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Phenytoin Injection

Rhode Island rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Rates data updated July 2026.

How much does Phenytoin Injection cost?

$0.60per 50 mg

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $0.60 for each 50 mg of this drug. The price depends on where it is billed: about $0.44 from a physician practice, and about $0.60 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
$0.44
At a hospital outpatient department
$0.60

The same drug, in the same amount, costs 38% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.44$0.44 to $0.60
FacilityA hospital or hospital-owned outpatient department$0.60$0.60 to $0.83

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1facility $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. 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
$0.83
Median
$1.38
Typical High
$1.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.44
Median
$0.44
Typical High
$0.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.42
United
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.89

Where Rhode Island 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.

Rhode Island· 12th of 51

$0.60

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.