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Phenytoin Injection

Massachusetts rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

How much does Phenytoin Injection cost?

$0.42per 50 mg

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $0.42 for each 50 mg of this drug. The price depends on where it is billed: about $0.42 from a physician practice, and about $0.55 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
$0.42
At a hospital outpatient department
$0.55

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$0.42$0.42 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.55$0.42 to $0.81

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 to $1
$1.0$10.0$100.0$1.0K$10.0Kfacility $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
$0.58
Typical High
$1.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$1.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$1.70
Typical High
$3.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.60
Typical High
$1.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$0.87
Typical High
$1.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.55
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.62
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$1.70
Typical High
$3.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.60
Typical High
$1.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$0.89
Typical High
$0.89
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.60
Typical High
$1.10

Where Massachusetts 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.

Massachusetts $0.42 · 43rd 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.