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
PHENTOLAMINE 5 MGI
Smithville, TX
See all hospitals reporting HCPCS J2760 →Price type
Ascension Seton’s median price of $458 is 17% below the median hospital's median price ($550), higher than 36% of the 2,056 hospitals reporting HCPCS J2760. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 13 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 2 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 3 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 4 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 5 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 6 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 7 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 8 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 9 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 10 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $571 | $571 | — | — | — | $571 – $571 |
| 11 | Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 12 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $627 | $627 | — | — | — | $627 – $627 |
| 13 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient | $642 | $642 | — | — | — | $642 – $642 |
Last updated: Jan 1, 2026
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