Seizure medication drug test, 1 to 3 drugs at Medical City Plano

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LACOSAMIDE/VIMPAT DDT

Plano, TX

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $107 is 69% above the median hospital's median price ($63), higher than 66% of the 1,659 hospitals reporting CPT 80339. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80339 at Medical City Plano

Negotiated rates from the hospital’s own file: 12 payers, 49 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna qhphix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna comm fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna meritain fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Aetna newbusiness fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna oon fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	UnitedHealthcare chip fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
7	UnitedHealthcare star fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
8	UnitedHealthcare starkids fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
9	UnitedHealthcare starperinate fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
10	UnitedHealthcare starplus fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
11	Cigna Healthspring mgmcd fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
12	Aetna Better Health chip fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
13	Aetna Better Health mcd fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
14	Molina chip fee schedule · outpatient	$5	$5	$0	1%	—	$5 – $5
15	Molina mcdstar fee schedule · outpatient	$5	$5	$0	1%	—	$5 – $5
16	Molina star+plus fee schedule · outpatient	$5	$5	$0	1%	—	$5 – $5
17	Molina starkids fee schedule · outpatient	$5	$5	$0	1%	—	$5 – $5
18	Humana mgmcd fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
19	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
20	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
21	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
22	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
23	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
24	Humana comm fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
25	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75

Page 1 of 2 · 49 rates

Last updated: Mar 1, 2026

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