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
$82.5k
Median
$3
High
$28569.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
723 hospitals; the 90th percentile is 41.5× 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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941 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $2.5k | $2.1k | $976 | 47% | 258–312 | $720 – $3.0k |
| 2 | Allen Parish Hospital District No 3 Kinder, LA facility · fee schedule · both | 1 | $2 | $2 | — | — | 24 | $2 – $2 |
| 3 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | 21 | $3.9k – $3.9k |
| 4 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $16.8k | $16.8k | — | — | 15 | $16.8k – $16.8k |
| 5 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $21.1k | $21.1k | — | — | 15 | $21.1k – $21.1k |
| 6 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | 15 | $2.7k – $2.7k |
| 7 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | 13 | $3 – $3 |
| 8 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | 11 | $2.8k – $2.8k |
| 9 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 2 | $2 | $395 | $554 | 140% | 9–90 | $1 – $1.2k |
| 10 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA case rate · both | 1 | $2 | $5 | $4 | 76% | 3–30 | $2 – $11 |
| 11 | Allen Parish Hospital District No 3 Kinder, LA facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 12 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 2–20 | $7 – $7 |
| 13 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 1 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 14 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 15 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 1 | $18.1k | $18.1k | — | — | 1–10 | $18.1k – $18.1k |
| 16 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 17 | Indiana University Health Jay Inc. Portland, IN fee schedule · outpatient | 1 | $9.1k | $9.1k | — | — | 1–10 | $9.1k – $9.1k |
| 18 | Lake Charles Memorial Hospital Charles., LA other · outpatient | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 19 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 20 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $0 | 25% | — | $1 – $1 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $0 | $0 | $0 | 8% | — | $0 – $0 |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
← Payers reporting HCPCS Q0177 · Snapshot 20261111T120946Z-9134e7f7