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NDC 121048900

diphenhydrAMINE 12.5 mg/5 mL Liquid UD

Reported by 7 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 5–50 billing samples across every hospital reporting.

Low

$0

Average

$3

Median

$3

High

$7

Hospitals reporting this code

#HospitalLocationApproximate 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.
1Oro Valley Hospital LLCTucson, AZ$2$2$12–20$1$6
2Laredo Texas Hospital Company LPLaredo, TX$0$0$02–20$0$4
3Navarro Hospital LPCorsicana, TX$5$5$21–10$1$13
4Northwest Hospital LLCTucson, AZ$2$2$1—$1$6
5Metro Knoxville HMA LLCKnoxville, TN$3$3——$1$5
6Metro Knoxville HMA LLCPowell, TN$3$3——$1$7
7Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$7$7——$2$10

Look up this code directly

Ask Claude or any MCP client for NDC 121048900 pricing at a specific hospital — see how to connect.

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