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
Moreno Valley Medical Center MORENO VALLEY, CA not published $2.26 – $2.26
Los Angeles Sunset Medical Center LOS ANGELES, CA not published $2.26 – $2.26
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA not published $2.26 – $2.26
Panorama Medical Center PANORAMA CITY, CA not published $2.26 – $2.26
CHRISTUS Health - West Beaumont Beaumont, TX not published $0.16 – $1.94
CHRISTUS St. Michael Hospital - Atlanta Atlanta, TX not published $0.17 – $1.94
CHRISTUS Good Shepherd Medical Center - Longview Longview, TX not published $0.06 – $1.94
Gerald Champion Regional Medical Center Alamogordo, NM not published $2.09 – $2.09
CHRISTUS Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX not published $0.10 – $1.94
CHRISTUS St. Michael Rehabilitation Texarkana, TX not published $0.60 – $1.94
Claiborne Medical Center Tazewell, TN not published $0.15 – $2.12
CHRISTUS Spohn Hospital - Kleberg Kingsville, TX not published $0.11 – $1.94
CHRISTUS Spohn Hospital - Beeville Beeville, TX not published $0.12 – $1.94
CHRISTUS Spohn Hospital - Alice Alice, TX not published $0.13 – $1.94
CHRISTUS Southeast Texas Jasper Memorial Jasper, TX not published $0.18 – $1.94
CHRISTUS Santa Rosa Hospital - San Marcos San Marcos, TX not published $0.15 – $1.94
CHRISTUS Trinity Mother Frances Hospital - Winnsboro Winnsboro, TX not published $0.07 – $1.94
CHRISTUS Trinity Mother Frances Hospital - South Tyler Tyler, TX not published $0.07 – $1.94
CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX not published $0.11 – $0.11
CHRISTUS Trinity Mother Frances Hospital - Jacksonville Jacksonville, TX not published $0.07 – $1.94
CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital Tyler, TX not published $0.07 – $1.94
CHRISTUS Good Shepherd Medical Center - Marshall Marshall, TX not published $0.06 – $1.94
Woodland Hills Medical Center WOODLAND HILLS, CA not published $2.26 – $2.26
West Los Angeles Medical Center LOS ANGELES, CA not published $2.26 – $2.26
Moanalua Medical Center HONOLULU, HI not published $2.20 – $2.20
San Marcos Medical Center SAN MARCOS, CA not published $2.26 – $2.26
South Bay Medical Center HARBOR CITY, CA not published $2.26 – $2.26
Riverside Medical Center RIVERSIDE, CA not published $2.26 – $2.26
San Bernardino - Fontana Medical Center FONTANA, CA not published $2.26 – $2.26
Downey Medical Center Downey, CA not published $2.26 – $2.26
Baldwin Park Medical Center BALDWIN PARK, CA not published $2.26 – $2.26
Orange County Anaheim Medical Center Anaheim, CA not published $2.26 – $2.26
AdventHealth Castle Rock Castle Rock, CO not published $0.17 – $0.19
Kadlec Regional Medical Center Richland, WA not published $0.61 – $5.82
Providence Milwaukie Hospital Milwaukie, OR not published $5.82 – $5.82
Covenant Hospital Levelland Levelland, TX not published $0.15 – $0.15
Providence Saint John's Health Center Santa Monica, CA not published $0.10 – $4.17
SSM Health Ripon Community Hospital Ripon, WI not published $5.28 – $5.28
Marion General Hospital Marion, OH not published $0.65 – $0.65
SSM Health Monroe Hospital Monroe, WI not published $5.28 – $5.28
Monmouth Medical Center Southern Campus Lakewood, NJ not published $0.10 – $2.04
Providence St Joseph Hospital Orange Orange, CA not published $0.35 – $4.17
Doctors Hospital Columbus, OH not published $0.23 – $5.26
Hardin Memorial Hospital Kenton, OH not published $0.65 – $0.65
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $0.13 – $0.13
University Hospitals Ahuja Medical Center Beachwood, OH not published $0.35 – $0.35
Henry Ford Macomb Hospital Clinton Twp, MI not published $0.17 – $7.59
south pointe hospital Warrensville Heights, OH not published $0.19 – $10.14
mercy hospital Canton, OH not published $0.15 – $8.65
medina hospital Medina, OH not published $0.19 – $8.92

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