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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J0500

Injection, dicyclomine hcl, up to 20 mg

Current code42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$131 – $1473 plans$226$226
Capital Medical CenterOlympiaFile dated 2026-08-27$85.04 – $1842 plans$42.52 – $86.42$106 – $216
Cascade Medical CenterLeavenworth$55.53 – $88.562 plans$70.85$88.56
Deaconess Medical CenterSpokaneFile dated 2026-08-27$215 – $2212 plans$121$303
EvergreenHealth Medical CenterKirkland$24.19 – $1487 plans$127$159
Highline Medical CenterBurienFile dated 2026-02-28$113 – $4716 plans$79.95 – $160$262 – $524
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $305$49.44 – $435
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$84.37 – $1583 plans$57.20 – $86.42$143 – $216
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$84.37 – $1583 plans$57.20 – $86.42$143 – $216
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$61.71 – $1583 plans$41.84 – $86.42$105 – $216
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$150 – $2182 plans$83.36 – $121$208 – $303
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$8.12 – $38.88$16.23 – $77.77
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $217$101 – $310
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$68.68 – $113$132 – $217
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $217$101 – $310
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$697$996
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$37.42 – $574$53.46 – $820
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$63.60 – $189$122 – $363
St Anthony HospitalGig HarborFile dated 2026-02-28$144 – $3934 plans$79.63 – $159$262 – $524
St Clare HospitalLakewoodFile dated 2026-02-28$144 – $3934 plans$75.47 – $151$262 – $524
St Elizabeth HospitalEnumclawFile dated 2026-02-28$94.25 – $4719 plans$92.52 – $185$262 – $524
St Francis Community HospitalFederal WayFile dated 2026-02-28$144 – $3934 plans$82.16 – $164$262 – $524
St Joseph Medical CenterTacomaFile dated 2026-02-28$144 – $3934 plans$86.71 – $173$262 – $524
St Michael Medical CenterSilverdaleFile dated 2026-02-28$165 – $47110 plans$116 – $231$262 – $524
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$84.37 – $1583 plans$57.20 – $86.42$143 – $216
Three Rivers HospitalBrewster—$352$352
Yakima Valley MemorialYakimaFile dated 2026-08-27$1211 plan$86.42$216

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.