NDC 904205661
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 Cap 50 MG
Low
$0
Average
$3
Median
$1
High
$27
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 48 hospitals; the 90th percentile is 14.6× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | $0 | 32% | 79–88 | $0 – $1 |
| 2 | Sanford Aberdeen Medical Center Aberdeen, SD | $1 | $1 | $0 | 21% | 26 | $1 – $1 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | $0 | 35% | 13 | $0 – $1 |
| 4 | Sanford Vermillion Hospital Vermillion, SD | $1 | $1 | $0 | 35% | 3–30 | $0 – $1 |
| 5 | Sanford Thief River Falls Medical Center Thief River Falls, MN | $5 | $4 | $1 | 29% | 2–20 | $2 – $6 |
| 6 | Monroe Hospital Bloomington, IN | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 7 | IOM Health System LP Fort Wayne, IN | $2 | $3 | $2 | 70% | — | $1 – $8 |
| 8 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $5 | $6 | $4 | 73% | — | $1 – $18 |
| 9 | St. Joseph Health System, LLC Wayne, IN | $2 | $2 | $1 | 37% | — | $1 – $3 |
| 10 | Wesley Health System LLC Hattiesburg, MS | $4 | $5 | $3 | 56% | — | $2 – $14 |
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