Hospital emergency department visit, level 2 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 2 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 $433 is 220% above the median hospital's median price ($135), higher than 75% of the 873 hospitals reporting HCPCS G0381. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0381 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	$433	$433	—	—	—	$433 – $433
10	Oscar hix case rate · outpatient	$491	$491	—	—	—	$491 – $491
11	Aetna newbusiness case rate · outpatient	$592	$592	—	—	—	$592 – $592
12	Blue Cross Blue Shield bluepremier case rate · outpatient	$596	$596	—	—	—	$596 – $596
13	Aetna comm case rate · outpatient	$633	$633	—	—	—	$633 – $633
14	Aetna meritain case rate · outpatient	$633	$633	—	—	—	$633 – $633
15	Aetna oon case rate · outpatient	$744	$744	—	—	—	$744 – $744
16	UnitedHealthcare narrownetworkindivexchange case rate · outpatient	$747	$747	—	—	—	$747 – $747
17	Blue Cross Blue Shield blueadvantagehmo case rate · outpatient	$776	$776	—	—	—	$776 – $776
18	Blue Cross Blue Shield mybluehealth case rate · outpatient	$776	$776	—	—	—	$776 – $776
19	UnitedHealthcare smallgroup case rate · outpatient	$975	$975	—	—	—	$975 – $975
20	Blue Cross Blue Shield blueessentials case rate · outpatient	$1k	$1k	—	—	—	$1k – $1k
21	Blue Cross Blue Shield blueessentialsaccess case rate · outpatient	$1k	$1k	—	—	—	$1k – $1k
22	Blue Cross Blue Shield eposoa case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Blue Cross Blue Shield ppo case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	UnitedHealthcare allpayerappendix case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Last updated: Mar 1, 2026

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