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HCPCS J1165
PHENYTOIN SODIUM INJ 50 MG/ML - as described in hospitals' own price files.
27hospitals publishing a price
$44.76median cash price
$30.96median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Mat-Su Regional Medical Center | Palmer, AK | $2.82 | $7.14 | $9.40 | $1.01 - $9.02 |
| Medical Center Enterprise | Enterprise, AL | $1.75 | $15.03 | $19.44 | $0.64 - $49.68 |
| Gadsden Regional Medical Center | Gadsden, AL | $3.78 | $22.54 | $31.50 | $0.64 - $1,525 |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $32.89 | - | $93.96 | - |
| Saint John'S Health Center | Santa Monica, CA | $32.89 | - | $93.97 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $32.89 | - | $93.96 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $32.89 | - | $93.96 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $32.89 | - | $93.96 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $32.89 | - | $93.96 | - |
| Providence Regional Medical Center Everett | Everett, WA | $37.87 | - | $72.83 | - |
| Grandview Medical Center | Birmingham, AL | $7.80 | $39.39 | $52.00 | $0.64 - $134 |
| St. Mary Medical Center | Long Beach, CA | $44.76 | - | $93.25 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $44.76 | - | $93.25 | - |
| Providence Seward Hospital | Seward, AK | $50.70 | - | $65.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $50.70 | - | $65.00 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $50.70 | - | $65.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $50.70 | - | $65.00 | - |
| Covenant Hospital Plainview | Plainview, TX | $56.70 | - | $135 | - |
| Providence St. Joseph Medical Center | Polson, MT | $67.13 | - | $83.91 | - |
| St. Patrick Hospital | Missoula, MT | $67.13 | - | $83.91 | - |
| Providence Newberg Medical Center | Newberg, OR | $71.09 | - | $94.78 | - |
| Providence Seaside Hospital | Seaside, OR | $71.09 | - | $94.78 | - |
| Providence Medford Medical Center | Medford, OR | $71.09 | - | $94.78 | - |
| Petaluma Valley Hospital | Petaluma, CA | $84.15 | - | $165 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $84.15 | - | $165 | - |
| Crestwood Medical Center | Huntsville, AL | $23.52 | $103 | $131 | $0.45 - $327 |
| Flowers Hospital | Dothan, AL | $21.24 | $103 | $142 | $0.50 - $142 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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