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 PAMOATE 25 MG ORAL CAP [3777]
Low
$0
Average
$139.1k
Median
$0
High
$35712.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
528 hospitals; the 90th percentile is 106.6× 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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693 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $0 | $0 | — | — | 160 | $0 – $0 |
| 2 | HCA FLORIDA BRANDON HOSPITAL TEMPLE TERRACE, FL percent of total billed charges · outpatientfrom % of charges | 5 | $5 | $6 | $4 | 75% | 28–46 | $1 – $14 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 17% | 24 | $1 – $2 |
| 4 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $0 | $0 | — | — | 19 | $0 – $0 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 17% | 18–27 | $1 – $1 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 12 | $1 – $1 |
| 7 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 16% | 6–60 | $1 – $2 |
| 8 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $4 | $2 | 58% | 3–30 | $1 – $8 |
| 9 | HCA FLORIDA BLAKE HOSPITAL PALMETTO, FL percent of total billed charges · outpatientfrom % of charges | 5 | $11 | $16 | $16 | 102% | 3–30 | $2 – $47 |
| 10 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $10 | $6 | 55% | 3–30 | $2 – $20 |
| 11 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 5 | $10 | $8 | $3 | 39% | 3–30 | $2 – $11 |
| 12 | HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $5 | $5 | 106% | 3–30 | $1 – $14 |
| 13 | HCA FLORIDA SARASOTA DOCTORS HOSPITAL SARASOTA, FL percent of total billed charges · outpatientfrom % of charges | 5 | $5 | $4 | $3 | 68% | 3–30 | $1 – $12 |
| 14 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 5 | $17 | $15 | $10 | 68% | 3–30 | $1 – $29 |
| 15 | HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $4 | $3 | 85% | 3–30 | $1 – $13 |
| 16 | UCF LAKE NONA HOSPITAL Orlando, FL percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $1 | 82% | 3–30 | $0 – $2 |
| 17 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $8 | $7 | $3 | 50% | 2–20 | $2 – $11 |
| 18 | HCA FLORIDA HIGHLANDS HOSPITAL Sebring, FL percent of total billed charges · outpatientfrom % of charges | 4 | $15 | $18 | $14 | 75% | 2–20 | $4 – $42 |
| 19 | HCA FLORIDA JFK HOSPITAL ATLANTIS, FL percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $2 | 19% | 2–20 | $8 – $12 |
| 20 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 4 | $2 | $4 | $4 | 96% | 2–20 | $0 – $12 |
| 21 | HCA FLORIDA MEMORIAL HOSPITAL YULEE, FL percent of total billed charges · outpatientfrom % of charges | 4 | $11 | $9 | $4 | 41% | 2–20 | $3 – $12 |
| 22 | HCA FLORIDA PALMS WEST HOSPITAL LOXAHATCHEE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $3 | 44% | 2–20 | $4 – $10 |
| 23 | HCA FLORIDA POINCIANA HOSPITAL Kissimmee, FL percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $12 | 70% | 2–20 | $3 – $39 |
| 24 | HCA FLORIDA SOUTH TAMPA HOSPITAL TAMPA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $5 | $7 | $6 | 84% | 2–20 | $1 – $18 |
| 25 | HCA FLORIDA ST. PETERSBURG HOSPITAL ST. PETERSBURG, FL percent of total billed charges · outpatientfrom % of charges | 4 | $5 | $10 | $10 | 102% | 2–20 | $0 – $32 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7