HCPCS J1165
Injection, phenytoin sodium, per 50 mg
Current code23 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | — | $13.08 | $32.70 |
| Highline Medical Center | — | $39.87 – $399 | $131 – $1,306 |
| MultiCare Good Samaritan Hospital | — | $15.84 | $39.58 |
| Providence Regional Medical Center Everett | — | $37.87 – $38.52 | $72.83 – $74.08 |
| St Anthony Hospital | — | $39.71 – $397 | $131 – $1,306 |
| St Clare Hospital | — | $37.63 – $376 | $131 – $1,306 |
| St Elizabeth Hospital | $36.56 – $433 | $46.14 – $461 | $131 – $1,306 |
| St Francis Community Hospital | — | $40.97 – $410 | $131 – $1,306 |
| St Joseph Medical Center | — | $43.24 – $432 | $131 – $1,306 |
| St Michael Medical Center | — | $57.62 – $576 | $131 – $1,306 |
| Three Rivers Hospital | $11.72 | $16.74 | $16.74 |
| Virginia Mason Medical Center | — | $1.23 | $1.34 – $2.42 |
Medicare (traditional) reference
CMS publishes no national amount for this code.