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 SODIUM 100 MG PE/2ML IJ SOLN [79291]
Gary, IN
See all hospitals reporting HCPCS Q2009 →Price type
The Methodist Hospitals, Inc.’s median price of $3 is 82% below the median hospital's median price ($15), higher than 17% 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: 10 payers, 18 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Humana medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | UnitedHealthcare navigate and core payer facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Anthem individual on exchange facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Anthem pathway essentials facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Caresource caresource facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $37 | $35 | $23 | 64% | — | $10 – $60 |
| 14 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $40 | $38 | $25 | 64% | — | $10 – $66 |
| 15 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $60 | $57 | $37 | 64% | — | $16 – $98 |
| 16 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $65 | $63 | $40 | 64% | — | $17 – $107 |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $70 | $67 | $43 | 64% | — | $18 – $115 |
| 18 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $71 | $68 | $44 | 64% | — | $18 – $116 |
Last updated: Aug 18, 2026
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