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
$1
Average
$46
Median
$30
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
345 hospitals; the 90th percentile is 9.3× 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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452 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $3 | 15% | 5–50 | $17 – $26 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $3 | 15% | 5–50 | $17 – $26 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $28 | $4 | 15% | 5–50 | $24 – $36 |
| 4 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $10 | $3 | 31% | 3–30 | $7 – $15 |
| 5 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $27 | $27 | — | — | 3–30 | $27 – $27 |
| 6 | USA Health Children's & Women's Hospital Mobile, AL facility · other · outpatient | 1 | $25 | $25 | — | — | 3–30 | $25 – $25 |
| 7 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 8 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 9 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · bothfrom % of charges | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $7 | $3 | 41% | — | $4 – $11 |
| 12 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $8 | $8 | $0 | 0% | — | $8 – $8 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $6 | $6 | $1 | 12% | — | $5 – $7 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | AnMed Health Anderson, SC facility · fee schedule · outpatient | 1 | $38 | $38 | $11 | 29% | — | $27 – $49 |
| 22 | AnMed Health Cannon Pickens, SC facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 23 | AnMed Piedmont Piedmont, SC facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $13 | $13 | $0 | 3% | — | $12 – $14 |
| 25 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $0 | 7% | — | $3 – $3 |
← Payers reporting HCPCS J3410 · Snapshot 20261111T120946Z-9134e7f7