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
Summit, NJ
See all hospitals reporting HCPCS J1165 →Price type
Overlook Medical Center’s median price of $6 is 129% above the median hospital's median price ($3), higher than 63% 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: 13 payers, 19 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 | Anthem omc medicaid percent of total billed charges · bothfrom % of charges | $2 | $2 | $0 | 18% | — | $2 – $3 |
| 2 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $2 | $2 | $0 | 18% | — | $2 – $3 |
| 3 | Cigna omc cigna local plus fee schedule · both | $2 | $2 | $1 | 43% | — | $1 – $3 |
| 4 | Aetna omc aetna whole health fee schedule · both | $3 | $3 | $1 | 43% | — | $1 – $4 |
| 5 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $3 | $3 | $0 | 18% | — | $2 – $3 |
| 6 | Cigna omc cigna oap fee schedule · both | $3 | $3 | $1 | 43% | — | $2 – $4 |
| 7 | Cigna omc cigna ppo fee schedule · both | $3 | $3 | $1 | 43% | — | $2 – $4 |
| 8 | Aetna omc aetna fee schedule · both | $3 | $3 | $1 | 43% | — | $2 – $5 |
| 9 | Blue Cross Blue Shield omc horizon commercial fee schedule · both | $5 | $5 | $2 | 43% | — | $3 – $7 |
| 10 | Blue Cross Blue Shield omc horizon omnia fee schedule · both | $5 | $5 | $2 | 43% | — | $3 – $7 |
| 11 | UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges | $6 | $6 | $1 | 18% | — | $5 – $7 |
| 12 | Humana omc qualcare percent of total billed charges · bothfrom % of charges | $7 | $7 | $1 | 18% | — | $6 – $8 |
| 13 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $7 | $7 | $1 | 18% | — | $6 – $8 |
| 14 | Oscar omc qualcare percent of total billed charges · bothfrom % of charges | $7 | $7 | $1 | 18% | — | $6 – $8 |
| 15 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $7 | $7 | $1 | 18% | — | $6 – $8 |
| 16 | First Health first health percent of total billed charges · bothfrom % of charges | $8 | $8 | $1 | 18% | — | $7 – $10 |
| 17 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $9 | $9 | $2 | 18% | — | $7 – $10 |
| 18 | Anthem omc empire bcbsny hmo ppo percent of total billed charges · bothfrom % of charges | $10 | $10 | $2 | 18% | — | $8 – $12 |
| 19 | Anthem omc empire bcbsny indemn percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 18% | — | $9 – $12 |
Last updated: Apr 1, 2026
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