Legent Surgical Hospital Plano
4100 Mapleshade Lane, Plano, TX 75075 · 74 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Legent Surgical Hospital Plano prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 26% of shoppable procedures (84/100 Cash Honesty)
- CMS clinical safety score (77/100 safety score) with 77% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 18.7× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Legent Surgical Hospital Plano
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 74 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | — | — |
| Total hip replacement CPT Code: 27130 | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,952 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,525 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | — | — |
| Bunion correction surgery CPT Code: 28296 | $3,221 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,272 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,178 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $916 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $893 | 0.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $695 | 0.8× |
| Blood transfusion CPT Code: 36430 | $434 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $343 | 0.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $216 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $235 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $235 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $235 | 0.7× |
| X-ray, pelvis CPT Code: 72170 | $103 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $86 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $86 | 0.9× |
| X-ray, foot CPT Code: 73630 | $86 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $86 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $86 | 0.9× |
| X-ray, hand CPT Code: 73130 | $86 | 0.9× |
| X-ray, hip CPT Code: 73502 | $86 | 0.9× |
Audit a Bill or Quote at Legent Surgical Hospital Plano (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Legent Surgical Hospital Plano's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your bill ($37,619) is $24,096 above the denoised Fair BaseRate ($13,523) and 2.9× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Legent Surgical Hospital Plano as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
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 Legent Surgical Hospital Plano. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-02-14·administrative_or_closure
Closure Notice
Recorded - 2024-12-26·cap_corrective_action
CAP Request
Recorded - 2024-09-11·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (39 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.