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 MESYLATE SOLR 5 MG5 MG
San Augustine, TX
See all hospitals reporting HCPCS J2760 →Price type
Memorial Medical Center San Augustine’s median price of $1.2k is 126% above the median hospital's median price ($549), higher than 86% of the 2,076 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: 8 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare|all plans case rate · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 2 | Humana medicare|all plans case rate · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 3 | Cigna Healthspring medicare|all other plans case rate · outpatient | $388 | $388 | — | — | — | $388 – $388 |
| 4 | Cigna Healthspring medicare|ppo case rate · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 5 | Cigna commercial|all plans fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 6 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 7 | UnitedHealthcare medicare|all plans case rate · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 8 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $640 | $640 | — | — | — | $640 – $640 |
| 9 | Blue Cross Blue Shield commercial|blue advantage hmo fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
| 10 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $673 | $673 | — | — | — | $673 – $673 |
| 11 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 12 | Cigna commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | Aetna commercial|all plans fee schedule · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Aetna commercial|all plans fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Phcs commercial|all plans fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 18 | Humana commercial|all plans fee schedule · inpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 19 | Humana commercial|all plans fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 22 | Phcs commercial|all plans fee schedule · inpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 23 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
Last updated: Feb 28, 2026
See Phentolamine mesylate injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.