Hydroxyzine pamoate 25 mg capsule cost at US hospitals

HYDROXYZINE PAMOATE 25 MG CAPSULE · HCPCS Q0177

$0.17

lowest cash price

$1.28

national median

$18.69

highest cash price

146

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $0.17–$18.69 — the variation is the story.

Cheapest published cash price

$0.17

LeConte Medical Center — Sevierville, TN

Median cash price over time

Jan 1, 2026 ($1.28) → Sep 1, 2026 ($0.64)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
California 46 $0.61 $14.00 $14.00
Colorado 7 not published by hospital not published by hospital not published by hospital
Florida 40 $1.00 $4.23 $16.47
Georgia 11 not published by hospital not published by hospital not published by hospital
Hawaii 1 not published by hospital not published by hospital not published by hospital
Illinois 13 $1.28 $1.28 $1.28
Indiana 13 $0.64 $0.64 $1.87
Iowa 24 $0.31 $1.00 $1.28
Kansas 2 not published by hospital not published by hospital not published by hospital
Kentucky 5 $15.72 $16.14 $18.69
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Maryland 1 not published by hospital not published by hospital not published by hospital
Michigan 9 not published by hospital not published by hospital not published by hospital
Minnesota 11 $2.56 $2.64 $4.43
Missouri 12 not published by hospital not published by hospital not published by hospital
Montana 2 $4.88 $4.88 $4.99
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 20 not published by hospital not published by hospital not published by hospital
New Mexico 1 not published by hospital not published by hospital not published by hospital
New York 17 not published by hospital not published by hospital not published by hospital
North Dakota 1 not published by hospital not published by hospital not published by hospital
Ohio 45 $0.50 $0.50 $0.50
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Oregon 6 $3.44 $3.44 $9.93
Pennsylvania 4 $0.60 $0.60 $1.50
South Carolina 8 not published by hospital not published by hospital not published by hospital
South Dakota 1 not published by hospital not published by hospital not published by hospital
Tennessee 17 $0.17 $0.18 $0.19
Texas 76 $0.29 $0.60 $18.41
Virginia 10 not published by hospital not published by hospital not published by hospital
Washington 14 $4.06 $4.06 $11.24
West Virginia 13 $0.75 $2.00 $4.10
Wisconsin 18 not published by hospital not published by hospital not published by hospital

All hospitals

Hospital Location Cash price Negotiated range
Advocate South Suburban Hospital Hazel Crest, IL not published $0.20 – $6.76
Advocate Sherman Hospital Elgin, IL not published $0.20 – $4.70
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $0.20 – $6.76
Advocate Illinois Masonic Medical Center Chicago, IL not published $0.20 – $6.76
Henry Ford Wyandotte Hospital: Wyandotte, MI not published $0.17 – $7.59
Henry Ford West Bloomfield Hospital West Bloomfield, MI not published $0.17 – $7.59
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI not published $0.18 – $7.59
Cooperman Barnabas Medical Center Livingston, NJ not published $0.10 – $2.04
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $0.10 – $0.10
Petaluma Valley Hospital Petaluma, CA not published $0.26 – $4.17
SSM Health Saint Louis University Hospital Saint Louis, MO not published $0.22 – $0.22
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $0.10 – $0.10
Providence Alaska Medical Center Anchorage, AK not published $0.63 – $0.63
SSM Health St. Clare Hospital - Fenton Fenton, MO not published $0.10 – $0.10
Van Wert Hospital Van Wert, OH not published $0.65 – $0.65
O'Bleness Hospital Athens, OH not published $0.65 – $0.65
Mansfield Hospital Mansfield, OH not published $0.65 – $0.65

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