Code: Q0164

Description:
Description: 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
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PROCHLORPER MAL 10 MG PO
PROCHLORPERAZINE MALEATE 10 MG TABLET
PROCHLORPERAZINE MALEATE 5 MG TABLET
PROCHLORPERAZINE 10MG UT
PROCHLORPERAZINE 5MG UT
PROCHLORPERAZINE MALEATE 5 MG TABLET PACKAGE PRICE
prochlorperazine 5 mg tablet 1 each BLIST PACK
prochlorperazine 5 mg tablet 100 each BLIST PACK
prochlorperazine 5 mg tablet 100 each Bottle
Related codes:
Code: Q0161
CHLORPROMAZINE 100 MG PO
Code: Q0162
ONDANSETRON 4 MG PO
Code: Q0163
DIPHENHYDRAMINE 50 MG PO
Code: Q0166
GRANISETRON 1 MG PO
Code: Q0167
DRONABINOL 2.5 MG PO
Code: Q0169
PROMETHAZINE 12.5 MG PO
California
Hospital Address Code Price Last Updated
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q0164 $2 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q0164 $4 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento Q0164 $9 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento Q0164 $9 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q0164 $12 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q0164 $25 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q0164 $25 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q0164 $25 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q0164 $25 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q0164 $25 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q0164 $25 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q0164 $25 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q0164 $25 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q0164 $25 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q0164 $25 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q0164 $25 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q0164 $25 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q0164 $25 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q0164 $25 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q0164 $25 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q0164 $25 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q0164 $25 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q0164 $25 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q0164 $25 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q0164 $57 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q0164 $3,018 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q0164 $3,018 [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.