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 6 hospitals in the network under the per diem methodology.
Low
$1
Average
$928
Median
$4
High
$4.0k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 6 hospitals; the 90th percentile is 1923.3× 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 | Affinity Hospital LLC | Birmingham, AL | $7 | $7 | — | — | $4 | $22 |
| 4 | Gadsden Regional Medical Center LLC | Gadsden, AL | $1.5k | $1.5k | — | — | $0 | $1.5k |
| 5 | Laredo Texas Hospital Company LP | Laredo, TX | $1 | $1 | $0 | — | $1 | $16 |
| 6 | Hoopeston Community Memorial Hospital | Hoopeston, IL | $4.0k | $4.0k | — | — | $0 | $4.0k |
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