Diphenhydramine 12.5 mg/5 ml oral elixir cost in Wisconsin
DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR · HCPCS Q0163
$0.80
lowest in Wisconsin
$0.80
state median
$1.06
highest in Wisconsin
$1.43
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $0.80 | $0.02 – $0.85 | 10 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1.06 | $0.03 – $0.06 | 6 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $3.55 – $3.55 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3.55 – $3.55 | 1 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3.55 – $3.55 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $3.55 – $3.55 | 1 |