2/100
#2,598 nationally
Medical City Plano
3901 W 15Th St, Plano, TX 75075 · (972) 596-6800
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Medical City Plano billed $14.42 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 14.4x
- volume-weighted across all its priced work
- Procedures priced
- 194
- inpatient and outpatient combined
- Rank in TX
- #205
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 0% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 2% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
419 | $168,430 | $14,790 | +158% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
276 | $255,934 | $11,754 | +310% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
208 | $42,496 | $2,436 | +119% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
177 | $19,974 | $1,446 | +98% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
147 | $175,062 | $15,027 | +129% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
134 | $31,793 | $1,712 | +171% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
124 | $116,862 | $10,052 | +169% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
111 | $1,035,135 | $73,104 | +366% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
109 | $885,464 | $48,145 | +581% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
96 | $106,392 | $11,935 | +128% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$327,470 | $12,618 | +592% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$885,464 | $48,145 | +581% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$490,937 | $16,735 | +491% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$63,415 | $1,738 | +459% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$600,082 | $39,358 | +453% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$566,682 | $26,692 | +452% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$727,296 | $33,445 | +414% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
$686,365 | $37,478 | +381% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Traumatic Stupor and Coma <1 Hour without Complications/mcc
MS-DRG 087 · Inpatient stay |
$77,011 | $7,734 | +39% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$123,805 | $15,625 | +44% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$57,339 | $7,913 | +46% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
$108,238 | $13,837 | +46% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$120,042 | $14,554 | +50% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$100,616 | $11,967 | +50% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$79,098 | $12,438 | +58% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$59,403 | $7,994 | +60% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.