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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 October 2026.

How much does Prochlorperazine, Oral cost?

$0.34

Typical negotiated rate. In Illinois, October 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 $0.72 from a hospital or other facility.

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.

Prices by location type

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$0.72$0.49 to $1.95

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $6Professionalmedian $0 · 10th to 90th $0 to $0
$0.5$1$2$5$10facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.33
Median
$0.46
Typical High
$1.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.33
Typical High
$0.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.17
Median
$0.17
Typical High
$0.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.05
Median
$0.05
Typical High
$0.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
BCBS
Setting
Facility
Modifier
None
Typical Low
$1.23
Median
$2.69
Typical High
$8.91
BCBS
Setting
Professional
Modifier
None
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.47
Median
$0.71
Typical High
$0.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Hally Health
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$1.07
Typical High
$1.45
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.34
Typical High
$0.39

Where Illinois sits

The same service costs 1.6 times more in Montana than in Michigan. 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· 48th of 51

$0.34

MT $0.52MI $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.