NDC 42494-0415-01
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.
Original text from hospital filings
Phenobarbital Sodium Inj 65 MG/ML
Reported by 29 hospitals in the network under the other methodology.
Based on 5–50 billing samples across every hospital reporting.
Low
$33
Average
$177
Median
$85
High
$642
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 29 hospitals; the 90th percentile is 9.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Norton Hospitals INC | Louisville, KY | $101 | $101 | — | 2–20 | $2 | $101 |
| 2 | Sanford Fargo Medical Center | Fargo, ND | $100 | $100 | — | 1–10 | $1 | $100 |
| 3 | Sanford Medical Center Bismarck | Bismarck, ND | $97 | $97 | — | 1–10 | $15 | $97 |
| 4 | Community Memorial Hospital of Menomonee Falls Inc | Menomonee Falls, WI | $642 | $642 | — | 1–10 | $29 | $642 |
| 5 | Ochsner Clinic Foundation | Orleans, LA | $36 | $44 | $28 | — | $18 | $106 |
| 6 | East Baton Rouge Medical Center, Llc | Baton Rouge, LA | $30 | $33 | $18 | — | $15 | $76 |
| 7 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana | LULING, LA | $42 | $45 | $13 | — | $29 | $80 |
| 8 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc | Shreveport, LA | $32 | $34 | $18 | — | $16 | $55 |
| 9 | Ochsner American Legion Hospital, LLC | Jennings, LA | $56 | $60 | $9 | — | $35 | $100 |
| 10 | Rush Medical Foundation | Meridian, MS | $80 | $85 | $18 | — | $34 | $113 |
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