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PROCHLORPERAZINE MALEATE 5 MG TABLET · HCPCS Q0164

Hospital City Cash price Negotiated range Payers
Woodland Hills Medical Center WOODLAND HILLS not published $0.38 – $0.38 1
West Los Angeles Medical Center LOS ANGELES not published $0.38 – $0.38 1
San Marcos Medical Center SAN MARCOS not published $0.38 – $0.38 1
South Bay Medical Center HARBOR CITY not published $0.38 – $0.38 1
San Diego Clairemont Mesa Medical Center SAN DIEGO not published $0.38 – $0.38 1
Riverside Medical Center RIVERSIDE not published $0.38 – $0.38 1
San Bernardino - Fontana Medical Center FONTANA not published $0.38 – $0.38 1
Downey Medical Center Downey not published $0.38 – $0.38 1
Baldwin Park Medical Center BALDWIN PARK not published $0.38 – $0.38 1
Orange County Anaheim Medical Center Anaheim not published $0.38 – $0.38 1
Vallejo Medical Center VALLEJO not published $0.42 – $0.42 1
Providence Saint John's Health Center Santa Monica not published $0.35 – $1.70 5
Providence St Joseph Hospital Orange Orange not published $0.83 – $1.70 2
Providence Mission Hospital - Mission Viejo Mission Viejo not published $0.84 – $1.70 2
Santa Rosa Memorial Hospital Santa Rosa not published $0.65 – $1.70 2
St Jude Medical Center Fullerton not published $0.85 – $1.70 2
Providence Saint Joseph Medical Center Burbank not published $0.35 – $1.82 4
Redwood Memorial Hospital Fortuna not published $0.78 – $0.78 1
Healdsburg Hospital Healdsburg not published $0.35 – $1.54 3
Providence St Joseph Hospital Eureka Eureka not published $0.78 – $1.70 2
Queen of The Valley Medical Center Napa not published $0.65 – $1.70 2
Providence Little Company of Mary Med Center Torrance Torrance not published $0.35 – $2.14 4
Providence Little Co of Mary Med Center San Pedro San Pedro not published $0.35 – $2.23 4
Walnut Creek Medical Center WALNUT CREEK not published $0.42 – $0.42 1
Vacaville Medical Center VACAVILLE not published $0.42 – $0.42 1
Providence Holy Cross Medical Center Mission Hills not published $0.35 – $2.10 4
South Sacramento Medical Center SACRAMENTO not published $0.42 – $0.42 1
South San Francisco Medical Center SOUTH SAN FRANCISCO not published $0.42 – $0.42 1
Santa Rosa Medical Center SANTA ROSA not published $0.42 – $0.42 1
San Rafael Medical Center SAN RAFAEL not published $0.42 – $0.42 1
Santa Clara Medical Center SANTA CLARA not published $0.42 – $0.42 1
San Leandro Medical Center SAN LEANDRO not published $0.42 – $0.42 1
Sacramento Medical Center SACRAMENTO not published $0.42 – $0.42 1
Oakland Medical Center Oakland not published $0.42 – $0.42 1
Redwood City Medical Center Redwood City not published $0.42 – $0.42 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $0.35 – $1.82 4
Petaluma Valley Hospital Petaluma not published $0.60 – $1.70 2