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 SODIUM 50 MG/ML INTRAVENOUS SOLUTION
Enumclaw, WA
See all hospitals reporting HCPCS J1165 →Price type
Enumclaw Regional Hospital Association’s median price of $113 is 4157% above the median hospital's median price ($3), higher than 98% 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: 10 payers, 26 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 commercial|awh fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Kaiser medicare|all plans fee schedule · outpatient | $59 | $98 | $75 | 77% | — | $24 – $235 |
| 4 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $59 | $98 | $75 | 77% | — | $24 – $235 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $59 | $98 | $75 | 77% | — | $24 – $236 |
| 6 | Optum medicare|all plans fee schedule · outpatient | $59 | $99 | $76 | 77% | — | $24 – $237 |
| 7 | Premera medicare|all plans fee schedule · outpatient | $61 | $101 | $77 | 77% | — | $24 – $242 |
| 8 | Regence medicare|all plans fee schedule · outpatient | $61 | $101 | $77 | 77% | — | $24 – $242 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $63 | $105 | $80 | 77% | — | $25 – $251 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $63 | $106 | $81 | 77% | — | $25 – $254 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $63 | $106 | $81 | 77% | — | $25 – $254 |
| 12 | Aetna medicare|all plans fee schedule · outpatient | $72 | $120 | $92 | 77% | — | $29 – $287 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $97 | $161 | $124 | 77% | — | $39 – $387 |
| 14 | Molina medicaid|all plans fee schedule · inpatient | $97 | $162 | $124 | 77% | — | $39 – $389 |
| 15 | Molina commercial|marketplace exchange fee schedule · outpatient | $113 | $188 | $144 | 77% | — | $45 – $451 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $118 | $196 | $150 | 77% | — | $47 – $470 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $121 | $201 | $154 | 77% | — | $48 – $483 |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $127 | $212 | $163 | 77% | — | $51 – $509 |
| 19 | Aetna commercial|awh fee schedule · inpatient | $131 | $217 | $167 | 77% | — | $52 – $522 |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $157 | $261 | $200 | 77% | — | $63 – $627 |
| 21 | Cigna commercial|all plans fee schedule · outpatient | $163 | $272 | $208 | 77% | — | $65 – $653 |
| 22 | Cigna commercial|all plans fee schedule · inpatient | $180 | $299 | $229 | 77% | — | $72 – $718 |
| 23 | Aetna commercial|rental fee schedule · inpatient | $235 | $391 | $300 | 77% | — | $94 – $940 |
| 24 | Aetna commercial|rental fee schedule · outpatient | $235 | $391 | $300 | 77% | — | $94 – $940 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $294 | $489 | $375 | 77% | — | $118 – $1.2k |
Last updated: Feb 28, 2026
See Phenytoin 100 mg injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.