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
$4
Average
$405
Median
$29
High
$12.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
211 hospitals; the 90th percentile is 12.1× 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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228 hospital rates
iThe hospitals that file a WellCare 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 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 7% | 2–20 | $5 – $5 |
| 2 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 3 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 4 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 5 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 6 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 7 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · bothfrom % of charges | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $7 | $3 | 41% | — | $4 – $11 |
| 9 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | $12 | 23% | — | $42 – $66 |
| 10 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $168 | $18 | 11% | — | $146 – $190 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $13 | $13 | $0 | 3% | — | $13 – $14 |
| 15 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 17 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | $12 | 74% | — | $4 – $29 |
| 19 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | $2 | 11% | — | $15 – $20 |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $1 | 11% | — | $12 – $16 |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $2 | 11% | — | $16 – $21 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $23 | $3 | 15% | — | $19 – $29 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $3 | 15% | — | $17 – $26 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $23 | $3 | 15% | — | $19 – $29 |
← Payers reporting HCPCS J3410 · Snapshot 20261111T120946Z-9134e7f7