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 10 m
Ulm, MN
See all hospitals reporting HCPCS Q0163 →Price type
Allina Health Systems’s median price of $4 is 612% above the median hospital's median price ($1), higher than 84% of the 1,387 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: 8 payers, 23 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $1 | 53% | — | $1 – $3 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $2 | $3 | $1 | 53% | — | $1 – $5 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $3 | $3 | $2 | 53% | — | $2 – $7 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $3 | $4 | $2 | 53% | — | $2 – $7 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $3 | $4 | $2 | 53% | — | $2 – $8 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $3 | $4 | $2 | 53% | — | $2 – $8 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $4 | $5 | $3 | 53% | — | $2 – $10 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $4 | $5 | $3 | 53% | — | $2 – $10 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $4 | $5 | $3 | 53% | — | $2 – $11 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $4 | $5 | $3 | 53% | — | $2 – $11 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $4 | $6 | $3 | 53% | — | $3 – $12 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $5 | $6 | $3 | 53% | — | $3 – $13 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $5 | $6 | $3 | 53% | — | $3 – $14 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $5 | $7 | $4 | 53% | — | $3 – $14 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 53% | — | $3 – $14 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 53% | — | $3 – $14 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $5 | $7 | $4 | 53% | — | $3 – $14 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 53% | — | $3 – $14 |
Last updated: Jun 16, 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.