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
TL201 THALLOUS CL DX MCI
Plano, TX
See all hospitals reporting HCPCS A9505 →Price type
Medical City Plano’s median price of $122 is 39% above the median hospital's median price ($88), higher than 63% of the 1,675 hospitals reporting HCPCS A9505. 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 10 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 11 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 13 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 14 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 15 | UnitedHealthcare smallgroup fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Aetna qhphix fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 17 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Aetna newbusiness fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 19 | Aetna comm fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 20 | Aetna meritain fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 21 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 22 | Aetna exclusive percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 23 | Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 24 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 25 | Cigna localplus fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
Last updated: Mar 1, 2026
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