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Prochlorperazine, Oral

Illinois rates for HCPCS Q0164

Prochlorperazine maleate, 5 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

Rates data updated July 2026.

How much does Prochlorperazine, Oral cost?

$0.34

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $0.34 for this service. The price depends on where it is billed: about $0.34 from a physician practice, and about $2.14 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.34$0.33 to $0.35
FacilityA hospital or hospital-owned outpatient department$2.14$0.71 to $3.47

How much rates vary

Facilitymedian $2 · 10th to 90th $0 to $6Professionalmedian $0 · 10th to 90th $0 to $1
$0.1$1$10$100$1Kfacility $2professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.43
Median
$2.14
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.69
Typical High
$8.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.49
Median
$0.65
Typical High
$0.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.10
Typical High
$1.45
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.29
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.36

Where Illinois sits

The same service costs 1.5 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 41st of 51

$0.34

MN $0.50NE $0.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.