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 12.5 mg/5 mL (2.5 mg/mL) Liqd 473
Rapids, MN
See all hospitals reporting HCPCS Q0163 →Price type
Allina Health Systems’s median price of $2 is 339% above the median hospital's median price ($0), higher than 72% of the 1,382 hospitals reporting HCPCS Q0163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 87% | — | $1 – $4 |
| 8 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 88% | — | $1 – $5 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $2 | 87% | — | $1 – $8 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $2 | 87% | — | $1 – $8 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $2 | $3 | $3 | 88% | — | $1 – $10 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $2 | $4 | $3 | 87% | — | $2 – $12 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $2 | $4 | $3 | 88% | — | $2 – $13 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $2 | $5 | $4 | 87% | — | $2 – $16 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $2 | $5 | $4 | 87% | — | $2 – $16 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $5 | $4 | 87% | — | $2 – $17 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $5 | $4 | 87% | — | $2 – $17 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $5 | $5 | 88% | — | $2 – $18 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $5 | $5 | 87% | — | $2 – $18 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $3 | $6 | $5 | 87% | — | $3 – $19 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $6 | $5 | 87% | — | $3 – $19 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $6 | $5 | 87% | — | $3 – $19 |
Last updated: Jun 17, 2026
See Diphenhydramine 25 mg capsule pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.