46/100
#1,402 nationally
Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX 75093 · (972) 981-8000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Texas Health Presbyterian Hospital Plano billed $5.04 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
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 121
- inpatient and outpatient combined
- Rank in TX
- #75
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 35% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 72% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
488 | $23,668 | $2,443 | +22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
396 | $68,983 | $15,141 | +6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
295 | $65,541 | $11,759 | +5% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
155 | $34,227 | $5,140 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
144 | $52,049 | $10,400 | +20% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
116 | $64,314 | $12,806 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
116 | $9,470 | $1,447 | -6% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
115 | $11,752 | $1,700 | about average |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
95 | $93,733 | $21,319 | -29% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
74 | $79,799 | $16,897 | -4% |
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 |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$73,084 | $10,406 | +53% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$28,627 | $2,913 | +40% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$45,422 | $6,571 | +36% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$110,211 | $15,080 | +33% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$23,422 | $2,517 | +32% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$48,116 | $8,062 | +29% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$40,132 | $8,033 | +26% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$45,684 | $8,133 | +25% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$41,852 | $14,025 | -38% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$149,058 | $42,477 | -38% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
$48,450 | $15,185 | -34% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,512 | $4,657 | -33% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,965 | $1,441 | -30% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$56,713 | $16,411 | -30% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,491 | $2,803 | -29% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$88,030 | $24,847 | -29% |
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.