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
$3
Median
$2
High
$5
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 24.1× 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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17 hospital rates
iThe hospitals that file a Oscar 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 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $1 | 31% | — | $2 – $4 |
| 3 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 4% | — | $4 – $5 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | HCA FLORIDA LAKE CITY HOSPITAL LAKE CITY, FL percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | NKC Health North Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $2 | $1 | 71% | — | $1 – $4 |
| 14 | NYU Langone Mineola, NY percent of total billed charges · inpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | NYU Langone Mineola, NY percent of total billed charges · outpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · inpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · outpatientfrom % of charges | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7