Hydroxyzine hydrochloride injection at BSA Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION

Amarillo, TX

See all hospitals reporting HCPCS J3410 →

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Pricing by billing methodology

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How this price compares nationally

BSA Hospital’s median price of $472 is 1360% above the median hospital's median price ($32), higher than 99% of the 2,079 hospitals reporting HCPCS J3410. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3410 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 payers, 19 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	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$263	$263	—	—	—	$263 – $263
8	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$317	$317	—	—	—	$317 – $317
9	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$438	$438	—	—	—	$438 – $438
10	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$472	$472	—	—	—	$472 – $472
11	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$472	$472	—	—	—	$472 – $472
12	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$472	$472	—	—	—	$472 – $472
13	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$489	$489	—	—	—	$489 – $489
14	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$489	$489	—	—	—	$489 – $489
15	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$490	$490	—	—	—	$490 – $490
16	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$506	$506	—	—	—	$506 – $506
17	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$506	$506	—	—	—	$506 – $506
18	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$573	$573	—	—	—	$573 – $573
19	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$573	$573	—	—	—	$573 – $573

Last updated: Feb 12, 2026

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