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 IN NS IV SYRINGE 5 MG/ML (NEO/PED) - CNR
Troy, NY
See all hospitals reporting HCPCS J1165 →Price type
Samaritan Hospital’s median price of $3 is 13% above the median hospital's median price ($3), higher than 52% 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: 15 payers, 44 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $0 | $0 | $0 | 34% | — | $0 – $1 |
| 2 | Anthem empire medicaid facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Excellus empire medicaid facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Cigna cigna facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Premera blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Regence blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Wellmark blue shield of ne new york ppo facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 19 | UnitedHealthcare united healthcare facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Aetna aetna facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Medical Mutual aetna facility · fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 22 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $2 | $2 | $1 | 34% | — | $1 – $2 |
| 23 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $6 | $6 | $3 | 58% | — | $2 – $9 |
| 24 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
Last updated: Mar 31, 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.