Bleomycin sulfate injection, 15 units 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

BLEOMYCIN 30 U INJ

Plano, TX

See all hospitals reporting HCPCS J9040 →

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $61 is 9% below the median hospital's median price ($67), higher than 46% of the 1,899 hospitals reporting HCPCS J9040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9040 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	$10	$10	$3	34%	—	$7 – $13
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$10	$10	$3	34%	—	$7 – $13
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$10	$10	$3	34%	—	$7 – $13
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$10	$10	$3	34%	—	$7 – $13
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$10	$10	$3	34%	—	$7 – $13
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$19	$19	$6	34%	—	$13 – $26
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$20	$20	$7	34%	—	$13 – $26
8	Humana tricare fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
9	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$23	$23	$8	34%	—	$15 – $31
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$25	$25	$8	34%	—	$16 – $33
11	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$34	$34	$11	34%	—	$22 – $45
12	Aetna comm percent of total billed charges · outpatientfrom % of charges	$36	$36	$12	34%	—	$24 – $48
13	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$36	$36	$12	34%	—	$24 – $48
14	UnitedHealthcare allpayerappendix fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
15	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
16	UnitedHealthcare smallgroup fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
17	Aetna oon percent of total billed charges · outpatientfrom % of charges	$42	$42	$14	34%	—	$28 – $57
18	Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges	$48	$48	$16	34%	—	$32 – $64
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$63	$63	$21	34%	—	$42 – $84
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$75	$75	$25	34%	—	$50 – $100
21	Aetna wcomp percent of total billed charges · outpatientfrom % of charges	$78	$78	$26	34%	—	$52 – $104
22	Aetna exclusive percent of total billed charges · outpatientfrom % of charges	$86	$86	$29	34%	—	$57 – $114
23	Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges	$86	$86	$29	34%	—	$57 – $114
24	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
25	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$110	$110	—	—	—	$110 – $110

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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