Hydroxyzine hydrochloride injection at Proctor Community 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

Peoria, IL

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How this price compares nationally

Proctor Community Hospital’s median price of $35 is 8% above the median hospital's median price ($32), higher than 54% 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 Proctor Community Hospital

Negotiated rates from the hospital’s own file: 7 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 Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$14	$14	—	—	—	$14 – $14
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
3	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$25	$28	$14	48%	—	$14 – $50
4	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$25	$28	$14	48%	—	$14 – $50
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$30	$34	$16	48%	—	$16 – $61
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$34	$16	48%	—	$16 – $61
7	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$30	$34	$16	48%	—	$16 – $61
8	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$30	$34	$16	48%	—	$16 – $61
9	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$39	$44	$21	48%	—	$21 – $79
10	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$39	$44	$21	48%	—	$21 – $79
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$39	$45	$22	48%	4–40	$21 – $80
12	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$40	$46	$22	48%	—	$22 – $81
13	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$40	$46	$22	48%	—	$22 – $81
14	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$48	$55	$26	48%	—	$26 – $97
15	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$48	$56	$27	48%	—	$27 – $99
16	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$49	$57	$27	48%	—	$27 – $101
17	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$49	$57	$27	48%	—	$27 – $101
18	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$49	$57	$27	48%	—	$27 – $101
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$66	$76	$37	48%	—	$36 – $135

Last updated: Apr 15, 2026

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