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
$2.3k
Median
$1
High
$14.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 146368.9× 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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48 hospital rates
iThe hospitals that file a WellCare 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 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 2 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | BRONXCARE HEALTH SYSTEM Bronx, NY other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 4% | — | $5 – $5 |
| 13 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 15 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 16 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $3 | $4 | $3 | 85% | — | $0 – $10 |
| 17 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 19 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 9% | — | $1 – $1 |
| 21 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | MISSION HOSPITAL MCDOWELL Marion, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 24 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 25 | Newton Medical Center Newton, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
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