Hydroxyzine hydrochloride injection at Mercy Hospital Springfield

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HYDROXYZINE HCL 25 MG/ML INTRAMUSCULAR SOLUTION

Ozark, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $64 is 98% above the median hospital's median price ($32), higher than 70% 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 Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 26 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	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$3	$3	$1	33%	—	$2 – $4
2	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$18	$18	$6	33%	—	$12 – $25
3	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$18	$18	$6	33%	—	$12 – $25
4	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$18	$18	$6	33%	—	$12 – $25
5	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$20	$20	$7	33%	—	$13 – $26
6	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	$3	14%	—	$22 – $28
7	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	$3	14%	—	$22 – $28
8	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	$3	14%	—	$22 – $28
9	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$28	$28	$9	33%	—	$19 – $38
10	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$28	$28	$9	33%	—	$19 – $38
11	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$28	$28	$9	33%	—	$19 – $38
12	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$28	$28	$9	33%	—	$19 – $38
13	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$37	$37	$12	33%	—	$25 – $49
14	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$37	$37	$12	33%	—	$25 – $49
15	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$37	$37	$12	33%	—	$25 – $49
16	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$45	$45	$15	33%	—	$30 – $60
17	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$45	$45	$15	33%	—	$30 – $60
18	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$49	$49	$16	33%	—	$32 – $65
19	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$49	$49	$16	33%	—	$32 – $65
20	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$7	14%	1–10	$43 – $56
21	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	$7	14%	—	$44 – $58
22	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	$10	14%	—	$60 – $80
23	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$85	$85	$12	14%	—	$73 – $97
24	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	$12	14%	—	$79 – $104
25	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$13	14%	—	$82 – $109

Page 1 of 2 · 26 rates

Last updated: Jun 4, 2026

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