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
FOSphenytoin 500 mg PE/10 mL Inject
Grayling, MI
See all hospitals reporting HCPCS Q2009 →Price type
Munson Healthcare Grayling’s median price of $2 is 84% below the median hospital's median price ($15), higher than 14% of the 2,109 hospitals reporting HCPCS Q2009. 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, 20 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 | Blue Cross Blue Shield commercial professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Aetna medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Molina medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Aetna commercial professional · fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | $9 | 82% | — | $2 – $20 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $9 | 82% | — | $2 – $20 |
| 17 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $14 | $14 | $11 | 82% | — | $3 – $25 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $11 | 82% | — | $3 – $25 |
| 19 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $16 | $16 | $13 | 82% | — | $3 – $28 |
| 20 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $13 | 82% | — | $3 – $28 |
Last updated: Apr 17, 2026
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