Texas Health Resources · Plano, TX
4 of 5
CMS star rating
369
Beds
20,443
Inpatient discharges a year
$614.9M
Net patient revenue a year
35
In-network payers
Texas Health Plano is a 369-bed voluntary non-profit - private hospital in Plano, TX, affiliated with Texas Health Resources. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 410 disclosed rate categories.
The 24 services Texas Health Plano most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$1,287 - $4,101
from 4 insurers · median $2,393
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,940 - $22,866
from 3 insurers · median $16,751
155 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$9,805 - $17,627
from 3 insurers · median $10,228
155 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$39,243 - $64,618
from 4 insurers · median $53,583
23 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 47563
$9,893 - $33,111
from 3 insurers · median $17,627
155 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$9,755 - $19,771
from 3 insurers · median $17,627
39 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$860 - $3,658
from 4 insurers · median $1,849
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$850 - $3,021
from 4 insurers · median $2,422
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$258 - $637
from 4 insurers · median $461
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $1,699
from 3 insurers · median $460
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$701 - $3,638
from 4 insurers · median $2,577
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$281 - $1,713
from 4 insurers · median $1,297
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$468 - $3,109
from 4 insurers · median $1,470
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$222 - $379
from 4 insurers · median $282
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$19,502 - $20,238
from 3 insurers · median $19,970
39 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$792 - $3,246
from 4 insurers · median $1,576
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,848 - $9,439
from 3 insurers · median $7,349
25 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$4,975 - $5,353
from 3 insurers · median $5,016
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,990
from 4 insurers · median $1,477
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $2,904
from 4 insurers · median $1,433
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,095 - $25,124
from 4 insurers · median $15,009
36 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 57288
$6,987 - $23,423
from 3 insurers · median $14,161
13 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58558
$4,975 - $6,689
from 3 insurers · median $6,523
Typical for a hospital with this service line
Gynecology
CPT 58662
$6,858 - $16,751
from 3 insurers · median $11,992
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 13 | 804% | 10 | 3 |
| Insurer B* | 24 | 291% | 9 | 7 |
| Insurer C* | 24 | 278% | 10 | 14 |
| Insurer D* | 24 | 263% | 14 | 8 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Texas Health Plano, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$614.9M net patient revenue
Ownership and leadership
Owned by Texas Health Resources
The employer identification numbers (EINs) health plans and networks list for Texas Health Plano in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 75-2770738Texas Health Presbyterian Hospital Plano | 63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more | 1770514077 Texas Health Presbyterian Hospital Plano1093930083 Texas Health Presbyterian Hospital Plano1730245135 Texas Health Presbyterian Hospital Planoand 10 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
6200 West Parker Road, Plano, TX 75093
(972) 981-8000
How Texas Health Plano compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 8 measures
3 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
0 better, 7 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.02
Higher than 69% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
174 min
Higher than 67% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
72%
Higher than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 3 of 8 measures | |
| Readmissions | Worse on 2 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.02 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 174 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 72% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Texas Health Plano's inpatient payments for its readmissions, quality and cost results.
-0.54% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.22% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Texas Health Plano, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 79 cases | 3.1 | 4.1 | 4.144 | Better than 91% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,805 cases | 3.1 | 3.9 | 3.887 | Better than 90% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 97 cases | 11.9 | 11.8 | 11.91 | Worse than 53% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 66 cases | 1.9 | 2.3 | 2.71 | Better than 73% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 95 cases | 8.1 | 8.5 | 8.703 | Better than 59% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 335 cases | 10.5 | 11 | 10.52 | Better than 59% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 619 cases | 12.9 | 15.2 | 14.69 | Better than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 478 cases | 9.7 | 11.6 | 12.01 | Better than 84% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 5,698 cases | 0.31 | 0.51 | 0.52 | No Different Than the National Rate | Better than 79% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 78 cases | 162 | 173 | 166 | No Different Than the National Rate | Better than 71% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 7,100 cases | 0.19 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 6,782 cases | 