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 100 MG PE/2 ML INJECTION SOLUTION
Lititz, PA
See all hospitals reporting HCPCS Q2009 →Price type
UPMC Lititz’s median price of $4 is 75% below the median hospital's median price ($15), higher than 26% of the 2,082 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: 5 payers, 13 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2 | $2 | $1 | 58% | — | $0 – $4 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $3 | $3 | $2 | 58% | — | $1 – $7 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $3 | $4 | $2 | 58% | — | $1 – $8 |
| 5 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $4 | $2 | 58% | — | $1 – $9 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $3 | 58% | — | $1 – $9 |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $3 | 58% | — | $1 – $9 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $3 | 58% | — | $1 – $9 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $6 | $3 | 58% | — | $1 – $12 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $7 | $8 | $5 | 58% | — | $2 – $17 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $7 | $8 | $5 | 58% | — | $2 – $17 |
| 13 | UnitedHealthcare commercial facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
Last updated: Mar 6, 2026
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