MEDICAL CITY PLANO
PLANO, TX 75075 · Acute Care Hospitals
150 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
150
With CMS pricing data
Avg Charge-to-Medicare Ratio
14.6x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
69%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from MEDICAL CITY PLANO, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MEDICAL CITY PLANO lists chargemaster rates that average 14.6x the corresponding Medicare reimbursement amount across 150 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 14.6x, this facility’s average ratio is above the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at MEDICAL CITY PLANO is LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC (DRG 494). The listed chargemaster rate is $273,538, while Medicare reimburses $10,931 for the same procedure — a ratio of 25.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
104 of 150 procedures (69%) at this facility have listed rates above the 90th percentile compared to other TX hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
MEDICAL CITY PLANO is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $273,538 | $10,931 | 25.0x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $634,793 | $25,528 | 24.9x | 1th | Compare your bill |
| KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | 486 | $447,969 | $18,904 | 23.7x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $562,617 | $24,206 | 23.2x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $278,007 | $12,373 | 22.5x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $290,160 | $12,999 | 22.3x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $284,271 | $13,563 | 21.0x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $99,064 | $4,736 | 20.9x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $418,400 | $20,219 | 20.7x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $477,673 | $23,731 | 20.1x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $446,477 | $22,253 | 20.1x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $228,785 | $11,432 | 20.0x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $652,103 | $32,585 | 20.0x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $499,661 | $25,138 | 19.9x | 1th | Compare your bill |
| HEADACHES WITHOUT MCC | 103 | $81,558 | $4,142 | 19.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $120,166 | $6,195 | 19.4x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $210,407 | $10,845 | 19.4x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $92,602 | $4,794 | 19.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $58,783 | $3,055 | 19.2x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $732,100 | $38,735 | 18.9x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $90,421 | $4,793 | 18.9x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $131,163 | $7,140 | 18.4x | 1th | Compare your bill |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $348,238 | $18,982 | 18.4x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $213,501 | $11,642 | 18.3x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $924,309 | $51,077 | 18.1x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $178,913 | $10,105 | 17.7x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $227,770 | $12,961 | 17.6x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $91,686 | $5,239 | 17.5x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $498,587 | $28,601 | 17.4x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $657,750 | $38,070 | 17.3x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $169,754 | $9,874 | 17.2x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $179,906 | $10,558 | 17.0x | 1th | Compare your bill |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 463 | $812,890 | $47,843 | 17.0x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $335,424 | $19,756 | 17.0x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | 466 | $783,408 | $46,217 | 16.9x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $264,361 | $15,834 | 16.7x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $163,625 | $9,847 | 16.6x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $222,375 | $13,457 | 16.5x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 456 | $985,682 | $59,795 | 16.5x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $218,046 | $13,343 | 16.3x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $552,081 | $33,927 | 16.3x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $214,345 | $13,294 | 16.1x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $212,257 | $13,171 | 16.1x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $149,346 | $9,284 | 16.1x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $1,127,664 | $70,272 | 16.1x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $111,090 | $6,943 | 16.0x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $103,338 | $6,501 | 15.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $91,879 | $5,782 | 15.9x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $79,592 | $5,011 | 15.9x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH MCC | 471 | $546,066 | $34,608 | 15.8x | 1th | Compare your bill |
Showing 50 of 150 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 14.6x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About MEDICAL CITY PLANO
How much does MEDICAL CITY PLANO charge compared to Medicare?
According to CMS IPPS data, MEDICAL CITY PLANO's listed chargemaster rates average 14.6x the Medicare reimbursement amount across 150 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at MEDICAL CITY PLANO?
The procedure with the highest chargemaster-to-Medicare ratio at MEDICAL CITY PLANO is LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC (DRG 494), with a listed charge of $273,538 compared to Medicare reimbursement of $10,931 — a ratio of 25.0x. Source: CMS IPPS Provider Summary.
Is MEDICAL CITY PLANO expensive compared to other TX hospitals?
MEDICAL CITY PLANO's average chargemaster-to-Medicare ratio is 14.6x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for MEDICAL CITY PLANO come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from MEDICAL CITY PLANO is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does MEDICAL CITY PLANO in PLANO, TX accept Medicare?
MEDICAL CITY PLANO is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MEDICAL CITY PLANO directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.