Chlorothiazide sodium injection, 500 mg 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CHLOROTHIZDE 28MG/ML INJ

Plano, TX

See all hospitals reporting HCPCS J1205 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $53 is 56% below the median hospital's median price ($121), higher than 14% of the 1,841 hospitals reporting HCPCS J1205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1205 at Medical City Plano

Negotiated rates from the hospital’s own file: 7 payers, 37 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$13	$13	$10	78%	—	$3 – $23
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$13	$13	$10	78%	—	$3 – $23
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$13	$13	$10	78%	—	$3 – $23
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$13	$13	$10	78%	—	$3 – $23
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$13	$13	$10	78%	—	$3 – $23
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$25	$25	$19	78%	—	$6 – $44
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$26	$26	$20	78%	—	$6 – $46
8	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$30	$30	$23	78%	—	$7 – $53
9	Humana tricare fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$32	$32	$25	78%	—	$7 – $57
11	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$44	$44	$34	78%	—	$10 – $78
12	Aetna comm percent of total billed charges · outpatientfrom % of charges	$47	$47	$37	78%	—	$11 – $84
13	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$47	$47	$37	78%	—	$11 – $84
14	Aetna oon percent of total billed charges · outpatientfrom % of charges	$55	$55	$43	78%	—	$12 – $98
15	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$62	$62	$48	78%	—	$14 – $111
16	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$82	$82	$64	78%	—	$18 – $146
17	UnitedHealthcare allpayerappendix fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
18	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
19	UnitedHealthcare smallgroup fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$97	$97	$76	78%	—	$22 – $173
21	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$101	$101	$79	78%	—	$23 – $180
22	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$112	$112	$87	78%	—	$25 – $198
23	Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges	$112	$112	$87	78%	—	$25 – $198
24	Cigna localplus fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
25	Cigna newbusiness fee schedule · outpatient	$245	$245	—	—	—	$245 – $245

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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