HCPCS J1165
Injection, phenytoin sodium, per 50 mg
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | $12.15 – $23.87 | $13.08 | $32.70 |
| Highline Medical Center | $56.14 – $1,175 | $39.87 – $399 | $131 – $1,306 |
| Kadlec Regional Medical Center | $1.41 – $1.79 | — | — |
| Legacy Salmon Creek Medical Center | $1.08 – $1.17 | — | — |
| MultiCare Good Samaritan Hospital | $28.89 | $15.84 | $39.58 |
| PeaceHealth St Joseph Medical Center | — | $51.55 | $79.30 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.04 | — | — |
| Providence Centralia Hospital | $1.31 – $3.33 | — | — |
| Providence Holy Family Hospital | $1.04 | — | — |
| Providence Regional Medical Center Everett | $1.04 | $37.87 – $38.52 | $72.83 – $74.08 |
| Providence St Mary Medical Center | $1.04 – $3.08 | — | — |
| Providence St Peter Hospital | $1.08 | — | — |
| St Anthony Hospital | $65.28 – $979 | $39.71 – $397 | $131 – $1,306 |
| St Clare Hospital | $65.28 – $979 | $37.63 – $376 | $131 – $1,306 |
| St Elizabeth Hospital | $43.48 – $1,175 | $46.14 – $461 | $131 – $1,306 |
| St Francis Community Hospital | $65.28 – $979 | $40.97 – $410 | $131 – $1,306 |
| St Joseph Medical Center | $65.28 – $979 | $43.24 – $432 | $131 – $1,306 |
| St Michael Medical Center | $1.52 – $1,175 | $57.62 – $576 | $131 – $1,306 |
| Swedish Edmonds Hospital | $1.31 | — | — |
| Swedish Issaquah | $1.31 | — | — |
| Three Rivers Hospital | — | $16.74 | $16.74 |
| Virginia Mason Medical Center | $1.07 – $1.94 | $1.23 | $1.34 – $2.42 |
| Yakima Valley Memorial | $1.08 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.