0.21 | 0.27 | 0.2646 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,653 cases | 2.38 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 510 cases | 2.61 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 512 cases | 14.97 | 8.88 | 10.06 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,741 cases | 1.84 | 3.4 | 3.337 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 466 cases | 5.47 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 365 cases | 1.88 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,203 cases | 1.18 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 80% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 116 cases | 87.3 | 4.2 | 11.3 | Worse than 99% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 410 cases | -13.5 | 1.25 | -1.323 | Better than 70% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 676 cases | 14.1 | 3.85 | 2.422 | Worse than 65% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 909 cases | 12.2 | 12.9 | 13.1 | No Different Than the National Rate | Better than 86% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 523 cases | 0.9 | 1 | 1.017 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 148 cases | 15.4 | 14.4 | 14.48 | Worse than 88% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 80 cases | 9.6 | 10.9 | 11.35 | Better than 86% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 141 cases | 20.1 | 19.8 | 19.85 | Worse than 61% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 559 cases | 20.6 | 21.3 | 21.26 | Better than 73% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 70 cases | 4.9 | 5.8 | 5.89 | Better than 93% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 888 cases | 17.9 | 17.2 | 17.32 | Worse than 74% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.034 | 0.172 | 0.2089 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.667 | 1.504 | 1.706 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 8,477 | 1,370 | 5,045 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 9.911 | 0.9835 | 5.124 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.481 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.202 | 0.484 | 0.524 | Better than the National Benchmark | Better than 73% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.037 | 0.138 | 0.1526 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.719 | 1.392 | 1.474 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 7,260 | 1,799 | 4,197 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 9.186 | 1.377 | 5.155 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.82 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.218 | 0.399 | 0.3671 | Better than the National Benchmark | Better than 66% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.142 | 0.2345 | 0.2931 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.078 | 2.135 | 2.124 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 346 | 61 | 131 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 8.952 | 1.591 | 3.62 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 2.647 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.447 | 0.7155 | 0.6967 | No Different than National Benchmark | Better than 67% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.104 | 0.211 | 0.3341 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.042 | 3.068 | 3.281 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 395 | 38 | 121 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 3.236 | 0.328 | 1.047 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.9659 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.618 | 0.812 | 0.973 | No Different than National Benchmark | Better than 65% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.285 | 0.193 | 0.2282 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.727 | 1.855 | 2.053 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 101,311 | 14,451 | 42,649 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 6.417 | 0.567 | 2.717 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 1.635 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.779 | 0.597 | 0.6545 | No Different than National Benchmark | Worse than 65% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.113 | 0.127 | 0.1195 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.355 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 85,853 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 57.48 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 12 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.209 | 0.279 | 0.2623 | Better than the National Benchmark | Better than 60% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,447 cases | 73 | 73 | 75.97 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,447 cases | 8 | 8 | 7.771 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,447 cases | 19 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 88 | 87 | 87.82 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 73 | 80 | 79.96 | Worse than 87% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 89 | 91 | 90.97 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 6 | 4 | 4.535 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 2 | 3 | 3.275 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 21 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 76 | 79 | 79.72 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 90 | 91 | 90.24 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 6 | 5 | 5.687 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 3 | 3 | 2.956 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,447 cases | 18 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,447 cases | 53 | 61 | 62.66 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 72 | 77 | 76.88 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,447 cases | 26 | 19 | 19.26 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,447 cases | 21 