NDC 904706561
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 25 MG CAPSULE
Reported by 1 hospital in the network under the per diem methodology.
Low
$4.0k
Average
$4.0k
Median
$4.0k
High
$4.0k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4.0k | $4.0k | — | — | — | $0 – $4.0k |
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