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
$126.8k
Median
$1
High
$22687.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
197 hospitals; the 90th percentile is 38.6× 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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238 hospital rates
iThe hospitals that file a Humana 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2.9k | $2.9k | — | — | 59 | $2.9k – $2.9k |
| 2 | Allen Parish Hospital District No 3 Kinder, LA facility · fee schedule · both | 1 | $2 | $2 | — | — | 11 | $2 – $2 |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $292 | $292 | — | — | 6–60 | $292 – $292 |
| 4 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $140 | 8% | 2–20 | $1.7k – $2.0k |
| 5 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $2.5k | 54% | 2–20 | $2.1k – $7.0k |
| 6 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 2 | $13.9k | $13.9k | $1.4k | 10% | 2–20 | $12.4k – $15.3k |
| 7 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $13.7k | — | — | 1–10 | $13.7k – $13.7k |
| 8 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 9 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 10 | Aiken Regional Medical Centers North Augusta, SC percent of total billed charges · bothfrom % of charges | 1 | $5 | $9 | $9 | 102% | — | $4 – $43 |
| 11 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | BRONXCARE HEALTH SYSTEM Bronx, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | CONTINUING CARE HOSPITAL, INC. Lexington, KY fee schedule · inpatient | 1 | $9 | $11 | $9 | 86% | — | $0 – $26 |
| 25 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7