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.
Original text from hospital filings
IMPL PERM CNCPTV ESSURE
Plano, TX
See all hospitals reporting HCPCS A4264 →Price type
Medical City Plano’s median price of $14.3k is 826% above the median hospital's median price ($1.5k), higher than 96% of the 585 hospitals reporting HCPCS A4264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 34 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare chip fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | UnitedHealthcare star fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Aetna Better Health chip fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Aetna Better Health mcd fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Molina chip fee schedule · outpatient | $1.6k | $1.6k | $14 | 1% | — | $1.5k – $1.6k |
| 10 | Molina mcdstar fee schedule · outpatient | $1.6k | $1.6k | $14 | 1% | — | $1.5k – $1.6k |
| 11 | Molina star+plus fee schedule · outpatient | $1.6k | $1.6k | $14 | 1% | — | $1.5k – $1.6k |
| 12 | Molina starkids fee schedule · outpatient | $1.6k | $1.6k | $14 | 1% | — | $1.5k – $1.6k |
| 13 | Humana mgmcd fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 15 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 16 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 17 | Blue Cross Blue Shield blueadvantagehmo percent of total billed charges · outpatientfrom % of charges | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 18 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 19 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 20 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 21 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 22 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 23 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 24 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 25 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
Last updated: Mar 1, 2026
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