NDC 904723761
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 25 MG PO CAPS
Low
$0
Average
$0
Median
$1
High
$1
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | $0 | 47% | — | $0 – $1 |
| 2 | Allina Health Systems Shakopee, MN | $0 | $0 | $0 | 122% | — | $0 – $3 |
| 3 | Allina Health Systems Cambridge, MN | $0 | $1 | $1 | 172% | — | $0 – $3 |
| 4 | Allina Health Systems Owatonna, MN | $0 | $1 | $1 | 172% | — | $0 – $3 |
Ask Claude or any MCP client for NDC 904723761 pricing at a specific hospital — see how to connect.