HCPCS Q0163

Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen

Current code12 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS Q0163 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	—	—
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$2.54	$3.91
PeaceHealth Southwest Medical CenteVancouver	—	$2.54	$3.91
PeaceHealth St John Medical CenterLongview	—	$2.54	$3.91
PeaceHealth St Joseph Medical CenterBellingham	—	$1.95 – $2.54	$3.00 – $3.91
PeaceHealth United General Medical CenterSedro Woolley	—	$2.54	$3.91
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	—	—
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	—	$1.30
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	—	$1.30
Skagit Valley HospitalMount Vernon	$23.331 plan	$7.20	$9.00
WhidbeyHealth Medical CenterCoupeville	—	$5.00	$5.00

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.