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 SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J2760 →Price type
Mercy Hospital Springfield’s median price of $773 is 40% above the median hospital's median price ($550), higher than 69% of the 2,062 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: 16 payers, 37 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 5 | Aetna hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 7 | Cigna hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 8 | Humana hb sprg humana medicare 100% facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 9 | Medica hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 10 | Medicare hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 11 | Tricare hb sprg tricare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 12 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 13 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $413 | $413 | — | — | — | $413 – $413 |
| 14 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 15 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 16 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 17 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 18 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 19 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 20 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 21 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 22 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 23 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 24 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 25 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
Last updated: Jun 4, 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.