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 INTRAMUSCULAR SOLUTION
Jasper, GA
See all hospitals reporting HCPCS J3410 →Price type
Piedmont Mountainside’s median price of $105 is 224% above the median hospital's median price ($32), higher than 86% of the 2,046 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: 9 payers, 12 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 | Caresource caresource medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare united healthcare fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 3 | UnitedHealthcare united healthcare exchange fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Cigna cigna fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Cigna cigna connect fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 7 | Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 8 | First Health first health percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 9 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 10 | Phcs phcs percent of total billed charges · bothfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 12 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
Last updated: Jul 1, 2026
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