Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J3410 (Hydroxyzine Hcl) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, hydroxyzine HCl, up to 25 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.11 per up to 25 mg (October 2026 ASP) · View Medicare rates for J3410 |
| Medicaid Fee Schedule | $14.87 median of the 8 states in the free preview · View Medicaid rates for J3410 |
| Medicare Payment Limit | $15.297  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00517-4201-01 - HYDROXYZINE HCL (SDV) 25 MG/1 ML • 00517-4201-25 - HYDROXYZINE HCL (S.D.V.) 25 MG/ML • 00517-5601-01 - HYDROXYZINE HCL (SDV) 50 MG/1 ML • 00517-5601-25 - HYDROXYZINE HCL (S.D.V.) 50 MG/ML • 00517-5602-01 - HYDROXYZINE HCL (SDV) 50 MG/1 ML |
National average reimbursement for HCPCS J3410 by major payers:
$13.09
$13.46
$14.12
$13.38
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3410.
HCPCS J3410
5 of 25 sample ratesHigher to lower in this preview
South Central Reg Med Ctr
$22.29Published rateYork Hospital, York Hospital-Medical Education Fund
York Hospital
$13.17Published rateBaptist Health, Baptist Health Medical Center- Hot Spring County
Hot Spring County Medical Center
$12.40Published rateBarnes Jewish Hospital
$12.31Published rateJackson County Memorial Hospital Authority, Jackson Co Mem Hosp
$0.83Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J3410 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3410 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J3410 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00517-4201-01-NDC | Moderate | HYDROXYZINE HCL (SDV) 25 MG/1 ML |
| 00517-4201-25-NDC | Moderate | HYDROXYZINE HCL (S.D.V.) 25 MG/ML |
| 00517-5601-01-NDC | Moderate | HYDROXYZINE HCL (SDV) 50 MG/1 ML |
| J3410-HCPCS | Low | Injection, hydroxyzine HCl, up to 25 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3410 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J3410) and we'll show you how you compare in 15 minutes or less.