Code: Q0161

Description:
Description: Chlorpromazine hydrochloride, 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
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
CHLORPROMAZINE 25 MG PO
CHLORPROMAZINE 10 MG PO
CHLORPROMAZINE 50 MG PO
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZINE 50 MG TABLET
CHLORPROMAZINE 10 MG TABLET
CHLORPROMAZINE HCL 25 MG PO TABS
Related codes:
Code: Q0162
ONDANSETRON 4 MG PO
Code: Q0163
DIPHENHYDRAMINE 50 MG PO
Code: Q0164
PROCHLORPER MAL 5 MG PO
Code: Q0166
GRANISETRON 1 MG PO
Code: Q0167
DRONABINOL 2.5 MG PO
Code: Q0169
PROMETHAZINE 12.5 MG PO
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q0161 $2 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q0161 $6 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q0161 $8 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q0161 $8 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q0161 $8 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q0161 $9 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q0161 $9 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q0161 $10 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q0161 $10 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q0161 $11 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q0161 $11 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q0161 $12 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q0161 $12 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q0161 $12 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q0161 $13 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q0161 $17 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q0161 $22 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.