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
HYDROXYZINE HCL 25 MG/ML IM SOLN [3769]
Low
$0
Average
$1.5k
Median
$47
High
$1921.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1374 hospitals; the 90th percentile is 9.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,044 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $149 | $100 | $69 | 69% | 18 | $3 – $150 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 18 | $105 – $105 |
| 3 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 5 | $51 | $52 | $14 | 28% | 12–120 | $28 – $83 |
| 4 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 5 | $49 | $56 | $24 | 43% | 12–120 | $28 – $113 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $112 | $94 | 84% | 10–100 | $17 – $261 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $57 | $39 | 67% | 10–100 | $17 – $122 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $52 | $49 | $22 | 44% | 5–50 | $19 – $92 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $101 | $89 | $51 | 57% | 5–50 | $19 – $178 |
| 9 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $74 | $78 | $18 | 23% | 4–40 | $56 – $113 |
| 10 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 3 | $38 | $38 | — | — | 3–30 | $38 – $38 |
| 11 | HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $10 | $5 | 48% | 3–30 | $3 – $17 |
| 12 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $124 | $84 | $58 | 69% | 3–30 | $2 – $125 |
| 13 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $18 | $18 | — | — | 2–20 | $18 – $18 |
| 14 | HCA FLORIDA ST. LUCIE HOSPITAL PORT ST LUCIE, FL percent of total billed charges · outpatientfrom % of charges | 4 | $76 | $72 | $44 | 61% | 2–20 | $16 – $134 |
| 15 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 16 | North Memorial Health Care Robbinsdale, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $49 | $39 | $14 | 36% | 2–20 | $19 – $49 |
| 17 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 2 | $136 | $107 | $46 | 43% | 2–20 | $42 – $144 |
| 18 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | $18 | 14% | 2–20 | $112 – $148 |
| 19 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | $18 | 14% | 2–20 | $112 – $148 |
| 20 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | $18 | 14% | 2–20 | $112 – $148 |
| 21 | Spring View Hospital Lebanon, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | $40 | 85% | 2–20 | $7 – $87 |
| 22 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | 2–20 | $35 – $35 |
| 23 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 24 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 25 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
← Payers reporting HCPCS J3410 · Snapshot 20261111T120946Z-9134e7f7