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Phenytoin Injection

Illinois rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

How much does Phenytoin Injection cost?

$0.51per 50 mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $0.51 for each 50 mg of this drug. The price depends on where it is billed: about $0.43 from a physician practice, and about $0.74 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 50 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.43
At a hospital outpatient department
$0.74

The same drug, in the same amount, costs 74% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.43$0.42 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.74$0.42 to $0.83

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$1.0$10.0$100.0facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.72
Typical High
$1.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.69
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$0.78
Typical High
$1.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.95
Typical High
$3.63
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59
United
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$0.69
Typical High
$0.69
United
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.65

Where Illinois sits

The same service costs 3.8 times more in Delaware than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $0.51 · 26th of 51
DE $1.58AL $0.42

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.