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 INTRAMUSCULAR SOLUTION
Ulysses, KS
See all hospitals reporting HCPCS J3410 →Price type
Commonspirit Kansas, Inc.’s median price of $354 is 997% 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.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $142 | $155 | $29 | 19% | — | $129 – $195 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $142 | $155 | $29 | 19% | — | $129 – $195 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $142 | $155 | $29 | 19% | — | $129 – $195 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $142 | $155 | $29 | 19% | — | $129 – $195 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $354 | $388 | $72 | 19% | — | $321 – $488 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $354 | $388 | $72 | 19% | — | $321 – $488 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $370 | $405 | $75 | 19% | — | $335 – $509 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $370 | $405 | $75 | 19% | — | $335 – $509 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $399 | $437 | $81 | 19% | — | $362 – $549 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $399 | $437 | $81 | 19% | — | $362 – $549 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $412 | $451 | $84 | 19% | — | $374 – $568 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $412 | $451 | $84 | 19% | — | $374 – $568 |
Last updated: Feb 3, 2026
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