NDC 904535431
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
00904-5354-31 - diphenhydrAMINE-zinc acetate 2 -0
Low
$0
Average
$4
Median
$2
High
$13
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $2 | $3 | $1 | 40% | — | $2 – $11 |
| 2 | City of Hope National Medical Center Duarte, CA | $0 | $0 | $0 | 42% | — | $0 – $21 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $13 | $13 | — | — | — | $1 – $13 |
| 4 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $12 |
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