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
$1
Average
$21
Median
$9
High
$144
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 40.7× 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 | Bluffton Health System LLC Bluffton, IN | $2 | $2 | — | — | — | $1 – $5 |
| 2 | Dukes Health System LLC Peru, IN | $4 | $4 | $1 | 18% | — | $2 – $11 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $12 | $12 | — | — | — | $3 – $12 |
| 4 | Wesley Health System LLC Hattiesburg, MS | $37 | $37 | $5 | 14% | — | $5 – $42 |
| 5 | Naples HMA LLC Naples, FL | $42 | $38 | $10 | 25% | — | $8 – $42 |
| 6 | Naples HMA LLC Naples, FL | $42 | $37 | $10 | 27% | — | $8 – $42 |
| 7 | Vicksburg Healthcare LLC Vicksburg, MS | $85 | $81 | $33 | 41% | — | $15 – $113 |
| 8 | Naples HMA LLC Naples, FL | $42 | $38 | $10 | 25% | — | $8 – $42 |
| 9 | Northwest Sahurita Hospital LLC Tucson, AZ | $1 | $1 | $0 | 3% | — | $0 – $3 |
| 10 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $1 | $1 | $0 | 3% | — | $0 – $3 |
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