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 83 | 86 | 84.56 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,447 cases | 16 | 13 | 13.98 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,447 cases | 84 | 87 | 86.02 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,447 cases | 18 | 14 | 16.2 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,447 cases | 82 | 86 | 83.8 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 70 | 74 | 74.6 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 8 | 7 | 7.327 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 22 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 74 | 77 | 77.72 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 7 | 6 | 6.395 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 19 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 83 | 85 | 85.15 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 4 | 3 | 4.015 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 13 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,447 cases | 9 | 8 | 8.293 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,447 cases | 19 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,447 cases | 72 | 72 | 73.52 | Better than 49% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 88 | 88 | 88.12 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,447 cases | 67 | 74 | 74.97 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,447 cases | 14 | 9 | 9.68 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,447 cases | 19 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 68 | 75 | 75.27 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 8 | 5 | 6.154 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,447 cases | 24 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 71 | 77 | 76.85 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 6 | 4 | 5 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,447 cases | 23 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 81 | 86 | 85.92 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 4 | 3 | 3.094 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,447 cases | 15 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,447 cases | 61 | 59 | 65.6 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,447 cases | 8 | 9 | 7.774 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,447 cases | 31 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 84 | 82 | 84.26 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,447 cases | 5 | 5 | 6.017 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,447 cases | 72 | 71 | 72.87 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,447 cases | 88 | 87 | 87.21 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,447 cases | 23 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,447 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,447 cases | 39 | 47 | 49.46 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,447 cases | 38 | 30 | 29.64 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,447 cases | 23 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,447 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,447 cases | 13 | 12 | 12.55 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,447 cases | 87 | 88 | 87.45 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 4,068 cases | 93 | 79 | 72.24 | Better than 80% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 432 cases | 176 | 154 | 151 | Worse than 64% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 411 cases | 174 | 148 | 146 | Worse than 67% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 296 | 247 | 331 | Worse than 66% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 48,503 cases | 0 | 1 | 1.372 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 20 cases | 75 | 74 | 69.2 | Better than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 54 cases | 81 | 97 | 90.54 | Worse than 90% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 6,761 cases | 16 | 15 | 13.94 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 165 cases | 72 | 65 | 66.54 | Better than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 47 cases | 77 | 73 | 71.35 | Better than 58% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 87 | 88 | 89.11 | Worse than 54% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 165 cases | 86 | 82 | 82.14 | Better than 65% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 74 cases | 97 | 94 | 92.38 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 392 cases | 98 | 98 | 93.64 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 7,943 cases | 99 | 90 | 78.56 | Better than 90% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,094 cases | 100 | 97 | 93.78 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.1 | 5 | 7.719 | Better than 84% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.3 | 6.6 | 6.859 | Better than 67% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.07 | 0.99 | 1.034 | Worse than 85% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 59.65 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 37.83 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 10,833 cases | 0.08 | 0.05 | 0.0735 | Better than 56% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 10,833 cases | 0.03 | 0.03 | 0.3179 | Better than 49% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 330 cases | 100 | 87 | 77.27 | The best result, shared by 7% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 72.65 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 58 cases | 18.3 | 19.1 | 19.27 | No Different Than the National Rate | Better than 63% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 281 cases | 98 | 92 | 80.65 | Better than 75% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 112 cases | 95 | 74 | 68.51 | Better than 82% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 110 cases | 96 | 81 | 71.36 | Better than 78% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 130 cases | 91 | 77 | 66.92 | Better than 69% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 130 cases | 80 | 56 | 50.77 | Better than 68% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 63 cases | 87 | 64 | 67.2 | Better than 75% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 63 cases | 65 | 4 | 22.32 | Better than 87% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 660 cases | 85 | 77 | 70.84 | Better than 57% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 23.33 | 20 | 25.32 | Better than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5.833 | 5 | 6.413 | Better than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 23 | 34 | 39.47 | Worse than 73% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5.75 | 8.75 | 10.13 | Worse than 73% of US hospitals | |
