How many shoppable procedure prices are published for Texas Health Center for Diagnostics & Surgery Plan?

Texas Health Center for Diagnostics & Surgery Plan in Plano, TX currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Texas Health Center for Diagnostics & Surgery Plan's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Texas Health Center for Diagnostics & Surgery Plan's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Physician 18 Beds · urban Updated: 2026-04-21

Texas Health Center for Diagnostics & Surgery Plan

6020 W Parker Road, Plano, TX 75093 · 127 Priced Procedures · 88% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness66

Price Logic91

Peer Alignment73

Clean Billing85

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Texas Health Center for Diagnostics & Surgery Plan maintains elevated commercial insurance contracts (1.11× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 61% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#107 of 307 in TX · 34th State Percentile#1,732 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.90× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 88% patient recommendation (75/100 safety score)
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 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (3.7×) services average 1.20× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (1.11× 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 16.8× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.20× Divergence

1.2× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.90× · Q50 0.97× · Q75 1.02×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

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

0.6× MedicareGood

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

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 75/100Fair

Procedure Prices at Texas Health Center for Diagnostics & Surgery Plan

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$52,471	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$32,059	$19,432	1.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,872	$17,936	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,015	$19,087	1.2×
Total hip replacement CPT Code: `27130`	—	$13,686	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,686	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,755	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,892	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,867	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,564	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,276	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,276	$3,446	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,723	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,454	$2,680	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,303	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,336	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$761	$1,191	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,830	$1,081	$1,021	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$732	$947	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,859	$921	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$2,256	$733	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$554	$583	1.0×
Blood transfusion CPT Code: `36430`	$1,373	$429	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$403	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,920	$378	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,830	$378	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$314	$231	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$294	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,212	$243	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,356	$256	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,394	$256	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,504	$256	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,265	$256	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$205	$201	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$366	$166	$148	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$2,276	$188	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,721	$189	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$191	$148	$151	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$162	$166	1.0×
Family therapy session CPT Code: `90847`	—	$162	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$162	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$162	$185	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$313	$134	$123	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$128	$123	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$130	$128	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$91	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$111	$110	1.0×
X-ray, pelvis CPT Code: `72170`	$372	$107	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$383	$89	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$282	$89	$92	1.0×
X-ray, foot CPT Code: `73630`	$372	$89	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$457	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$365	$89	$93	1.0×
X-ray, hand CPT Code: `73130`	$404	$89	$93	1.0×
X-ray, hip CPT Code: `73502`	$404	$89	$93	1.0×
X-ray, ankle CPT Code: `73610`	$404	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$653	$107	$112	1.0×
Group therapy session CPT Code: `90853`	—	$93	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$546	$107	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$601	$110	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	$861	$107	$130	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$786	$110	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,058	$113	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$2,082	$113	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,667	$113	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,384	$113	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,394	$113	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,394	$113	$169	0.7×
Care planning with family CPT Code: `90887`	—	$85	$107	0.8×
Typhoid vaccine HCPCS Code: `90675`	$839	$347	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$195	$154	$111	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$253	$147	$140	1.1×
Drug screening test HCPCS Code: `G0480`	$114	$120	$116	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$67	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$106	$86	$56	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$71	$47	$35	1.3×
Blood antibody screen CPT Code: `86850`	$165	$53	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$205	$63	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	—	$77	$86	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$260	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$392	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$375	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$343	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$108	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$275	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$195	$31	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$128	$50	$51	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$114	$47	$48	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$32	$33	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$47	$49	1.0×
Blood test, calcium CPT Code: `82310`	$158	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$166	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$134	$16	$16	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$35	$35	$86	0.4×
Blood test, potassium CPT Code: `84132`	$112	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$19	$19	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$94	$36	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$68	$35	$37	0.9×
Blood test, sodium CPT Code: `84295`	$108	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$227	$18	$18	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$112	$35	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	—	$41	$45	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$58	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$61	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$114	$10	$10	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$35	$40	0.9×
Blood test, lipase CPT Code: `83690`	$149	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$149	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$107	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$135	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$106	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$131	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$140	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$239	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$199	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$24	$25	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$30	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	—	$29	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$29	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$58	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×

Showing top 25 high-impact procedures of 127 total

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

Audit a Bill or Quote at Texas Health Center for Diagnostics & Surgery Plan (Zero PHI Required)

CMS CCN: 450891

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $52,471

1. Amount on Your Bill or Quote ($) Pre-filled with Texas Health Center for Diagnostics & Surgery Plan’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 Texas Health Center for Diagnostics & Surgery Plan'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 +$95,155 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($125,930) is $95,155 above the denoised Fair BaseRate ($30,775) and 5.4× the $23,504 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)

Public IRS & CMS ownership records classify Texas Health Center for Diagnostics & Surgery Plan 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 Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend88%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait158 min

Left ER Before Seen7%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (103 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Texas Health Center for Diagnostics & Surgery Plan.

Price Index: 1.53× regional baseline

Quality: 66/100 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 83/100 · Corroborated CMS CCN 450891

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 450891) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-21

Validated Rate Rows5,852 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450891

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