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HANK Price Transparency. (n.d.).
PROMETHAZINE 12.5MG SUPP (CDM 17119) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 18, 2026 , from http://ppman.hank.ai/transparency/procedure/17119/by-state?code_type=CDM
“PROMETHAZINE 12.5MG SUPP (CDM 17119) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/17119/by-state?code_type=CDM. Accessed
October 18, 2026 .
“PROMETHAZINE 12.5MG SUPP (CDM 17119) by State,” HANK Price Transparency ,
accessed October 18, 2026 ,
http://ppman.hank.ai/transparency/procedure/17119/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
17119 — Promethazine 12.5mg Supp
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$32
National median
$15 – $55
IQR (p25 – p75)
23
hospitals filing
7
states
Walking in without insurance?
Cash / self-pay price
Cash median
$72
vs. negotiated
+123.8%
Hospitals reporting
34
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 17119 (CDM), with interquartile range
State Median p25 p75
ME $25,522 $14,143 $27,644
TX $499 $378 $576
KS $384 $384 $384
AR $336 $336 $768
NH $45 $28 $60
VA $35 $13 $56
NC $26 $14 $41