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NDC 63739-0486-10

HYDROXYZINE HCL 25 MG ORAL TAB

Reported by 45 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$0

Average

$7

Median

$2

High

$99

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$1$7$7$14$4
2Northwestern Memorial HospitalChicago, IL$0$7$8$14$5
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$2$9$9$13$3
4Northwestern Medicine Valley West HospitalSandwich, IL$1$7$6$12$4
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$0$1$1$2$0
6Palos Community HospitalPalos Heights, IL$0$1$1$2$1
7Memorial Hospital Of Polk CountyLivingston, TX$0$0$0$1$0
8St Joseph Mercy ChelseaChelsea, MI$0$1$1$1$0
9Mercy Medical Center - NewtonNewton, IA$0$1$1$1$0
10Vanderbilt Wilson County HospitalLebanon, TN$0$1$0$1$0
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