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 ORAL ELIXIR
Clovis, CA
See all hospitals reporting HCPCS Q0163 →Price type
Clovis Community Medical Center’s median price of $16 is 3194% above the median hospital's median price ($0), higher than 97% of the 1,381 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, 17 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 epoppo facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield hmopos facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield hmoppo facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Aetna medicare hmo for chp facility · fee schedule · outpatient | $16 | $13 | $5 | 37% | — | $6 – $16 |
| 5 | Aetna medicare hmo for non-chp facility · fee schedule · outpatient | $16 | $13 | $5 | 37% | — | $6 – $16 |
| 6 | Aetna ppo facility · fee schedule · outpatient | $16 | $13 | $5 | 37% | — | $6 – $16 |
| 7 | Aetna hmoposppo facility · fee schedule · outpatient | $18 | $14 | $5 | 37% | — | $7 – $18 |
| 8 | Aetna qualified health plan facility · fee schedule · outpatient | $18 | $15 | $5 | 37% | — | $7 – $18 |
| 9 | UnitedHealthcare hmo facility · fee schedule · outpatient | $21 | $16 | $6 | 37% | — | $8 – $21 |
| 10 | UnitedHealthcare ppo facility · fee schedule · outpatient | $21 | $16 | $6 | 37% | — | $8 – $21 |
| 11 | Cigna hmo facility · fee schedule · outpatient | $22 | $17 | $6 | 37% | — | $8 – $22 |
| 12 | Cigna ppo facility · fee schedule · outpatient | $22 | $17 | $6 | 37% | — | $8 – $22 |
| 13 | Kaiser commercial facility · fee schedule · outpatient | $24 | $19 | $7 | 37% | — | $9 – $24 |
| 14 | Blue Cross Blue Shield exchange hmo facility · fee schedule · outpatient | $25 | $20 | $7 | 37% | — | $10 – $25 |
| 15 | MultiPlan ppo facility · fee schedule · outpatient | $30 | $24 | $9 | 37% | — | $11 – $30 |
| 16 | Phcs commercial facility · fee schedule · outpatient | $30 | $24 | $9 | 37% | — | $11 – $30 |
| 17 | Humana choice care ppo facility · fee schedule · outpatient | $34 | $27 | $10 | 37% | — | $13 – $34 |
Last updated: Sep 11, 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.