NDC 00641-0955-21
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
PROMETHAZINE 25 MG/ML INJECTION SOLUTION
Reported by 11 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$3
Average
$7
Median
$4
High
$16
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 2.9× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Memorial Hospital of Laramie County | Cheyenne, WY | $11 | $11 | — | 1–10 | $11 | $43 |
| 2 | Ochsner Clinic Foundation | Orleans, LA | $3 | $4 | $2 | — | $2 | $9 |
| 3 | Brfhh Monroe, Llc | Monroe, LA | $5 | $4 | $2 | — | $2 | $8 |
| 4 | Ochsner Bayou Llc | Raceland, LA | $3 | $4 | $2 | — | $3 | $10 |
| 5 | Ochsner Morgan City Llc | Morgan City, LA | $1 | $3 | $3 | — | $1 | $9 |
| 6 | Ochsner Medical Center � Kenner Llc | Kenner, LA | $6 | $4 | $3 | — | $2 | $9 |
| 7 | Allina Health Systems | Rapids, MN | $4 | $4 | $1 | — | $0 | $39 |
| 8 | Allina Health Systems | Buffalo, MN | $5 | $11 | $12 | — | $0 | $46 |
| 9 | Allina Health Systems | Faribualt, MN | $5 | $11 | $12 | — | $0 | $46 |
| 10 | Allina Health Systems | River Falls, WI | $16 | $16 | $7 | — | $3 | $46 |
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