NDC 63323-0403-01
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
FOSPHENYTOIN 100 MG PE/2 ML INJ SOLN [88011]
Low
$1
Average
$33
Median
$6
High
$1.9k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 106 hospitals; the 90th percentile is 12.3× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $686 | $1.9k | $2.6k | 136% | 8–80 | $2 – $7.0k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $372 | $539 | $518 | 96% | 6–60 | $5 – $1.2k |
| 3 | Gundersen Luthern Medical Center Inc La Crosse, WI | $1 | $3 | $3 | 78% | — | $1 – $20 |
| 4 | Sanford Fargo Medical Center Fargo, ND | $5 | $5 | — | — | — | $5 – $20 |
| 5 | Sanford USD Medical Center Sioux Falls, SD | $5 | $5 | — | — | — | $5 – $353 |
| 6 | St. Luke's Community Health Services Spring, TX | $34 | $32 | $16 | 49% | — | $4 – $72 |
| 7 | St Lukes Community Development Corporation - Sugar Land Sugar Land, TX | $34 | $33 | $16 | 48% | — | $3 – $72 |
| 8 | St. Lukes Hospital At The Vintage Houston, TX | $34 | $33 | $16 | 48% | — | $4 – $72 |
| 9 | St Luke's Lakeside Hospital, Llc The Woodlands, TX | $33 | $32 | $16 | 49% | — | $4 – $72 |
| 10 | St. Luke's Community Health Services The Woodlands, TX | $33 | $32 | $16 | 49% | — | $4 – $72 |
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