Fosphenytoin sodium injection at AMH Cath Labs LLC

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.

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Generated: October 20, 2026

Original text from hospital filings

FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLN [96389]

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $84 is 456% above the median hospital's median price ($15), higher than 82% of the 2,096 hospitals reporting HCPCS Q2009. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q2009 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Blue Cross Blue Shield medicare advantage case rate · outpatient	$1	$1	—	—	—	$1 – $1
2	Humana medicare advantage case rate · outpatient	$2	$2	—	—	—	$2 – $2
3	Humana medicare advantage ppo case rate · outpatient	$2	$2	—	—	—	$2 – $2
4	Molina medicare advantage case rate · outpatient	$2	$2	—	—	—	$2 – $2
5	WellCare medicare advantage hmo case rate · outpatient	$2	$2	—	—	—	$2 – $2
6	WellCare medicare advantage mmp case rate · outpatient	$2	$2	—	—	—	$2 – $2
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$2	$2	—	—	—	$2 – $2
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$2	$2	—	—	—	$2 – $2
9	Blue Cross Blue Shield hmo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
10	Blue Cross Blue Shield exchange fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
11	Blue Cross Blue Shield ppo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
12	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$27	$12	44%	—	$15 – $39
13	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$27	$12	44%	—	$15 – $39
14	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$28	$28	$12	44%	—	$16 – $41
15	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$29	$29	$13	44%	—	$16 – $42
16	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$30	$13	44%	—	$17 – $43
17	Blue Cross Blue Shield traditional fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
18	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$105	$105	$46	44%	—	$59 – $151
19	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$125	$125	$55	44%	—	$70 – $179
20	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$140	$140	$62	44%	—	$78 – $201
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$157	$157	$69	44%	—	$88 – $226
22	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$166	$166	$73	44%	—	$93 – $239
23	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$166	$166	$73	44%	—	$93 – $239
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$168	$168	$74	44%	—	$94 – $241
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$211	$211	$93	44%	—	$118 – $303

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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