How many shoppable procedure prices are published for Childrens Medical Center Plano?

Childrens Medical Center Plano in Plano, TX currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Childrens Medical Center Plano's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Childrens Medical Center Plano's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 60 Beds · urban Updated: 2026-01-27

Childrens Medical Center Plano

7601 Preston Road, Plano, TX 75024 · 120 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.30×vs. Fair Market Price

Typical commercial prices here are +30% above the fair benchmark (1.30×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 34% of the Time

File Completeness61

Price Logic93

Peer Alignment66

Clean Billing82

Real Cash Discount100

High-Markup Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Childrens Medical Center Plano prices shoppable and inpatient services (1.8× to 0.8× Medicare, divergence 0.44×) in alignment with regional hospital peers (1.30× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#202 of 307 in TX · 65th State Percentile#2,253 of 3,385 in U.S. · 66th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.46× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 34% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (66.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.30× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.82× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.30× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 17.1× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.44× Divergence

0.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 0.46× · Q50 0.82× · Q75 0.88×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.0× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.9× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

34% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Childrens Medical Center Plano

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$15,086	$15,086	$1,453	10.4×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$12,081	$30,775	0.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$9,631	$17,936	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$8,277	$19,432	0.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$7,621	$19,087	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$2,812	$8,223	0.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,309	$2,523	$1,021	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,289	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,063	$2,680	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$3,825	$1,636	$369	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,569	$6,109	0.3×
Blood transfusion CPT Code: `36430`	$1,470	$1,470	$498	3.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,289	$1,353	$511	2.6×
MRI, brain (no contrast) CPT Code: `70551`	$3,055	$1,181	$343	3.4×
CT scan, pelvis CPT Code: `72192`	$2,806	$1,058	$163	6.5×
CT scan, head (with contrast) CPT Code: `70460`	$3,045	$1,058	$242	4.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,533	$1,058	$303	3.5×
Bunion correction surgery CPT Code: `28296`	—	$1,077	$3,446	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,178	$1,058	$258	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,274	$1,058	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,166	$1,058	$168	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,319	$989	$448	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$3,015	$961	$338	2.8×
Inguinal hernia repair CPT Code: `49505`	—	$983	$3,629	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$944	$3,372	0.3×
Breast lump removal CPT Code: `19120`	—	$912	$3,875	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$774	$2,540	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$2,983	$788	$160	unverified
CT scan, sinuses CPT Code: `70486`	$2,545	$614	$166	3.7×
Colonoscopy with biopsy CPT Code: `45380`	$4,346	$568	$1,256	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$3,575	$452	$987	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,285	$471	$134	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,678	$440	$981	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$413	$413	$64	6.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$925	$322	$126	2.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$872	$327	$132	2.5×
Psychological testing by technician CPT Code: `96138`	$316	$316	$395	0.8×
Ultrasound, pelvis CPT Code: `76856`	$1,093	$318	$130	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$266	$266	$86	3.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$225	$225	$38	5.9×
Rabies immune globulin HCPCS Code: `90375`	$10,077	$249	$322	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$188	$188	$201	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$470	$152	$185	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,177	$151	$272	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,438	$161	$583	0.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$353	$110	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$131	$148	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$4,025	$126	$151	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$645	$141	$181	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$536	$96	$110	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	—	$106	$123	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,484	$110	$169	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$505	$95	$166	0.6×
Family therapy session CPT Code: `90847`	$620	$95	$173	0.5×
Neurobehavioral status check CPT Code: `96116`	$548	$80	$231	0.3×
Typhoid vaccine HCPCS Code: `90675`	$2,854	$294	$347	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,450	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$894	$125	$140	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$232	$78	$87	0.9×
Drug screening test HCPCS Code: `G0480`	—	$102	$116	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$735	$96	$111	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$59	$14	4.2×
Speech therapy (language evaluation) CPT Code: `92507`	$363	$67	$86	0.8×
Care planning with family CPT Code: `90887`	—	$74	$107	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$38	$35	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$17	$20	0.8×
Orthotic fitting and training CPT Code: `97760`	$169	$40	$51	0.8×
Prosthetic fitting and training CPT Code: `97761`	$194	$35	$45	0.8×
Physical therapy (gait training) CPT Code: `97116`	$155	$25	$33	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$158	$30	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$155	$28	$38	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$155	$28	$38	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$430	$40	$56	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$168	$25	$35	0.7×
X-ray, hip CPT Code: `73502`	$406	$39	$93	0.4×
X-ray, lower back CPT Code: `72110`	$699	$43	$112	0.4×
Psychological testing evaluation CPT Code: `96136`	$316	$36	$128	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$152	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$127	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$148	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$86	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$128	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$187	$9	$10	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$267	$8	$9	0.9×
Culture, bacterial CPT Code: `87070`	$501	$8	$9	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$22	$25	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$156	$7	$8	0.9×
Hepatitis C antibody test CPT Code: `86803`	$167	$13	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$335	$12	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$146	$12	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$380	$9	$11	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$531	$33	$93	0.4×
Blood test, amylase CPT Code: `82150`	$153	$6	$7	0.9×
Blood test, lipase CPT Code: `83690`	$180	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$163	$6	$7	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$236	$16	$19	0.8×
Blood test, vitamin D CPT Code: `82306`	$251	$26	$31	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$402	$15	$18	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$200	$5	$6	0.8×
Culture, blood CPT Code: `87040`	$446	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$107	$13	$16	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$269	$30	$37	0.8×
Blood test, potassium CPT Code: `84132`	$128	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$111	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$167	$4	$5	0.8×
Blood test, liver function panel CPT Code: `80076`	$243	$7	$9	0.8×
Speech therapy (group session) CPT Code: `92508`	$209	$21	$27	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$152	$24	$34	0.7×
Blood test, hemoglobin CPT Code: `85018`	$68	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$259	$26	$39	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$12	$25	0.5×
X-ray, hand CPT Code: `73130`	$505	$31	$93	0.3×
X-ray, ankle CPT Code: `73610`	$553	$30	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$467	$29	$92	0.3×
X-ray, foot CPT Code: `73630`	$419	$28	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	$517	$28	$93	0.3×
Group therapy session CPT Code: `90853`	$603	$26	$100	0.3×
X-ray, chest (single view) CPT Code: `71045`	$514	$22	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$389	$23	$110	0.2×
Blood antibody screen CPT Code: `86850`	$332	$9	$46	0.2×

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 66.0%

Audit a Bill or Quote at Childrens Medical Center Plano (Zero PHI Required)

CMS CCN: 453316

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $15,086

Insurer Median $15,086

1. Amount on Your Bill or Quote ($) Pre-filled with Childrens Medical Center Plano’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $13,275 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,275

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (66.0% of gross = $13,275).

Step 2 · Cash vs. Insurance Arbitrage Save $5,028 Paying Cash

Self-Pay Cash Rate ($15,086) Beats Your Bill

Childrens Medical Center Plano's published 45 CFR § 180 self-pay cash rate is $15,086 (vs. $15,086 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,661 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($20,114) is $18,661 above the denoised Fair BaseRate ($1,453) and 14.8× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (66.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Childrens Medical Center Plano. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Childrens Medical Center Plano.

Price Index: 2.91× regional baseline

Quality: 54/100 CMS composite

Median Household Income$117,588U.S. Census ACS

Local Uninsured Share9.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 453316

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 453316) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-27

Validated Rate Rows8,455 (CMS v3.0.0)

File Integrity DigestVerified · CCN 453316

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy