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 MG INJECTION (CUSTOM)
Monroe, LA
See all hospitals reporting HCPCS J2760 →Price type
Brfhh Monroe, Llc’s median price of $437 is 21% below the median hospital's median price ($550), higher than 23% 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: 10 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 | Aetna Better Health all payor other · outpatient | $282 | $282 | $0 | 0% | — | $282 – $282 |
| 2 | Amerihealth Caritas all payor other · outpatient | $282 | $282 | $0 | 0% | — | $282 – $282 |
| 3 | UnitedHealthcare all payor other · outpatient | $282 | $282 | $0 | 0% | — | $282 – $282 |
| 4 | Humana all payor other · outpatient | $352 | $352 | $70 | 20% | — | $282 – $421 |
| 5 | Bcbs La all payor fee schedule · outpatient | $404 | $410 | $13 | 3% | — | $404 – $437 |
| 6 | Aetna all payor fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 7 | Humana all payor fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 8 | Optum all payor fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 9 | UnitedHealthcare all payor fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 10 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $564 | $564 | $53 | 9% | — | $512 – $617 |
| 11 | Cigna all payor other · outpatient | $755 | $755 | $0 | 0% | — | $755 – $755 |
| 12 | Cigna all payor other · inpatient | $882 | $882 | $0 | 0% | — | $882 – $882 |
| 13 | Aetna all payor other · inpatient | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 14 | First Health all payor other · inpatient | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 15 | Aetna all payor other · outpatient | $1.2k | $1.2k | $0 | 0% | — | $1.2k – $1.2k |
| 16 | First Health all payor other · outpatient | $1.2k | $1.2k | $0 | 0% | — | $1.2k – $1.2k |
| 17 | MultiPlan all payor other · outpatient | $1.2k | $1.2k | $0 | 0% | — | $1.2k – $1.2k |
Last updated: Apr 1, 2026
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