NDC 00517-4201-01
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 HCL 25 MG/ML IM SOLN
Reported by 3 hospitals in the network under the other methodology.
Based on 3–30 billing samples across every hospital reporting.
Low
$4
Average
$12
Median
$12
High
$19
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services | Edina, MN | $19 | $19 | — | 1–10 | $4 | $107 |
| 2 | Fairview Health Services | Princeton, MN | $4 | $4 | — | 1–10 | $4 | $116 |
| 3 | Childrens Hospital Colorado | Aurora, CO | $12 | $12 | — | 1–10 | $12 | $186 |
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