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 HCL 25 MG/ML IM SOLN|DISCARDED DRUG NOT ADMINISTERED
Wadena, MN
See all hospitals reporting HCPCS J3410 →Price type
Astera Health’s median price of $114 is 254% above the median hospital's median price ($32), higher than 88% of the 2,056 hospitals reporting HCPCS J3410. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Blue Cross Blue Shield bcbs high value network fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $56 | $61 | $11 | 18% | — | $51 – $76 |
| 5 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $62 | $67 | $12 | 18% | — | $56 – $84 |
| 6 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $62 | $67 | $12 | 18% | — | $56 – $84 |
| 7 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $65 | $71 | $13 | 18% | — | $59 – $88 |
| 8 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $65 | $71 | $13 | 18% | — | $59 – $88 |
| 9 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $66 | $72 | $13 | 18% | — | $60 – $90 |
| 10 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $66 | $72 | $13 | 18% | — | $60 – $90 |
| 11 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $86 | $94 | $17 | 18% | — | $78 – $117 |
| 12 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $89 | $97 | $17 | 18% | — | $81 – $121 |
| 13 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $107 | $117 | $21 | 18% | — | $98 – $146 |
| 14 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $114 | $125 | $22 | 18% | — | $105 – $156 |
| 15 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $115 | $125 | $22 | 18% | — | $105 – $156 |
| 16 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $117 | $128 | $23 | 18% | — | $107 – $160 |
| 17 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $117 | $128 | $23 | 18% | — | $107 – $160 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $117 | $128 | $23 | 18% | — | $107 – $160 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $119 | $130 | $23 | 18% | — | $109 – $162 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $120 | $131 | $23 | 18% | — | $110 – $164 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $123 | $135 | $24 | 18% | — | $113 – $168 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $123 | $135 | $24 | 18% | — | $113 – $168 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $131 | $143 | $25 | 18% | — | $120 – $179 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $131 | $143 | $25 | 18% | — | $120 – $179 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $139 | $152 | $27 | 18% | — | $127 – $189 |
Last updated: Feb 20, 2026
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