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Phenytoin Injection

New Jersey rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated October 2026.

How much does Phenytoin Injection cost?

$0.55per 50 mg

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $0.55 for each 50 mg of this drug. The price depends on where it is billed: about $0.55 from a physician practice, and about $0.62 from a hospital or other facility.

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
$0.55
At a hospital outpatient department
$0.62

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.55$0.54 to $0.62
FacilityA hospital or hospital-owned outpatient department$0.62$0.55 to $0.69

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1$2$5facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.55
Median
$0.55
Typical High
$0.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.11
Median
$0.11
Typical High
$0.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.08
Median
$0.08
Typical High
$0.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.52
Median
$0.62
Typical High
$0.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$0.42
Median
$0.42
Typical High
$6.92
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$0.54
Median
$0.62
Typical High
$0.68
United
Setting
Professional
Modifier
None
Typical Low
$0.42
Median
$0.42
Typical High
$0.52

Where New Jersey sits

The same service costs 2.1 times more in Arizona than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 27th of 51

$0.55

AZ $0.87MD $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.