How many shoppable procedure prices are published for Medical City Plano?

Medical City Plano in Plano, TX currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Medical City Plano's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Medical City Plano's CMS Care Compare overall star rating?

CMS Care Compare assigns Medical City Plano an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 584 Beds · urban Updated: 2026-09-01

Medical City Plano

3901 W 15Th St, Plano, TX 75075 · 124 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness90

Price Logic89

Peer Alignment73

Clean Billing89

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +78% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Medical City Plano prices routine shoppable procedures at 2.3× Medicare (median 1.02× Fair BaseRate) while upper-quartile commercial rates jump +78% to 1.82× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#154 of 307 in TX · 49th State Percentile#1,987 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 66% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 1.02× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.82×) jump +78% above the median procedure ratio (Q50 1.02×)
Unnegotiated chargemaster list prices average 13.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.9× Medicare

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

Quantile Tail Spread+78% Upper Tail

Q25 0.93× · Q50 1.02× · Q75 1.82×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

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

1.2× MedicareGood

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at Medical City Plano

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$50,935	$13,413	3.8×
C-section delivery (full package) CPT Code: `59510`	—	$45,950	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$41,444	$2,680	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,318	$19,432	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,537	$6,109	unverified
Trauma team activation HCPCS Code: `G0390`	$22,600	$10,170	$1,453	unverified
Inguinal hernia repair CPT Code: `49505`	—	$8,706	$3,629	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,050	$8,223	1.0×
Breast lump removal CPT Code: `19120`	—	$7,725	$3,875	2.0×
Bunion correction surgery CPT Code: `28296`	—	$7,672	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,981	$3,372	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$5,661	$2,540	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$13,015	$3,130	$1,021	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$2,850	$19,087	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$2,702	$1,256	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,700	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,700	$981	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,514	$855	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,030	$2,384	$583	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$1,937	$30,775	unverified
MRI, knee or other leg joint CPT Code: `73721`	$8,252	$1,114	$369	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$4,225	$874	$272	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$17,230	$828	$448	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$10,572	$722	$511	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$6,361	$710	$242	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$13,405	$518	$303	1.7×
Rabies immune globulin HCPCS Code: `90375`	—	$454	$322	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$5,827	$479	$160	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,836	$461	$130	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$8,201	$402	$258	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$9,624	$416	$338	1.2×
Blood transfusion CPT Code: `36430`	$1,235	$408	$498	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$7,822	$416	$343	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,553	$302	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,360	$325	$134	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$350	$231	$151	1.5×
CT scan, pelvis CPT Code: `72192`	$7,062	$245	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$5,707	$245	$166	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,757	$245	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$8,059	$245	$169	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$523	$226	$201	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$245	$17,936	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,537	$245	$167	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,272	$243	$126	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$163	$33	4.9×
X-ray, shoulder CPT Code: `73030`	$1,225	$182	$92	2.0×
X-ray, foot CPT Code: `73630`	$1,014	$182	$92	2.0×
X-ray, hand CPT Code: `73130`	$1,256	$182	$93	2.0×
X-ray, hip CPT Code: `73502`	$889	$182	$93	2.0×
X-ray, ankle CPT Code: `73610`	$1,452	$182	$93	2.0×
X-ray, pelvis CPT Code: `72170`	$948	$155	$110	1.4×
X-ray, lower back CPT Code: `72110`	$1,812	$157	$112	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$545	$176	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$537	$166	$185	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$763	$175	$86	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$342	$139	$86	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$294	$113	$64	1.8×
X-ray, chest (single view) CPT Code: `71045`	$902	$126	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,133	$117	$93	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$318	$132	$110	1.2×
X-ray, chest (two views) CPT Code: `71046`	$908	$105	$93	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$287	$115	$123	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$410	$132	$166	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$226	$91	$87	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$114	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$94	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,666	$667	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$380	$203	1.9×
Culture, bacterial CPT Code: `87070`	$808	$224	$9	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$590	$236	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$454	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$1,167	$124	$116	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$148	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$179	$65	$56	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$61	$38	$25	1.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$35	$25	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$654	$15	$14	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, vitamin D CPT Code: `82306`	$1,870	$32	$31	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$33	$34	1.0×
Prosthetic fitting and training CPT Code: `97761`	$228	$43	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$406	$43	$51	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$105	$41	$49	0.8×
Blood test, calcium CPT Code: `82310`	$634	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$654	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$1,416	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,565	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$599	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$1,936	$9	$9	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$170	$31	$38	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$96	$37	$48	0.8×
Psychological testing by technician CPT Code: `96138`	$77	$30	$395	0.1×
Hepatitis B vaccine HCPCS Code: `90744`	$112	$55	$37	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$515	$20	$19	1.1×
Speech therapy (group session) CPT Code: `92508`	$150	$38	$27	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$390	$33	$38	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$613	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$1,017	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$1,155	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$592	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$759	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$675	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$613	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$862	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$383	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$489	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$733	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$982	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$1,066	$11	$11	1.0×
Physical therapy (gait training) CPT Code: `97116`	$170	$29	$33	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$133	$12	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$170	$33	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$156	$30	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$139	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$226	$26	$34	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$53	$22	$49	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$820	$11	$46	0.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$828	$10	$10	unverified
Blood test, magnesium CPT Code: `83735`	$710	$7	$7	unverified
Psychological testing evaluation CPT Code: `96136`	$77	$30	$128	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$482	$21	$20	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 450651

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $50,935

1. Amount on Your Bill or Quote ($) Pre-filled with Medical City 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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Medical City Plano's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$108,831 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($122,244) is $108,831 above the denoised Fair BaseRate ($13,413) and 9.3× the $13,117 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) For-Profit / Non-501(c)(3)

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

EIN: 621682203

Public IRS & CMS ownership records classify Medical City 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.

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 Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait138 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2024-02-20·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,325 completed HCAHPS patient surveys). 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

Regional Quality & Price Benchmark

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

Price Index: 0.91× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-64.4%

Mutual of Omaha

-54.1%

Molina

-45.6%

Independent Health

-44.9%

Health Net

+184.0%

Fidelis Care

+199.0%

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 72/100 · Corroborated CMS CCN 450651 EIN 621682203

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450651) ↗ Verify IRS Form 990 (EIN 621682203) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1682203_MEDICAL-CITY-PLANO_standardcharges.json

Publication / Vintage2026-09-01 · 771.09 MB

Validated Rate Rows11,674 (CMS v3.0.0)

File Integrity Digeste291270e562af30edf59…

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