APLIGRAF 1SQCM at Medical City Plano

Plano, TX

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $486 is 304% above the median hospital's median price ($120), higher than 85% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Medical City Plano

Negotiated rates from the hospital’s own file: 7 payers, 37 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	Humana tricare fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
3	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
4	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
5	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
6	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
7	Blue Cross Blue Shield eposoa fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
8	Cigna localplus fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
9	Cigna newbusiness fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
10	Blue Cross Blue Shield ppo fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
11	Cigna hmo fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
12	Cigna networkbenefit fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
13	Cigna openaccessplus fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
14	UnitedHealthcare allpayerappendix fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
15	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
16	UnitedHealthcare smallgroup fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
17	Humana comm fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
18	Cigna allother fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
19	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$510	$510	$461	90%	—	$49 – $971
20	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$510	$510	$461	90%	—	$49 – $971
21	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$510	$510	$461	90%	—	$49 – $971
22	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$510	$510	$461	90%	—	$49 – $971
23	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$510	$510	$461	90%	—	$49 – $971
24	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$983	$983	$889	90%	—	$94 – $1.9k
25	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	$922	90%	—	$97 – $1.9k

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Last updated: Mar 1, 2026

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