| VBP safety domain scoreFY 2026 | 56.67 | 40 | 48.35 | Better than 77% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.17 | 10 | 12.26 | Better than 76% of US hospitals | |
| VBP total performance scoreFY 2026 | 25.75 | 29.5 | 29.94 | Worse than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 30 | 33.33 | 25 | 25 | 8.333 | 23.33 |
| VBP clinical outcomes weighted domain score | 7.5 | 8.333 | 6.25 | 6.25 | 2.083 | 5.833 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 2.5 | 0 |
| VBP person and community engagement domain score | 23 | Not Available | Not Available | 10 | 12 | 23 |
| VBP person and community engagement weighted domain score | 5.75 | Not Available | Not Available | 2.5 | 3 | 5.75 |
| VBP safety domain score | 52 | Not Available | Not Available | 28 | 52 | 56.67 |
| VBP safety weighted domain score | 13 | Not Available | Not Available | 7 | 13 | 14.17 |
| VBP total performance score | 26.25 | Not Available | Not Available | 15.75 | 20.58 | 25.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 108 cases | 1.119 | 0.9995 | 1.013 | Worse than 95% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.9062 | 1 | 1.01 | Better than 84% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 104 cases | 0.9991 | 0.9969 | 0.999 | Worse than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 374 cases | 1.018 | 0.9983 | 1 | Worse than 62% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.7574 | 0.9916 | 1.006 | Better than 96% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 562 cases | 1.056 | 0.9955 | 1.003 | Worse than 81% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.054 | 1.082 | 1.096 | 1.089 | 1.115 | 1.119 |
| READM-30-CABG-HRRP | 1.038 | 1.092 | N/A | 1.006 | 0.9583 | 0.9062 |
| READM-30-COPD-HRRP | 0.9423 | 0.9765 | 0.9557 | 1.058 | 0.9921 | 0.9991 |
| READM-30-HF-HRRP | 0.982 | 1.003 | 0.9923 | 1.006 | 1.027 | 1.018 |
| READM-30-HIP-KNEE-HRRP | 1.111 | 1.184 | 1.112 | 0.984 | 0.7954 | 0.7574 |
| READM-30-PN-HRRP | 0.9667 | 1.017 | 0.8998 | 0.957 | 1.028 | 1.056 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Texas Health Plano | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.196 | 0.489 | 0.4327 | Better than 79% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.302 | 0.346 | 0.2562 | Better than 57% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.063 | 0.559 | 0.5596 | Better than 86% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.725 | 0.6405 | 0.6118 | Worse than 58% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.021 | 0.9628 | 0.9684 | Worse than 69% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.494 | 0.7945 | 0.7483 | Better than 70% of US hospitals | |
| Total HAC scoreFY 2026 | -0.4546 | -0.0453 | -0.1734 | Better than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.7552 | -0.6526 | 0 | -0.057 | -0.1383 | -0.4546 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
339
Medicare-certified beds
748
Registered nurses (full-time equivalent)
1991
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Texas Health Plano reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
20,443
Inpatient discharges
Medicare 20%, Medicaid 0%
91,223
Inpatient days
78% of available bed days used
1,582
Employees (full-time equivalent)
19
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837660). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Texas Health Plano reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 19,799 | 1,590 | 69,834 | 91,223 |
| Discharges | 4,153 | 65 | 16,225 | 20,443 |
| Average length of stay | 4.8 days | 24.5 days | 4.3 days | 4.5 days |
| Average daily census | 54.2 | 4.4 | 191.3 | 249.9 |
20,261
Medicare Advantage days
3,728 discharges
8,177
Medicaid managed care days
8,895
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 249 | 66,880 | 17,557 | 74% |
| Intensive care unit | 30 | 9,178 | 2,242 | 84% |
| Nursery | 6,183 | |||
| Subprovider - ipf | 48 | 11,331 | 396 | 65% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Texas Health Plano treats Medicare patients for most often, in 2024. 3,045 Medicare discharges in 93 published DRGs; 23% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 396 | $68,983 | $12,773 | $15,935 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 144 | $52,049 | $8,896 | $12,023 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 116 | $64,314 | $11,564 | $14,856 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 74 | $79,799 | $13,319 | $18,434 | 2.07 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 72 | $66,109 | $11,443 | $15,271 | 1.65 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 70 | $43,094 | $6,728 | $9,955 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 67 | $82,555 | $13,007 | $19,070 | 2.00 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 67 | $36,336 | $5,360 | $8,394 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 66 | $46,472 | $7,927 | $10,735 | 1.17 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 64 | $49,804 | $8,760 | $11,505 | 1.33 |
