Scalp, arm or leg tissue repair using nearby skin (10-30 sq cm) at Medical City Plano

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Plano, TX

See all hospitals reporting CPT 14021 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $3.3k is 44% above the median hospital's median price ($2.3k), higher than 75% of the 1,856 hospitals reporting CPT 14021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 14021 at Medical City Plano

Negotiated rates from the hospital’s own file: 11 payers, 38 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare chip fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
2	UnitedHealthcare star fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
3	UnitedHealthcare starkids fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
4	UnitedHealthcare starperinate fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
5	UnitedHealthcare starplus fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
6	Cigna Healthspring mgmcd fee schedule · outpatient	$744	$744	—	—	—	$744 – $744
7	Molina chip fee schedule · outpatient	$787	$787	$7	1%	—	$780 – $794
8	Molina mcdstar fee schedule · outpatient	$787	$787	$7	1%	—	$780 – $794
9	Molina star+plus fee schedule · outpatient	$787	$787	$7	1%	—	$780 – $794
10	Molina starkids fee schedule · outpatient	$787	$787	$7	1%	—	$780 – $794
11	Aetna Better Health chip fee schedule · outpatient	$851	$851	—	—	—	$851 – $851
12	Aetna Better Health mcd fee schedule · outpatient	$851	$851	—	—	—	$851 – $851
13	Humana mgmcd fee schedule · outpatient	$886	$886	—	—	—	$886 – $886
14	UnitedHealthcare smallgroup case rate · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
15	Healthcare Highways narrownetwork case rate · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
16	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
17	UnitedHealthcare narrownetworkindivexchange case rate · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
18	Aetna qhphix case rate · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
19	UnitedHealthcare allpayerappendix case rate · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
20	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
21	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
22	Aetna newbusiness case rate · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
23	Aetna comm case rate · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
24	Aetna meritain case rate · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
25	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k

Page 1 of 2 · 38 rates

Last updated: Mar 1, 2026

Compare to other hospitals

See Scalp, arm or leg tissue repair using nearby skin (10-30 sq cm) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.