HCPCS Q0164
Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Current code20 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | $2.61 – $190 | $2.87 – $4.43 | $3.59 – $5.54 |
| Highline Medical Center | $2.67 – $11.16 | $1.90 – $3.79 | $6.20 – $12.40 |
| Seattle Children's Hospital | $2.70 – $4.80 | $5.00 | $5.00 |
| Skagit Valley Hospital | $2.86 – $5.27 | $2.87 – $4.43 | $3.59 – $5.54 |
| St Anthony Hospital | $4.47 – $9.30 | $1.89 – $3.78 | $6.20 – $12.40 |
| St Clare Hospital | $4.47 – $9.30 | $1.79 – $3.58 | $6.20 – $12.40 |
| St Elizabeth Hospital | $2.48 – $11.16 | $2.20 – $4.39 | $6.20 – $12.40 |
| St Francis Community Hospital | $4.47 – $9.30 | $1.95 – $3.90 | $6.20 – $12.40 |
| St Joseph Medical Center | $4.47 – $9.30 | $2.06 – $4.11 | $6.20 – $12.40 |
| St Michael Medical Center | $3.91 – $11.16 | $2.74 – $5.48 | $6.20 – $12.40 |
| Three Rivers Hospital | — | $6.27 | $6.27 |
| Virginia Mason Medical Center | $1.02 – $1.28 | — | $1.60 |
Medicare (traditional) reference
CMS publishes no national amount for this code.