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
$145
Median
$0
High
$7.7k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 47.9× 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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81 hospital rates
iThe hospitals that file a Regence 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 | 2 | $7.7k | $7.7k | $1.3k | 16% | 116–170 | $6.4k – $8.9k |
| 2 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 2 | $104 | $104 | — | — | 48 | $104 – $104 |
| 3 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 8–80 | $1 – $1 |
| 4 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 8 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 2 | $6 | $6 | $2 | 28% | — | $4 – $8 |
| 10 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $6 | $6 | $2 | 28% | — | $4 – $8 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $0 | $0 | $0 | 43% | — | $0 – $0 |
| 12 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 12% | — | $4 – $5 |
| 14 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 15 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $1 | $1 | $1 | 68% | — | $0 – $2 |
| 18 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $1 | $1 | 68% | — | $0 – $2 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · percent of total billed charges · inpatientfrom % of charges | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 52% | — | $0 – $0 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT facility · percent of total billed charges · inpatientfrom % of charges | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT facility · percent of total billed charges · outpatientfrom % of charges | 6 | $1 | $1 | $0 | 28% | — | $0 – $1 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $0 | $0 | $0 | 2% | — | $0 – $1 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7