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 2ML INJ
Pittsburgh, PA
See all hospitals reporting HCPCS J0500 →Price type
UPMC Mercy’s median price of $207 is 362% above the median hospital's median price ($45), higher than 91% 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: 6 payers, 26 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Highmark managed care facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Highmark commercial - indemnity facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 8 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 9 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 10 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 11 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 12 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 13 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 14 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 16 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 17 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 18 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 19 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 20 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 21 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $266 | $266 | $53 | 20% | — | $213 – $319 |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | $53 | 20% | — | $213 – $319 |
| 24 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 25 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $479 | $479 | — | — | — | $479 – $479 |
Last updated: Mar 6, 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.