CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,867

about 1.6× the $5,676 Medicare rate · typically $6,613–$11,555

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,638

About the fair price

about $229 under the fair price · 1.5× Medicare

Medicare pays $5,676 Fair price $8,867 This hospital $8,638

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $2,812 Priciest $8,638

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,867 (about 1.6× the $5,676 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $8,638 — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$8,486 - $27,185	150%
Blue Cross Blue Shieldmajor	$7,645 - $56,522	135%
Aetnamajor	$13,267 - $17,689	234%
Cignamajor	$18,066 - $33,030	318%
Humanamajor	$7,950	140%
Amerigroup	$8,027	141%
Cigna HealthSpring	$7,798	137%
Molina	$8,027	141%
WellCare	$8,027 - $8,409	141%
+ 2 smaller / regional plans	$7,645 - $15,349

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Texas Health Presbyterian Hospital Plano is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Texas Health Presbyterian Hospital Plano

Compare: Digestive disorders treatment (inpatient stay) at other TX hospitals

Childrens Medical Ctr of Dallas · Dallas $2,812
Childrens Medical Center Plano · Plano $2,812
Memorial Medical Center · Port Lavaca $3,056
Hendrick Medical Center Brownwood · Brownwood $4,163
Coon Memorial Hospital · Dalhart $4,433
Comanche County Medical Center · Comanche $4,497
Guadalupe Regional Medical Center · Seguin $4,745
Ascension Seton Southwest · Austin $4,884

Insurance negotiated median for the same procedure, sorted lowest first.