Hydroxyzine hydrochloride injection at Samaritan 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

Troy, NY

See all hospitals reporting HCPCS J3410 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $39 is 20% above the median hospital's median price ($32), higher than 57% 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 Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$26	$26	$9	33%	—	$17 – $35
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
6	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
7	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
8	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
9	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
10	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
11	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
12	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
13	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$37	$37	$2	6%	—	$35 – $39
14	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$51	$52	$15	30%	—	$35 – $71
15	First Health first health facility · percent of total billed charges · bothfrom % of charges	$53	$53	$3	6%	—	$50 – $56
16	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$57	$57	$3	6%	—	$54 – $60
17	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$60	$60	$3	6%	—	$57 – $64
18	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$60	$60	$3	6%	—	$57 – $64
19	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$60	$60	$3	6%	—	$57 – $64
20	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$67	$67	$4	6%	—	$63 – $71
21	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$67	$67	$4	6%	—	$63 – $71
22	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$67	$67	$4	6%	—	$63 – $71
23	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$67	$67	$4	6%	—	$63 – $71
24	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$89	$89	$30	33%	—	$59 – $118

Last updated: Mar 31, 2026

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