Diphenhydramine hydrochloride injection, 50 mg/mL at Astera Health

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN

Wadena, MN

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Pricing by billing methodology

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How this price compares nationally

Astera Health’s median price of $50 is 984% above the median hospital's median price ($5), higher than 93% of the 2,391 hospitals reporting HCPCS J1200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1200 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
2	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
5	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
6	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
7	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
8	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
9	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
10	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
11	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
12	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
13	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
14	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
15	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
16	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
17	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
18	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
19	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
20	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
21	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
22	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
23	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
24	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
25	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$60	$60	—	—	—	$60 – $60

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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