| Renal failure with MCCMS-DRG 682, medical | 64 | $53,058 | $9,751 | $12,256 | 1.50 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 63 | $53,218 | $8,897 | $12,293 | 1.32 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 56 | $51,449 | $6,630 | $11,885 | 1.02 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 54 | $33,795 | $5,436 | $7,807 | 0.81 |
| Cellulitis without MCCMS-DRG 603, medical | 53 | $33,620 | $5,532 | $7,766 | 0.88 |
| Renal failure with CCMS-DRG 683, medical | 51 | $35,539 | $5,811 | $8,209 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $143,530 | $29,664 | $33,155 | 5.00 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $43,408 | $6,670 | $10,027 | 0.98 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $34,630 | $5,290 | $7,999 | 0.78 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $47,499 | $8,450 | $10,972 | 1.23 |
See all 93 Medicare inpatient DRGs at Texas Health Plano
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Texas Health Plano billed Medicare for most in 2024: 1,920 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 488 | 467 | $23,668 | $1,942 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 295 | 279 | $65,541 | $10,127 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 155 | 154 | $34,227 | $4,077 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 116 | 109 | $9,470 | $1,145 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 115 | 105 | $11,752 | $1,358 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 95 | 95 | $93,733 | $19,687 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 71 | 71 | $21,803 | $2,106 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 51 | 50 | $23,422 | $1,997 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 46 | $18,512 | $3,704 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 44 | $40,364 | $5,130 | $5,339 |
See all 28 Medicare outpatient services at Texas Health Plano
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Texas Health Plano in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 4,132 in 2020 to 7,256 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75056 | 785 | 11% | 3,820 | $57M | 49% | 42% |
| 75007 | 752 | 10% | 3,535 | $55.4M | 41% | 37% |
| 75006 | 552 | 8% | 2,847 | $42.8M | 36% | 28% |
| 75093 | 518 | 7% | 2,703 | $40.5M | 30% | 25% |
| 75010 | 435 | 6% | 2,155 | $29.7M | 48% | 39% |
| 75287 | 359 | 5% | 1,799 | $26.9M | 38% | 35% |
| 75024 | 346 | 5% | 1,677 | $25.4M | 31% | 30% |
| 75023 | 282 | 4% | 1,340 | $19.3M | 14% | 10% |
| 75248 | 208 | 3% | 1,056 | $15.5M | 14% | 10% |
| 75034 | 206 | 3% | 1,065 | $17.2M | 16% | 23% |
| 75036 | 195 | 3% | 1,100 | $17.5M | 15% | 18% |
| 75075 | 176 | 2% | 796 | $12M | 8% | 6% |
| 75068 | 165 | 2% | 896 | $16.4M | 10% | 15% |
| 75025 | 159 | 2% | 733 | $12M | 12% | 11% |
| 75035 | 158 | 2% | 935 | $14M | 12% | 13% |
| 76227 | 136 | 2% | 772 | $12.6M | 7% | 7% |
| 75033 | 124 | 2% | 545 | $8.5M | 16% | 20% |
| 75002 | 119 | 2% | 627 | $10.5M | 5% | 5% |
| 75234 | 110 | 2% | 550 | $8.5M | 9% | 6% |
| 75001 | 103 | 1% | 563 | $8M | 32% | 17% |
| 75252 | 90 | 1% | 386 | $5.6M | 8% | 7% |
| 75078 | 86 | 1% | 361 | $6.5M | 11% | 13% |
| 75013 | 77 | 1% | 443 | $7.9M | 6% | 5% |
| 75074 | 74 | 1% | 371 | $6.2M | 5% | 5% |
| 75080 | 59 | 1% | 394 | $5.6M | 4% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 7,256 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Texas Health Plano reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
20
Operating rooms
3
Endoscopy rooms
4
Cardiac catheterization rooms
48
Psychiatric unit beds
7
Off-site locations
748
Registered nurses
4
Licensed practical nurses
1
Physicians
22
Resident physicians
12
Nurse practitioners
2
Physician assistants
19
Pharmacists
37
Respiratory therapists
20
Physical therapists
12
Occupational therapists
6
Speech pathologists and audiologists
59
Radiology technicians
3
Nuclear medicine technicians
7
Laboratory technicians
27
Medical technologists
6
Dietitians
9
Social workers
573
Other personnel
Source: CMS Provider of Services file.
817 clinicians who bill Medicare list Texas Health Plano as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Meenakshi Prabhakar, MD
Infectious Disease Physician
NPI 1467424812
See commercial rates for Meenakshi Prabhakar, MDJeremiah Graff, DPM
Foot & Ankle Surgery Podiatrist
NPI 1689831950
See commercial rates for Jeremiah Graff, DPMAnita Tharian, DO
Medical Oncology Physician
NPI 1457367112
See commercial rates for Anita Tharian, DONandita Rao, MD
Hematology & Oncology Physician
NPI 1669507372
See commercial rates for Nandita Rao, MDVibha Thomas, M.D.
Medical Oncology Physician
NPI 1801004825
See commercial rates for Vibha Thomas, M.D.Scott Stone, MD
Medical Oncology Physician
NPI 1467494690
See commercial rates for Scott Stone, MDSashidhar Reddy, MD
Medical Oncology Physician
NPI 1467535484
See commercial rates for Sashidhar Reddy, MDSanober Kable, MD
Pulmonary Disease Physician
NPI 1295876399
See commercial rates for Sanober Kable, MDChristopher Stokoe, MD
Medical Oncology Physician
NPI 1801839758
See commercial rates for Christopher Stokoe, MDThuy Le, M.D.
Hematology & Oncology Physician
NPI 1851356828
See commercial rates for Thuy Le, M.D.Ramin Ansari
Neurology Physician
NPI 1801048285
See commercial rates for Ramin AnsariHoma Porter, M.D.
Urology Physician
NPI 1073560058
See commercial rates for Homa Porter, M.D.Arlene Garcia-Soto, MD
Gynecologic Oncology Physician
NPI 1053579490
See commercial rates for Arlene Garcia-Soto, MDAnthony Nebor, M.D
Pulmonary Disease Physician
NPI 1154685881
See commercial rates for Anthony Nebor, M.DSultan Chowdhary, MD
Hematology & Oncology Physician
NPI 1033114459
See commercial rates for Sultan Chowdhary, MDMatthew Wilner, M.D.
Urology Physician
NPI 1245284785
See commercial rates for Matthew Wilner, M.D.Sameeksha Bhama, M.D.
Hematology & Oncology Physician
NPI 1699018234
See commercial rates for Sameeksha Bhama, M.D.Dennis Son, M.D.
