NDC 81033-0003-40
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 HCL 12 5 MG 5ML PO WRAPPER
Reported by 2 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$3
Median
$3
High
$6
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $6 | $6 | — | — | — | $1 – $6 |
| 2 | The William W Backus Hospital NORWICH, CT | $0 | $0 | $1 | 185% | — | $0 – $2 |
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