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
Florida
Hospital Address Code Price Last Updated
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q0164 $3 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q0164 $4 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q0164 $4 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q0164 $5 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q0164 $5 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q0164 $6 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q0164 $6 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q0164 $7 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q0164 $8 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q0164 $8 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q0164 $13 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q0164 $13 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q0164 $14 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q0164 $15 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q0164 $18 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q0164 $18 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q0164 $18 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q0164 $18 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q0164 $20 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q0164 $22 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q0164 $27 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q0164 $29 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q0164 $29 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q0164 $31 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q0164 $33 [source] 4 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q0164 $40 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q0164 $42 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q0164 $43 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q0164 $50 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q0164 $61 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q0164 $80 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q0164 $82 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q0164 $87 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q0164 $90 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q0164 $109 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q0164 $138 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q0164 $144 [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.