Healthcare Pricing Data: PLANO, TX
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
8.4x
Across all procedures
vs National Average
+39%
Chargemaster rates
About This Data
PLANO, TX has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.4x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in PLANO is CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O (DRG 023), with an average chargemaster rate of $288,489 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $96,596 | 4 | 7.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $94,215 | 4 | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $79,185 | 4 | 7.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $68,872 | 4 | 5.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $57,955 | 4 | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,945 | 4 | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $57,709 | 4 | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $45,251 | 4 | 10.1x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $288,489 | 3 | 8.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $272,929 | 3 | 9.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $261,233 | 3 | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $225,631 | 3 | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $217,286 | 3 | 10.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $166,971 | 3 | 7.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $157,642 | 3 | 5.0x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $151,195 | 3 | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $150,562 | 3 | 12.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $140,998 | 3 | 11.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $116,174 | 3 | 8.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $109,860 | 3 | 8.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $106,372 | 3 | 8.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $105,770 | 3 | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $97,191 | 3 | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $96,905 | 3 | 9.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $79,283 | 3 | 8.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $77,016 | 3 | 7.2x |
| DIABETES WITH MCC | 637 | $71,418 | 3 | 8.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $71,360 | 3 | 8.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $70,404 | 3 | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $68,234 | 3 | 11.4x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in PLANO With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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