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Phenytoin Injection

Ohio rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

How much does Phenytoin Injection cost?

$0.56per 50 mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $0.56 for each 50 mg of this drug. The price depends on where it is billed: about $0.49 from a physician practice, and about $0.89 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
$0.49
At a hospital outpatient department
$0.89

The same drug, in the same amount, costs 82% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.49$0.42 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.89$0.56 to $1.07

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1$2facility $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
$0.91
Typical High
$1.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.43
Typical High
$0.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.89
Typical High
$2.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.50
Typical High
$0.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$0.45
Typical High
$0.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$0.62
Typical High
$0.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.89
Typical High
$1.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$1.02
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.89
Typical High
$1.29
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.60
Typical High
$0.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.71
Typical High
$0.98
United
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.89
United
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.79

Where Ohio 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.

Ohio· 18th of 51

$0.56

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.