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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS Q0164 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$139 – $1901 plan	$2.87 – $4.43	$3.59 – $5.54
Highline Medical CenterBurienFile dated 2026-02-28	—	$1.90 – $3.79	$6.20 – $12.40
Seattle Children's HospitalSeattle	—	$5.00	$5.00
Skagit Valley HospitalMount Vernon	—	$2.87 – $4.43	$3.59 – $5.54
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$1.89 – $3.78	$6.20 – $12.40
St Clare HospitalLakewoodFile dated 2026-02-28	—	$1.79 – $3.58	$6.20 – $12.40
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$2.20 – $4.39	$6.20 – $12.40
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$1.95 – $3.90	$6.20 – $12.40
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$2.06 – $4.11	$6.20 – $12.40
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$2.74 – $5.48	$6.20 – $12.40
Three Rivers HospitalBrewster	—	$6.27	$6.27
Virginia Mason Medical CenterSeattle	—	—	$1.60

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.