Texas Health Presbyterian Hospital Plano
Texas Health Presbyterian Hospital Plano charges 6.1x the Medicare reimbursement rate across 84 analyzed procedures, reflecting the significant price variation patients may encounter at this Plano nonprofit facility.
Plano, TX 75093 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.1x
Charge / Medicare rate
Max markup
9.55x
Worst procedure
Procedures analyzed
84
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $166,613 | $83,306 | — | 9.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $108,929 | $54,464 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $41,992 | $20,996 | — | 8.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $34,723 | $17,362 | — | 7.9x |
| SYNCOPE AND COLLAPSE | 312 | $46,808 | $23,404 | — | 7.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $34,757 | $17,379 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,519 | $21,759 | — | 7.6x |
| HYPERTENSION WITHOUT MCC | 305 | $37,011 | $18,506 | — | 7.6x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $108,347 | $54,174 | — | 7.5x |
| SEIZURES WITHOUT MCC | 101 | $46,278 | $23,139 | — | 7.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $43,328 | $21,664 | — | 7.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $60,357 | $30,178 | — | 7.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $73,804 | $36,902 | — | 7.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $45,919 | $22,960 | — | 7.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,460 | $23,230 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $32,681 | $16,340 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $72,258 | $36,129 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,641 | $12,821 | — | 7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $66,629 | $33,315 | — | 7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $95,082 | $47,541 | — | 7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,650 | $12,325 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $37,601 | $18,800 | — | 6.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $50,724 | $25,362 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $56,202 | $28,101 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $57,143 | $28,571 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $36,474 | $18,237 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,273 | $22,636 | — | 6.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $65,907 | $32,953 | — | 6.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $100,240 | $50,120 | — | 6.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $39,570 | $19,785 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $79,855 | $39,927 | — | 6.5x |
| DIABETES WITH MCC | 637 | $59,100 | $29,550 | — | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $94,866 | $47,433 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,537 | $16,768 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $77,922 | $38,961 | — | 6.5x |
| RENAL FAILURE WITH CC | 683 | $36,030 | $18,015 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $58,972 | $29,486 | — | 6.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $35,068 | $17,534 | — | 6.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $34,350 | $17,175 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $75,529 | $37,764 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $90,119 | $45,060 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,700 | $16,350 | — | 6.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $94,117 | $47,058 | — | 6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $178,650 | $89,325 | — | 6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,859 | $19,430 | — | 6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $138,248 | $69,124 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,046 | $19,523 | — | 6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,948 | $25,474 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $46,614 | $23,307 | — | 5.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,984 | $26,492 | — | 5.8x |
Showing 50 of 84 procedures
How TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use