Diagnostic Radiology Physician
NPI 1619198272
See commercial rates for Dennis Son, M.D.Wendy Mahone-Johnson, MD
Medical Oncology Physician
NPI 1386828325
See commercial rates for Wendy Mahone-Johnson, MDMeredith Lightfoot, M.D.
Urology Physician
NPI 1083661052
See commercial rates for Meredith Lightfoot, M.D.Ruben Saez, MD
Hematology & Oncology Physician
NPI 1740251933
See commercial rates for Ruben Saez, MDKeith Kadesky, M.D.
Urology Physician
NPI 1396798211
See commercial rates for Keith Kadesky, M.D.Enrique Perez, MD
Medical Oncology Physician
NPI 1437108081
See commercial rates for Enrique Perez, MDJohn Barrington, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1336120328
See commercial rates for John Barrington, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Texas Health Plano reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $2.1B | 333.8% |
| Inpatient | $1.3B | 211.7% |
| Outpatient | $750.7M | 122.1% |
| Contractual allowances and discounts | -$1.4B | -233.8% |
| Net patient revenue | $614.9M | 100.0% |
| Operating expenses | -$519.8M | -84.5% |
| Operating income from patient care | $95.1M | 15.5% |
| Other income | $10M | 1.6% |
| Investment income | $35,682 | 0.0% |
| Government appropriations | $5.5M | 0.9% |
| Other | $4.5M | 0.7% |
| Net income | $105.1M | 17.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $394.6M | 19.2% |
| Medicaid (including managed care) | $89.6M | 4.4% |
| Other payers and self-pay | $1.6B | 76.4% |
| Total charges | $2.1B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Texas Health Plano's latest cost report.
15.5%
Operating margin
Operating income from patient care / net patient revenue
16.8%
Total margin
Net income / net patient revenue plus other income
21.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$51.89
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
34.1%
Return on assets
Net income for a year / total assets
42.3%
Return on equity
Net income for a year / fund balance
1.94
Current ratio
Current assets / current liabilities
1.69
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
59 days
Days in patient receivables
Net patient receivables / daily net patient revenue
44 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.03
Asset turnover
Total revenue for a year / total assets
11.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Texas Health Plano owned and owed at the end of its reporting period (Dec 2025), across all fund types: $308.4M in total assets and a $248.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $821 | 0.0% |
| Patient receivables, net | $99.6M | 32.3% |
| Inventory | $8.2M | 2.7% |
| Total current assets | $114.6M | 37.2% |
| Property and equipment, net of depreciation | $192.1M | 62.3% |
| Investments and other assets | $1.8M | 0.6% |
| Total assets | $308.4M | 100.0% |
| Current liabilities | $59M | 19.1% |
| Total liabilities | $59.8M | 19.4% |
| Fund balance (net assets) | $248.7M | 80.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Texas Health Plano provided without full payment, as reported on Worksheet S-10 of its cost report.
$23.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$52.3M
Bad debt
Patient bills written off as uncollectible, at charges
-$3.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$35.6M
Total unreimbursed and uncompensated care
6.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Texas Health Plano's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $420.5M | $457.8M | $499.6M | $547.2M | $566.7M | $614.9M |
| Operating expenses | $364.4M | $395.5M | $426.3M | $451.8M | $478.9M | $519.8M |
| Operating margin | 13.3% | 13.6% | 14.7% | 17.4% | 15.5% | 15.5% |
| Net income | $68.4M | $87.9M | $77.9M | $99.9M | $91.5M | $105.1M |
| Total assets | $218M | $217.1M | $228.4M | $253.1M | $276.2M | $308.4M |
| Discharges | 17,488 | 20,075 | 18,751 | 19,681 | 19,886 | 20,443 |
| Inpatient days | 78,287 | 87,981 | 93,342 | 92,701 | 92,374 | 91,223 |
| Medicare Advantage days | 8,726 | 13,721 | 16,879 | 19,017 | 15,222 | 20,261 |
