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
$140
Median
$31
High
$12.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
961 hospitals; the 90th percentile is 26.0× 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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1,274 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 3 | $151 | $113 | $54 | 48% | 105–114 | $36 – $151 |
| 2 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $151 | $120 | $44 | 37% | 85–94 | $57 – $151 |
| 3 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $102 | $34 | 34% | 33–42 | $53 – $126 |
| 4 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $35 | $35 | $0 | 0% | 22–58 | $34 – $35 |
| 5 | Memorial Hospital Shiloh, IL fee schedule · both | 2 | $35 | $35 | $0 | 0% | 18–54 | $34 – $35 |
| 6 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 3 | $20 | $20 | $4 | 17% | 16–160 | $17 – $24 |
| 7 | ST. FRANCIS MEDICAL CENTER Breckenridge, MN fee schedule · outpatient | 3 | $44 | $44 | $21 | 48% | 15 | $19 – $89 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $47 | $47 | $10 | 21% | 12–120 | $29 – $62 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $50 | $51 | $11 | 22% | 8–80 | $32 – $67 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $14 | $14 | $2 | 14% | 6–60 | $12 – $16 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $14 | $14 | $2 | 14% | 6–60 | $12 – $16 |
| 12 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $72 | $32 | 45% | 6–60 | $36 – $119 |
| 13 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $91 | $91 | $66 | 73% | 6–60 | $25 – $158 |
| 14 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 5 | $34 | $41 | $21 | 51% | 4–40 | $14 – $80 |
| 15 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $43 | $47 | $23 | 49% | 4–40 | $21 – $97 |
| 16 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 2 | $14 | $14 | $3 | 21% | 4–40 | $11 – $17 |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $14 | $14 | $2 | 14% | 3–30 | $12 – $16 |
| 18 | Jackson Purchase Medical Center Mayfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $65 | $65 | 100% | 3–30 | $14 – $158 |
| 19 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $15 | $15 | — | — | 3–30 | $15 – $15 |
| 20 | Novant Health Rowan Medical Center LLC Salisbury, NC percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $96 | $32 | 33% | 3–30 | $51 – $119 |
| 21 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 3 | $162 | $121 | $58 | 48% | 3–30 | $39 – $162 |
| 22 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 23 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 2 | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 24 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $20 | $20 | $1 | 5% | 2–20 | $19 – $21 |
| 25 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 4 | $20 | $20 | $1 | 5% | 2–20 | $19 – $21 |
← Payers reporting HCPCS J3410 · Snapshot 20261111T120946Z-9134e7f7