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
phenytoin 50 mg/mL 5 mL VIAL
Rapids, MN
See all hospitals reporting HCPCS J1165 →Price type
Allina Health Systems’s median price of $29 is 1007% above the median hospital's median price ($3), higher than 89% of the 1,988 hospitals reporting HCPCS J1165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $0 | 5% | — | $9 – $11 |
| 8 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 5% | — | $10 – $12 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $1 | 5% | — | $17 – $19 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $1 | 5% | — | $18 – $21 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $1 | 5% | — | $21 – $25 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $27 | $28 | $1 | 5% | — | $26 – $30 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $29 | $30 | $1 | 5% | — | $28 – $32 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $35 | $35 | $2 | 5% | — | $33 – $39 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $2 | 5% | — | $34 – $40 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $38 | $2 | 5% | — | $35 – $41 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $38 | $2 | 5% | — | $35 – $41 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $39 | $40 | $2 | 5% | — | $37 – $44 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | $2 | 5% | — | $38 – $44 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $42 | $42 | $2 | 5% | — | $40 – $46 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $2 | 5% | — | $40 – $46 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $2 | 5% | — | $40 – $46 |
Last updated: Jun 17, 2026
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