| Beds | 369 | 350 | 353 | 355 | 364 | 369 |
| Employees (FTE) | 1,417 | 1,369 | 1,401 | 1,472 | 1,508 | 1,582 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Texas Health Plano reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $1M | $49.4M | $71.5M | 0.69 | |
| Operating room | $10M | $36.9M | $170.9M | 0.22 | 63,037 |
| Impl. dev. charged to patients | $34.5M | $91.2M | 0.38 | ||
| Drugs charged to patients | $4.5M | $29.9M | $94.7M | 0.32 | 4,877 |
| Emergency | $11.3M | $23.9M | $148.8M | 0.16 | 38,340 |
| Laboratory | $5.7M | $22.6M | $289.2M | 0.08 | 20,177 |
| Radiology-diagnostic | $5.1M | $13.2M | $79.3M | 0.17 | 34,241 |
| Delivery room & labor room | $6.9M | $13M | $33.2M | 0.39 | 23,082 |
| Observation beds (non-distinct part | $11.8M | $34M | 0.35 | ||
| Respiratory therapy | $4.5M | $8.8M | $75.8M | 0.12 | 4,127 |
| Physical therapy | $6.8M | $8.1M | $22M | 0.37 | 12,445 |
| Electrocardiology | $3.6M | $7.8M | $61.1M | 0.13 | 9,195 |
| Cardiac catheterization | $2.5M | $5.5M | $62.9M | 0.09 | 1,550 |
| Oncology | $2M | $5.1M | $11.6M | 0.44 | 5,813 |
| Ct scan | $1.9M | $4.9M | $256.3M | 0.02 | |
| Gastro intestinal services | $1.5M | $4.1M | $27.5M | 0.15 | 4,961 |
| Occupational therapy | $4M | $11.1M | 0.36 | 6,304 | |
| Recovery room | $1.9M | $3.7M | $19.2M | 0.19 | 6,719 |
| Et therapy | $361,372 | $3.3M | $12M | 0.27 | 5,291 |
| Mri | $866,105 | $2.3M | $35.4M | 0.07 | |
| Anesthesiology | $753,650 | $1.9M | $54.8M | 0.03 | 419 |
| Speech pathology | $1.8M | $5M | 0.36 | 2,831 | |
| Springwood cliniics | $443,380 | $1.8M | $2.5M | 0.71 | 9,299 |
| Renal dialysis | $1.5M | $8.4M | 0.18 | ||
| Radioisotope | $291,359 | $1.4M | $5.5M | 0.25 | |
| Clinic | $584,070 | $1.3M | |||
| Op psych svs | $538,319 | $1.3M | $5.9M | 0.22 | 2,551 |
| Vascular access | $504,869 | $1.2M | $6M | 0.21 | |
| Cardiac rehabilitation | $496,530 | $1.1M | $2.9M | 0.39 | |
| Clinic-heart valve | $226,697 | $42,342 | 5.35 | 1,787 | |
| Infusion center | $85,651 | $141,862 | $816,967 | 0.17 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $48.5M | $100.5M | $219M | 0.46 | 151,195 |
| Intensive care unit | $10.1M | $20.8M | $50.1M | 0.42 | 25,944 |
| Neonatal intensive care unit | $10M | $20.2M | $46.1M | 0.44 | 17,983 |
| Subprovider - ipf | $6M | $14.8M | $27.9M | 0.53 | 29,500 |
| Nursery | $5M | $9.9M | 0.50 | 8,510 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $16.7M | $94.3M | 353,208 | $47.18 | 56,036 |
| Operation of plant | $1.2M | $15.5M | 27,724 | $42.45 | 210,595 |
| Cap rel costs-mvble equip | $13.1M | ||||
| Cap rel costs-bldg & fixt | $12.8M | 813,210 | |||
| Employee benefits department | $3.9M | $7.2M | 73,580 | $53.41 | 2,842 |
| Housekeeping | $6.3M | 8,054 | |||
| Dietary | $6.3M | 17,998 | |||
| Nursing administration | $3.8M | $4.6M | 70,387 | $53.60 | 3,526 |
| I&r services-other prgm costs apprv | $1.9M | ||||
| I&r services-salary & fringes apprv | $1.4M | $1.4M | |||
| Central services & supply | $792,663 | $1.4M | 26,008 | $30.48 | 4,273 |
| Laundry & linen service | $1.3M | ||||
| Medical records & library | $1,850 | 15,923 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837660, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Texas Health Plano for an inpatient stay.
2.02
Case mix index
Higher than 80% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
19.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
4,157
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.83 | 1.83 | 1.88 | 1.87 | 1.92 | 1.90 | 2.02 |
| Wage index | 0.961 | 0.955 | 0.953 | 0.933 | 0.936 | 0.972 | 0.991 |
| Readmissions adjustment | -1.56% | -0.84% | -1.23% | -0.45% | -0.23% | -0.41% | -0.54% |
| Value-based purchasing adjustment | -0.36% | -0.32% | -0.32% | -0.64% | -0.50% | -0.16% | -0.22% |
| Medicare inpatient stays | 3,901 | 3,901 | 3,363 | 3,490 | 3,707 | 3,884 | 4,157 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Texas Health Plano reports to Medicare as owners or with operational control.
