Ganciclovir 500 mg injection 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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Generated: October 20, 2026

Original text from hospital filings

GANCICLOVIR 10 MG/ML INJ

Plano, TX

See all hospitals reporting HCPCS J1570 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $75 is 13% below the median hospital's median price ($86), higher than 44% of the 1,888 hospitals reporting HCPCS J1570. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1570 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	Humana tricare fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
2	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$39	$39	$36	93%	—	$3 – $75
3	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$39	$39	$36	93%	—	$3 – $75
4	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$39	$39	$36	93%	—	$3 – $75
5	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$39	$39	$36	93%	—	$3 – $75
6	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$39	$39	$36	93%	—	$3 – $75
7	UnitedHealthcare allpayerappendix fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
8	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
9	UnitedHealthcare smallgroup fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
10	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$75	$75	$69	93%	—	$6 – $144
11	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$78	$78	$72	93%	—	$6 – $150
12	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$90	$90	$84	93%	—	$7 – $174
13	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$97	$97	$89	93%	—	$7 – $186
14	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$132	$132	$122	93%	—	$10 – $254
15	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
16	Aetna comm percent of total billed charges · outpatientfrom % of charges	$142	$142	$131	93%	—	$11 – $273
17	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$142	$142	$131	93%	—	$11 – $273
18	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
19	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
20	Aetna oon percent of total billed charges · outpatientfrom % of charges	$166	$166	$154	93%	—	$12 – $320
21	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$187	$187	$174	93%	—	$14 – $361
22	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
23	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
24	Blue Cross Blue Shield eposoa fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
25	Blue Cross Blue Shield ppo fee schedule · outpatient	$230	$230	—	—	—	$230 – $230

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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