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 Oral Soln 12.5 mg/5 mL UD
Low
$1
Average
$3.3k
Median
$852
High
$23.4k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 9 hospitals; the 90th percentile is 58.1× 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 | Indiana University Health Bloomington Inc. Bloomington, IN | $142 | $142 | — | — | — | $4 – $142 |
| 2 | Lucile Salter Packard Children's Hospital At Stanford PALO ALTO, CA | $28.5k | $23.4k | $8.9k | 38% | — | $39 – $28.5k |
| 3 | Children's National Rehabilitation and Specialized Care Washington, DC | $152 | $152 | — | — | — | $152 – $3.2k |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL | $2.7k | $2.4k | $1.1k | 48% | — | $6 – $3.7k |
| 5 | Overlook Medical Center Summit, NJ | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Munson Healthcare Cadillac Cadillac, MI | $852 | $852 | — | — | — | $5 – $852 |
| 7 | Kalkaska Memorial Health Center Kalkaska, MI | $852 | $852 | — | — | — | $2 – $852 |
| 8 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI | $852 | $852 | — | — | — | $5 – $852 |
| 9 | UMass Memorial Medical Center Worcester, MA | $672 | $672 | — | — | — | $10 – $672 |
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