Texas Health Resources
5% or greater direct ownership interest, since 1997
Sources: CMS Hospital All Owners.
The officers and board members on Texas Health Plano's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 43 of 51 are shown.
Texas Health Presbyterian Hospital Plano files the Form 990 for the tax ID insurers list for Texas Health Plano, so these people may lead the wider organization rather than Texas Health Plano alone.
| Name | Title |
|---|---|
| BerdanBarclay E | Thr Ceo/trustee |
| KramerKenneth J | Assistant Secretary |
| HadzimaStephen Kenneth | Chief Qual & Med Officer Thp |
| JacksonDavid W | Assistant Secretary |
| HayFraser Scott | President Thp |
| MasseyLaura A | Chief Nursing Officer Thp |
| CantuStacy G | Corporate Secretary |
| GeerNicholas | Grp Finan Officer Thp-tha |
| CollinsChad M | VP Prof Svcs-operations Thp |
| LedbetterJennifer A | VP Prof Svcs-service Lines Thp |
Board members: Chhutani MD Sheila, Modi MD Dhruvangkumar, Vigness MD Richard, Hunt Hunter, WilderCharles Jr, Bernstein Kenneth, Braun JD Vianei Lopez, Guyton Michael, Haggar III Joseph, Hum MD Lawrence, Iruegas Javier, Montgomery Lynn, Nunez MD Ignacio, Weeks Susan DNP.
Source: IRS Form 990 Part VII filed by Texas Health Presbyterian Hospital Plano (EIN 75-2770738), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
Texas Health Presbyterian Hospital Plano
FAA location ID 35TA, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Texas health presbyterian hospital p
CCN 45S771, certified 2010, Medicare prospective payment
Source: Worksheet S-2 Part I of Texas Health Plano's latest Medicare cost report (HCRIS).
About Texas Health Plano's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Texas Health Plano range from $792 to $3,246 across 4 insurers. Cigna's rate is $3,246. The median at nearby comparable hospitals is $1,486. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Texas Health Plano range from $1,287 to $4,101 across 4 insurers. Blue Cross Blue Shield's rate is $1,566. The median at nearby comparable hospitals is $1,438. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Texas Health Plano range from $701 to $3,638 across 4 insurers. UnitedHealthcare's rate is $2,895. The median at nearby comparable hospitals is $3,963. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Texas Health Plano range from $222 to $379 across 4 insurers. UnitedHealthcare's rate is $243. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Texas Health Plano range from $39,243 to $64,618 across 4 insurers. Aetna's rate is $39,243. The median at nearby comparable hospitals is $44,270. What a patient pays depends on their plan's deductible, coinsurance and network status.
Texas Health Plano has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Texas Health Plano for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Texas Health Plano's base inpatient payments by an estimated 0.54% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (396 discharges), heart failure and shock with mcc (144 discharges), respiratory infections and inflammations with mcc (116 discharges).
Texas Health Plano's Medicare case mix index is 2.02 for fiscal year 2027, higher than 80% of hospitals paid under the inpatient prospective payment system.
Texas Health Plano reported 20,443 inpatient discharges and 91,223 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Texas Health Plano reported 1,582 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Texas Health Plano reported $614.9M in net patient revenue on $2.1B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 15.5%, and net income of $105.1M.
Texas Health Plano reported $35.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $23.9M of charity care at cost.
Texas Health Plano's Medicare enrollment lists Clinton J Abernathy as President since 2025.
Insurers' price transparency files list Texas Health Plano under employer identification number 75-2770738 (Texas Health Presbyterian Hospital Plano). 63 health plans and networks list 75-2770738 for it.
817 clinicians who bill Medicare list Texas Health Plano as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (132), family medicine physician (79), diagnostic radiology physician (67).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Texas Health Plano, effective 2024.
In its Medicare enrollment, Texas Health Plano reports Texas Health Resources as 5% or greater direct ownership interest.
CMS lists 7 services at Texas Health Plano, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Emergency Department, Emergency Psychiatric Care, Outpatient, Outpatient Psychiatric Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Texas Health Plano came from ZIP codes 75056 (785), 75007 (752), 75006 (552).
Texas Health Plano has 369 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 339 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Texas Health Plano is located at 6200 West Parker Road, Plano, TX 75093. Its main phone number is (972) 981-8000.
Texas Health Plano's CMS Certification Number (CCN), also called its Medicare provider number, is 450771.
The National Provider Identifier (NPI) on file for Texas Health Plano is 1770514077.
Texas Health Plano is affiliated with Texas Health Resources.
Texas Health Plano lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
410 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers