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 50 MG/ML IM SOLN
Falls, MT
See all hospitals reporting HCPCS J3410 →Price type
Benefis Hospitals Inc’s median price of $153 is 374% above the median hospital's median price ($32), higher than 93% of the 2,079 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: 8 payers, 20 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 bhs hb bcbs employee health plan fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Cigna bhs hb allegiance fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Healthpartners bhs hb allegiance fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Kaiser bhs hb allegiance fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 8 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 14 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 15 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 16 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 17 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 18 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 19 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 20 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | 1–10 | $162 – $162 |
Last updated: Mar 26, 2026
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