Diphenhydramine 12.5 mg/5 ml oral elixir cost in Texas
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR · HCPCS Q0163
$0.42
lowest in Texas
$2.10
state median
$7.89
highest in Texas
$2.10
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $0.42 | $0.02 – $2.14 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $0.42 | $0.02 – $2.14 | 19 |
| St. Joseph Health College Station Hospital | College Station | $0.42 | $0.02 – $2.02 | 7 |
| St. Joseph Health Grimes Hospital | Navasota | $0.42 | $0.02 – $2.64 | 18 |
| St. Luke's Health Memorial Livingston | Livingston | $0.49 | $0.02 – $0.75 | 19 |
| St. Luke's Health Memorial Lufkin | Lufkin | $0.49 | $0.02 – $2.58 | 19 |
| St. Luke's Health Memorial San Augustine | San Augustine | $0.49 | $0.02 – $2.58 | 19 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $0.70 | $0.02 – $0.41 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $0.70 | $0.02 – $0.41 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $0.70 | $0.02 – $0.41 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $0.70 | $0.02 – $0.41 | 23 |
| Baylor St Luke's Medical Center | Houston | $0.70 | $0.02 – $0.41 | 24 |
| Covenant Medical Center | Lubbock | $2.10 | $0.07 – $4.83 | 4 |
| Covenant Children's Hospital | Lubbock | $2.10 | $0.07 – $4.83 | 3 |
| Covenant Hospital Plainview | Plainview | $2.10 | $0.07 – $0.07 | 1 |
| Covenant Hospital Levelland | Levelland | $2.10 | $0.07 – $0.07 | 1 |
| Covenant Specialty Hospital | Lubbock | $2.10 | not published | 0 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $2.27 | $0.04 – $2.63 | 4 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2.58 | $0.02 – $7.35 | 11 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $2.97 | $0.27 – $0.27 | 1 |
| Ascension Providence | Waco | $3.15 | $0.07 – $0.07 | 1 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $4.16 | $0.07 – $0.27 | 4 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $5.78 | $0.27 – $0.27 | 1 |
| HCA HOUSTON SOUTHEAST | PASADENA | $6.80 | $0.04 – $2.63 | 4 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $7.89 | $0.02 – $14.66 | 7 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $0.03 – $0.03 | 1 |
| Texas Health Hospital Mansfield | Mansfield | not published | $0.03 – $0.03 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $0.08 – $0.08 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON WEST | HOUSTON | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON PEARLAND | Pearland | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.04 – $2.63 | 4 |
| HCA HOUSTON CONROE | CONROE | not published | $0.04 – $2.63 | 4 |
| Adventhealth Central Texas | Killeen | not published | $0.08 – $0.08 | 1 |