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 2 mL VIAL
River Falls, WI
See all hospitals reporting HCPCS J1165 →Price type
Allina Health Systems’s median price of $24 is 807% above the median hospital's median price ($3), higher than 86% of the 1,999 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: 6 payers, 17 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 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $0 | 2% | — | $10 – $10 |
| 6 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $0 | 2% | — | $13 – $13 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $22 | $22 | $0 | 2% | — | $21 – $22 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $22 | $22 | $0 | 2% | — | $21 – $22 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $0 | 2% | — | $21 – $22 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $30 | $30 | $1 | 2% | — | $29 – $30 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | $1 | 2% | — | $30 – $31 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | $1 | 2% | — | $32 – $33 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $1 | 2% | — | $32 – $33 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $41 | $41 | $1 | 2% | — | $40 – $42 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | $1 | 2% | — | $40 – $42 |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $41 | $41 | $1 | 2% | — | $40 – $42 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $1 | 2% | — | $41 – $42 |
Last updated: Jun 15, 2026
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