What does code Q0177 cost?

Across the published hospital price files, the disclosed cash price for Q0177 ranges from $0.60 to $2.86. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

Q0177 is the billing code hospitals use to identify "HYDROXYZINE PAMOATE 25 MG CAPSULE" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Q0177

HCPCS

HYDROXYZINE PAMOATE 25 MG CAPSULE

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q0177 (HYDROXYZINE PAMOATE 25 MG CAPSULE) appears at 26 hospitals with disclosed cash prices from $0.60 to $2.86. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare Q0177 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code Q0177 vary by about 4.8× across the 24 hospitals with disclosed prices here — from $0.60 to $2.86. Shopping around can matter.

Hospitals

Prices shown

$0.60

Lowest cash

$2.86

Highest cash

code Q0177 cash price24 disclosed · 24 hospitals

$0.60median ~$0.60$2.86

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$0.60 – $0.60

Allen · 1 hospital$0.60
Fort Worth · 4 hospitals$0.60
Arlington · 2 hospitals$0.60
Azle · 1 hospital$0.60
Cleburne · 1 hospital$0.60
Dallas · 1 hospital$0.60

26 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HYDROXYZINE PAMOATE 25 MG CAPSULE Inpatient	Carle Foundation Hospital	Q0177 HCPCS	$2.86	$2.86	$0.10 – $2.09	—
Hydroxyzine pamoate 25mg Outpatient	Endeavor Health Edward Hospital	Q0177 HCPCS	—	—	$1.10 – $1.10	—
HYDROXYZINE PAMOATE 25 MG CAPSULE Inpatient	Methodist Medical Center of Illinois	Q0177 HCPCS	$2.86	$2.86	$0.10 – $2.09	—
Hydroxyzine pamoate 25mg Outpatient	University of Chicago Medical Center	Q0177 HCPCS	—	—	—	—
HYDROXYZINE PAMOATE 25 MG CAPSULE Inpatient	Carle BroMenn Medical Center	Q0177 HCPCS	$2.86	$2.86	$0.10 – $2.09	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Presbyterian Hospital Allen	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.94	—
HYDROXYZINE PAMOATE CAP 50 MG Inpatient & outpatient	Providence Holy Cross Medical Center	Q0177 HCPCS	$1.75	$0.61	—	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Arlington Memorial Hospital	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Harris Methodist Hospital Azle	Q0177 HCPCS	$1.00	$0.60	$0.08 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Harris Methodist Hospital Cleburne	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.96	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Presbyterian Hospital Dallas	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Presbyterian Hospital Denton	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Presbyterian Hospital Flower Mound	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Harris Methodist Hospital Fort Worth	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Hospital Frisco	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Heart & Vascular Hospital Arlington	Q0177 HCPCS	$1.00	$0.60	$0.08 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Harris Methodist Hospital Hurst-Euless-Bedford	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Presbyterian Hospital Kaufman	Q0177 HCPCS	$1.00	$0.60	$0.08 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Presbyterian Hospital Plano	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Hospital Rockwall	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Harris Methodist Hospital Southlake	Q0177 HCPCS	$1.00	$0.60	$0.35 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Harris Methodist Hospital Southwest Fort Worth	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Inpatient	Texas Health Specialty Hospital Fort Worth	Q0177 HCPCS	$1.00	$0.60	$0.38 – $0.94	—
HYDROXYZINE PAMOATE 25 MG ORAL CAP [20700] Outpatient	Texas Health Springwood Hospital Hurst-Euless-Bedford	Q0177 HCPCS	$1.00	$0.60	$0.05 – $0.88	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish Q0177 prices

Open a hospital to see this code in the context of its full published prices.

Code Q0177: frequently asked

What does code Q0177 cost?: Across the published hospital price files, the disclosed cash price for Q0177 ranges from $0.60 to $2.86. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code Q0177?: Q0177 is the billing code hospitals use to identify "HYDROXYZINE PAMOATE 25 MG CAPSULE" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code Q0177 by state

California hospital prices Illinois hospital prices Texas hospital prices