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Prochlorperazine, Oral

Massachusetts 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?

$0.35

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $0.35 for this service. The price depends on where it is billed: about $0.35 from a physician practice, and about $0.74 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 9 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$0.35$0.34 to $0.35
FacilityA hospital or hospital-owned outpatient department$0.74$0.39 to $2.45

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $4Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$1$10$100$1Kfacility $1professional $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
$0.35
Median
$2.19
Typical High
$3.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$0.35
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.58
Typical High
$0.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.72
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$4,897.79
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.07
Typical High
$47.86
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$0.35
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$1.70
Typical High
$1.70
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.35
Typical High
$0.45

Where Massachusetts 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.

Massachusetts· 18th of 51

$0.35

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.