Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION
Low
$3
Average
$24
Median
$15
High
$54
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 6.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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64 hospital rates
iThe hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 6 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 7 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 8 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 9 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 10 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $14 | $14 | $4 | 25% | — | $11 – $18 |
| 11 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $26 | $26 | $2 | 8% | — | $24 – $28 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $54 | $54 | $0 | 1% | — | $54 – $55 |
| 16 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $54 | $54 | $0 | 1% | — | $54 – $55 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $54 | $54 | $0 | 0% | — | $54 – $54 |
| 18 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $54 | $54 | $0 | 1% | — | $54 – $55 |
| 19 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 20 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 21 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $54 | $54 | $0 | 1% | — | $54 – $55 |
| 22 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $12 | $12 | $2 | 14% | — | $10 – $14 |
| 25 | Selby General Hospital Marietta, OH facility · fee schedule · outpatient | 2 | $26 | $26 | $2 | 8% | — | $24 – $28 |
← Payers reporting HCPCS J1240 · Snapshot 20261111T120946Z-9134e7f7