Fosphenytoin sodium injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT

Payers reporting HCPCS Q2009

Payer pricing summary

Low

Average

$157

Median

$62

High

$1.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	391	$5	$14	$63	460%	5–50	$0 – $2.4k
2	Cigna fee schedule · outpatient · +25 other terms	345	$5	$48	$175	368%	2–20	$0 – $2.4k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	610	$4	$30	$137	450%	—	$0 – $3.1k
4	Aetna fee schedule · outpatient · +28 other terms	360	$3	$71	$286	402%	—	$0 – $4.9k
5	Humana fee schedule · outpatient · +24 other terms	221	$3	$42	$162	389%	—	$0 – $4.8k
6	Anthem fee schedule · outpatient · +22 other terms	151	$4	$15	$71	487%	—	$1 – $2.1k
7	MultiPlan fee schedule · outpatient · +19 other terms	101	$86	$285	$515	181%	—	$0 – $3.2k
8	Molina facility · fee schedule · outpatient · +22 other terms	79	$1	$3	$8	286%	—	$0 – $105
9	WellCare fee schedule · outpatient · +17 other terms	73	$2	$6	$9	146%	—	$0 – $44
10	Kaiser fee schedule · outpatient · +18 other terms	72	$5	$119	$282	238%	—	$1 – $1.8k
11	Ambetter fee schedule · outpatient · +14 other terms	68	$3	$7	$28	404%	—	$1 – $239
12	Caresource fee schedule · outpatient · +16 other terms	57	$4	$8	$20	265%	—	$0 – $251
13	Medica fee schedule · outpatient · +18 other terms	54	$11	$569	$3.8k	663%	—	$1 – $26.3k
14	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	44	$210	$160	$190	118%	—	$2 – $1.8k
15	Regence facility · fee schedule · both · +16 other terms	38	$16	$16	$15	95%	—	$1 – $78
16	Devoted facility · fee schedule · outpatient · +12 other terms	37	$1	$2	$3	161%	—	$1 – $34
17	Excellus facility · fee schedule · both · +10 other terms	36	$16	$17	$15	89%	—	$1 – $78
18	Premera facility · fee schedule · both · +8 other terms	36	$16	$16	$15	100%	—	$1 – $78
19	Carefirst facility · fee schedule · both · +7 other terms	35	$16	$16	$16	96%	—	$1 – $78
20	Highmark facility · fee schedule · both · +15 other terms	35	$16	$16	$16	97%	—	$1 – $78
21	Optum fee schedule · outpatient · +18 other terms	35	$3	$40	$52	131%	—	$1 – $540
22	Wellmark facility · fee schedule · both · +16 other terms	35	$16	$16	$15	93%	—	$1 – $78
23	First Health fee schedule · outpatient · +16 other terms	33	$88	$156	$308	197%	—	$2 – $2.1k
24	Medicaid facility · fee schedule · outpatient · +11 other terms	31	$9	$9	$16	187%	—	$0 – $54
25	Oscar facility · fee schedule · outpatient · +12 other terms	30	$2	$2	$1	45%	—	$1 – $6

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