | $20 – $22 |
| 23 | Optum medicaid|star fee schedule · outpatient | $20 | $21 | $1 | 4% | — | $20 – $22 |
| 24 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $21 | $22 | $1 | 4% | — | $21 – $24 |
| 25 | UnitedHealthcare commercial|ppo fee schedule · inpatient | $21 | $22 | $1 | 4% | — | $21 – $24 |
Last updated: Feb 28, 2026
See Metoclopramide hydrochloride injection, 5 mg per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.