NDC 115180401
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 Cap 50 MG
Reported by 10 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$1
Median
$1
High
$2
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 15.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Victoria of Texas LP | Victoria, TX | $1 | $2 | $1 | — | $1 | $21 |
| 2 | Victoria of Texas LP | Victoria, TX | $1 | $2 | $1 | — | $1 | $21 |
| 3 | Laredo Texas Hospital Company LP | Laredo, TX | $1 | $1 | $0 | — | $1 | $16 |
| 4 | The Carle Foundation Hospital | Urbana, IL | $0 | $0 | $0 | — | $0 | $2 |
| 5 | Pekin Memorial Hospital | Pekin, IL | $0 | $1 | $1 | — | $0 | $2 |
| 6 | Methodist Medical Center of Illinois | Peoria, IL | $0 | $1 | $1 | — | $0 | $2 |
| 7 | Proctor Community Hospital | Peoria, IL | $1 | $1 | $1 | — | $0 | $2 |
| 8 | Carle BroMenn Medical Center | Normal, IL | $0 | $1 | $1 | — | $0 | $2 |
| 9 | Carle Eureka Hospital | Eureka, IL | $0 | $1 | $1 | — | $0 | $2 |
| 10 | Hoopeston Community Memorial Hospital | Hoopeston, IL | $0 | $0 | — | — | $0 | $4.0k |
Ask Claude or any MCP client for NDC 115180401 pricing at a specific hospital — see how to connect.