go back

Phenytoin Injection

New Mexico rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

How much does Phenytoin Injection cost?

$0.59per 50 mg

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $0.59 for each 50 mg of this drug. The price depends on where it is billed: about $0.52 from a physician practice, and about $0.65 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
$0.52
At a hospital outpatient department
$0.65

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.52$0.42 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.65$0.60 to $0.83

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $69,183Professionalmedian $1 · 10th to 90th $0 to $2
$1$10$100$1K$10K$100Kfacility $1professional $1

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. 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
Global
Typical Low
$0.46
Median
$0.65
Typical High
$1.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.52
Typical High
$1.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.42
Typical High
$0.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
United
Setting
Facility
Modifier
Global
Typical Low
$0.51
Median
$0.69
Typical High
$0.69
United
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60

Where New Mexico sits

The same service costs 3.8 times more in Delaware than in Alabama. 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 Mexico· 16th of 51

$0.59

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.