NDC 00121-0489-05
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
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL WRAPPER
Based on 75–327 billing samples across every hospital reporting.
Low
$0
Average
$113
Median
$9
High
$10.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 238 hospitals; the 90th percentile is 25.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tufts Medical Center BOSTON, MA | $7 | $7 | $2 | 32% | 27–36 | $1 – $22 |
| 2 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA | $13 | $17 | $29 | 178% | 22–31 | $3 – $185 |
| 3 | Hendrick Medical Center Abilene, TX | $5 | $6 | $3 | 49% | 6–60 | $2 – $11 |
| 4 | Hendrick Medical Center Abilene, TX | $5 | $6 | $3 | 49% | 6–60 | $2 – $11 |
| 5 | Pampa Regional Medical Center Pampa, TX | $1 | $3 | $4 | 145% | 4–40 | $0 – $9 |
| 6 | Norton Hospitals INC Louisville, KY | $2 | $4 | $4 | 110% | 4–40 | $0 – $12 |
| 7 | North Vista Hospital Vegas, NV | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 8 | Norton Kings Daughters Health Inc Madison, IN | $12 | $11 | $2 | 18% | 1–10 | $3 – $13 |
| 9 | Temple University Hospital - Jeanes Campus Philadelphia, PA | $9 | $27 | $85 | 318% | 1–10 | $3 – $478 |
| 10 | Temple University Hospital - Fox Chase Campus Philadelphia, PA | $13 | $12 | $6 | 46% | 1–10 | $3 – $26 |
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