NDC 14539-0675-01
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
14539-0675-01 - hydrOXYzine 50 mg / 1 cap(s) Cap
Reported by 14 hospitals in the network under the other methodology.
Low
$1
Average
$4
Median
$2
High
$19
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 10.2× 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 | Std dev as a share of this hospital’s average price: how widely its filed prices for this code vary relative to its own price level, so hospitals can be compared. The spread is across payers, plans and settings, so contract mix can drive it as well as pricing discipline. | 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 | St. Joseph Health System, LLC | Wayne, IN | $6 | $6 | — | — | — | $1 | $6 |
| 2 | Affinity Hospital LLC | Birmingham, AL | $19 | $19 | $5 | 25% | — | $4 | $24 |
| 3 | Gadsden Regional Medical Center LLC | Gadsden, AL | $2 | $2 | — | — | — | $2 | $2 |
| 4 | HMA Santa Rosa Medical Center LLC | Milton, FL | $3 | $10 | $20 | 194% | — | $1 | $63 |
| 5 | Laredo Texas Hospital Company LP | Laredo, TX | $2 | $2 | $0 | 2% | — | $1 | $16 |
| 6 | Poplar Bluff Regional Medical Center LLC | Poplar Bluff, MO | $3 | $3 | — | — | — | $1 | $4 |
| 7 | Ochsner Clinic Foundation | Orleans, LA | $0 | $1 | $1 | 82% | — | $0 | $2 |
| 8 | Ochsner Bayou Llc | Raceland, LA | $1 | $1 | $0 | 55% | — | $1 | $2 |
| 9 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $1 | $1 | $0 | 28% | — | $1 | $2 |
| 10 | Ochsner Morgan City Llc | Morgan City, LA | $1 | $2 | $2 | 89% | — | $1 | $5 |
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