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
$149.4k
Median
$0
High
$37812.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
524 hospitals; the 90th percentile is 71.0× 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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657 hospital rates
iThe hospitals that file a Cigna 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | 33 | $5 – $5 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 12 | $1 – $1 |
| 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% | 11 | $1 – $2 |
| 4 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 17% | 6–60 | $1 – $2 |
| 5 | Allen Parish Hospital District No 3 Kinder, LA facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 6 | Memorial Hospital of Laramie County Cheyenne, WY other · outpatient | 1 | $7 | $7 | — | — | 2–20 | $7 – $7 |
| 7 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 8% | 2–20 | $1 – $1 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 9 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 10 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $17.8k | $17.8k | — | — | 1–10 | $17.8k – $17.8k |
| 11 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 12 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 13 | Memorial Hospital of Laramie County Cheyenne, WY other · both | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 14 | Shasta Regional Medical Center Redding, CA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 15 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 16 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $1 | $0 | 22% | — | $1 – $1 |
| 21 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $3 | $3 | $1 | 24% | — | $3 – $5 |
| 22 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7