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
Weirton Medical Center Weirton, WV $0.77 not published
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $0.87 $0.10 – $0.96
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $0.94 $0.09 – $0.20
UnityPoint Health - Marshalltown Marshalltown, IA $0.99 $0.10 – $0.68
MercyOne Waterloo Medical Center Waterloo, IA $1.00 $0.10 – $1.00
MercyOne Dubuque Medical Center Dubuque, IA $1.00 $0.10 – $1.00
MercyOne New Hampton Medical Center New Hampton, IA $1.00 $0.10 – $1.00
MercyOne Dyersville Medical Center Dyersville, IA $1.00 $0.10 – $1.13
MercyOne Clinton Medical Center Clinton, IA $1.00 $0.10 – $1.00
MercyOne Oelwein Medical Center Oelwein, IA $1.00 $0.10 – $1.00
MercyOne Cedar Falls Medical Center Cedar Falls, IA $1.00 $0.10 – $1.00
MercyOne Elkader Medical Center Elkader, IA $1.00 $0.10 – $1.05
MercyOne West Des Moines Medical Center West Des Moines, IA $1.00 $0.10 – $2.81
MercyOne Des Moines Medical Center Des Moines, IA $1.00 $0.10 – $2.81
MercyOne Centerville Medical Center Centerville, IA $1.00 $0.10 – $1.00
MercyOne Newton Medical Center Newton, IA $1.00 $0.10 – $1.00
MercyOne North Iowa Medical Center Mason City, IA $1.00 $0.10 – $1.00
UCF LAKE NONA HOSPITAL Orlando, FL $1.00 $6.00 – $6.00
UnityPoint Health - Trinity Muscatine Muscatine, IA $1.13 $0.10 – $1.48
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $1.24 $0.10 – $0.84
UnityPoint Health - Allen Hospital Waterloo, IA $1.26 $0.02 – $0.10
UnityPoint Health - St. Lukes Downtown Sioux City, IA $1.26 $0.05 – $0.12
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $1.28 $0.01 – $0.10
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $1.28 $0.01 – $0.10
UnityPoint Health - Trinity Moline Rock Island, IL $1.28 $0.01 – $1.48
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA $1.28 $0.02 – $0.10
Uniontown Hospital Uniontown, PA $1.50 $0.50 – $0.50
St. Joseph's Hospital Buckhannon, WV $1.61 $0.50 – $0.50
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $1.87 $0.04 – $0.23
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $1.87 $0.04 – $0.23
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $1.87 $0.04 – $0.23
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN $1.87 $0.04 – $0.23
United Hospital Center Bridgeport, WV $2.00 $3.23 – $3.23
Berkeley Medical Center Martinsburg, WV $2.00 $0.50 – $0.50
Camden Clark Medical Center Parkersburg, WV $2.00 $0.50 – $0.50
Wetzel County Hospital New Martinsville, WV $2.00 $1.21 – $1.21
Reynolds Memorial Hospital Glen Dale, WV $2.05 $0.87 – $0.87
Summersville Regional Medical Center Summersville, WV $2.05 $0.81 – $0.81
Grant Memorial Hospital Petersburg, WV $2.20 $1.28 – $1.28
Thomas Hospitals South Charleston, WV $2.25 $0.50 – $0.50
New Ulm Medical Center MN 56073, MN $2.56 $0.32 – $3.39
Allina Health Faribault Medical Center Faribualt, MN $2.64 $0.32 – $2.36
Buffalo Hospital Buffalo, MN $2.64 $0.32 – $2.36
Cambridge Medical Center Cambridge, MN $2.64 $0.32 – $2.36
River Falls Area Hospital River Falls, MN $2.64 $0.31 – $1.50
Owatonna Hospital Owatonna, MN $2.64 $0.32 – $2.36
West Virginia University Hospitals Morgantown, WV $3.08 $0.50 – $0.50
Sunnyside Medical Center CLACKAMAS, OR $3.44 $2.00 – $2.00
Westside Medical Center HILLSBORO, OR $3.44 $2.00 – $2.00
Swedish Medical Center Cherry Hill Seattle, WA $4.06 $0.09 – $0.09

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