Level 1 emergency department visit 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

Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca

Plano, TX

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $191 is 86% above the median hospital's median price ($102), higher than 69% of the 866 hospitals reporting HCPCS G0380. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0380 at Medical City Plano

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Cigna Healthspring mgmcd fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
2	Aetna Better Health chip fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
3	Aetna Better Health mcd fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	Molina chip fee schedule · outpatient	$57	$57	$1	1%	—	$57 – $58
5	Molina mcdstar fee schedule · outpatient	$57	$57	$1	1%	—	$57 – $58
6	Molina star+plus fee schedule · outpatient	$57	$57	$1	1%	—	$57 – $58
7	Molina starkids fee schedule · outpatient	$57	$57	$1	1%	—	$57 – $58
8	Humana mgmcd fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
9	Aetna qhphix case rate · outpatient	$191	$191	—	—	—	$191 – $191
10	Aetna newbusiness case rate · outpatient	$260	$260	—	—	—	$260 – $260
11	Blue Cross Blue Shield bluepremier case rate · outpatient	$272	$272	—	—	—	$272 – $272
12	Aetna comm case rate · outpatient	$280	$280	—	—	—	$280 – $280
13	Aetna meritain case rate · outpatient	$280	$280	—	—	—	$280 – $280
14	UnitedHealthcare narrownetworkindivexchange case rate · outpatient	$295	$295	—	—	—	$295 – $295
15	Oscar hix case rate · outpatient	$300	$300	—	—	—	$300 – $300
16	Aetna oon case rate · outpatient	$329	$329	—	—	—	$329 – $329
17	UnitedHealthcare smallgroup case rate · outpatient	$375	$375	—	—	—	$375 – $375
18	Blue Cross Blue Shield blueadvantagehmo case rate · outpatient	$424	$424	—	—	—	$424 – $424
19	Blue Cross Blue Shield mybluehealth case rate · outpatient	$424	$424	—	—	—	$424 – $424
20	UnitedHealthcare allpayerappendix case rate · outpatient	$525	$525	—	—	—	$525 – $525
21	Blue Cross Blue Shield blueessentials case rate · outpatient	$546	$546	—	—	—	$546 – $546
22	Blue Cross Blue Shield blueessentialsaccess case rate · outpatient	$546	$546	—	—	—	$546 – $546
23	Blue Cross Blue Shield eposoa case rate · outpatient	$574	$574	—	—	—	$574 – $574
24	Blue Cross Blue Shield ppo case rate · outpatient	$600	$600	—	—	—	$600 – $600

Last updated: Mar 1, 2026

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See Level 1 emergency department visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.