Levocarnitine injection, per gram 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

LEVOCARNITINE 1 G INJ

Plano, TX

See all hospitals reporting HCPCS J1955 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $114 is 112% above the median hospital's median price ($54), higher than 77% of the 1,685 hospitals reporting HCPCS J1955. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1955 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	$15	$15	—	—	—	$15 – $15
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
6	Humana tricare fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
7	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
8	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
9	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
11	UnitedHealthcare allpayerappendix fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
12	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
13	UnitedHealthcare smallgroup fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
14	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
15	Aetna comm percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
16	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
17	Aetna oon percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
18	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
20	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
21	Aetna asa percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
22	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
23	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
24	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
25	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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