Fosphenytoin sodium injection, 750 mg

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 sodium, 750 mg

Payers reporting HCPCS S0078

Payer pricing summary

Low

$11

Average

$89

Median

$55

High

$529

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +9 other terms	183	$74	$120	$89	74%	—	$25 – $459
2	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	145	$120	$145	$73	50%	—	$1 – $339
3	Aetna fee schedule · outpatient · +10 other terms	111	$72	$79	$49	62%	—	$33 – $406
4	Humana fee schedule · outpatient · +8 other terms	71	$440	$704	$459	65%	—	$54 – $1.3k
5	Kaiser fee schedule · both · +1 other terms	43	$204	$194	$52	27%	—	$140 – $279
6	Anthem fee schedule · outpatient · +6 other terms	34	$44	$65	$29	44%	—	$15 – $182
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$213	$194	$65	33%	—	$79 – $335
8	UnitedHealthcare fee schedule · both · +9 other terms	27	$38	$46	$13	28%	—	$38 – $108
9	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
10	Molina facility · case rate · outpatient · +3 other terms	15	$47	$52	$12	23%	—	$33 – $80
11	Wellmark fee schedule · both · +3 other terms	13	$27	$27	—	—	—	$27 – $27
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$134	$128	$37	29%	—	$70 – $168
13	Bcbs Nj fee schedule · outpatient	12	$37	$37	—	—	—	$37 – $37
14	Highmark fee schedule · outpatient · +5 other terms	11	$45	$45	$5	11%	—	$37 – $98
15	Optum facility · case rate · outpatient · +1 other terms	11	$45	$49	$11	22%	—	$40 – $73
16	Medica fee schedule · outpatient · +5 other terms	10	$76	$77	$19	25%	—	$46 – $98
17	Ucare fee schedule · both · +3 other terms	9	$11	$11	$0	3%	—	$10 – $11
18	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$56	$56	—	—	—	$56 – $56
19	Bcbs La fee schedule · outpatient · +1 other terms	6	$54	$54	$0	0%	—	$54 – $54
20	Excellus facility · fee schedule · outpatient	5	$41	$47	$31	67%	—	$24 – $126
21	First Health facility · fee schedule · outpatient · +2 other terms	4	$113	$113	—	—	—	$113 – $113
22	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$55	$55	—	—	—	$55 – $55
23	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$27	$27	—	—	—	$27 – $27
24	Amerihealth Caritas professional · fee schedule · outpatient · +2 other terms	2	$58	$58	$1	1%	—	$57 – $59
25	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +3 other terms	2	$46	$46	—	—	—	$46 – $46

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