Phentolamine mesylate injection at Valley County Hospital

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.

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Generated: October 20, 2026

Original text from hospital filings

PHENTOLAMINE 5 MG VIAL

Ord, NE

See all hospitals reporting HCPCS J2760 →

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $483 is 12% below the median hospital's median price ($549), higher than 41% of the 2,076 hospitals reporting HCPCS J2760. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2760 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 payers, 17 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	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
2	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
3	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
4	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
5	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
6	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$454	$454	—	—	—	$454 – $454
7	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$463	$463	—	—	—	$463 – $463
8	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$481	$481	—	—	—	$481 – $481
9	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$803	$803	—	—	—	$803 – $803
10	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$803	$803	—	—	—	$803 – $803
11	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
12	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
13	Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
14	Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
15	Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges	$847	$847	—	—	—	$847 – $847
16	MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges	$864	$864	—	—	—	$864 – $864
17	MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges	$864	$864	—	—	—	$864 – $864

Last updated: Jun 15, 2026

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