Revasc intra lithotrip-ather at MEDICAL CITY FORT WORTH HOSPITAL

900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$53,870.16

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$53,870.16

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3,770.91 with Superior Health Plan vs $53,870.16 with Unicare — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Superior Health Plan STARHealth $3,770.91 ↓ -93%
Superior Health Plan CHIP $3,770.91 ↓ -93%
Superior Health Plan STARKids $3,770.91 ↓ -93%
Superior Health Plan STARPLUS $3,770.91 ↓ -93%
Superior Health Plan MCDSTAR $3,770.91 ↓ -93%
Cigna IFP $7,272.47 ↓ -87%
Cigna QHP $7,541.82 ↓ -86%
Aetna QHPHIX $8,780.84 ↓ -84%
Curative Administrators COMM $9,875.00 ↓ -82%
United OptionsPPO $10,127.59 ↓ -81%
Oscar HIX $11,204.99 ↓ -79%
Unicare CHIP $11,851.44 ↓ -78%
United NarrowNetworkIndivExchange $12,694.00 ↓ -76%
Aetna NewBusiness $12,821.10 ↓ -76%
Healthcare Highways NarrowNetwork $13,198.19 ↓ -75%
United SmallGroup $13,381.00 ↓ -75%
Aetna Meritain $13,790.76 ↓ -74%
Aetna COMM $13,790.76 ↓ -74%
Evry Health COMM $13,898.50 ↓ -74%
BCBS BluePremier $14,664.55 ↓ -73%
Aetna OON $16,161.05 ↓ -70%
Humana COMM $16,694.36 ↓ -69%
Healthcare Highways CityofPlano $18,208.11 ↓ -66%
United AllPayerAppendix $21,258.00 ↓ -61%
Cigna LocalPlus $21,804.00 ↓ -60%
Cigna NewBusiness $21,826.00 ↓ -59%
BCBS Traditional $23,918.35 ↓ -56%
City of McKinney COMM $24,241.57 ↓ -55%
Fidelis SecureCare MGMCR $24,241.57 ↓ -55%
Cigna NetworkBenefit $24,362.00 ↓ -55%
Cigna OpenAccessPlus $24,362.00 ↓ -55%
Cigna HMO $24,362.00 ↓ -55%
National ChoiceCare WCOMP $26,935.08 ↓ -50%
Emerging Therapy Solutions MGMCR $26,935.08 ↓ -50%
BCBS BlueAdvantageHMO $27,545.57 ↓ -49%
BCBS MyBlueHealth $27,545.57 ↓ -49%
Aetna ASA $28,389.57 ↓ -47%
Cigna Lifesource COMM $28,551.18 ↓ -47%
PC Texas Partners WCOMP $29,628.59 ↓ -45%
Aetna WCOMP $29,628.59 ↓ -45%
Physicians Coop of TX MGMCR $29,628.59 ↓ -45%
Rockport Health Group WORKERSCOMP $29,628.59 ↓ -45%
BCBS BlueEssentialsAccess $30,419.03 ↓ -44%
BCBS BlueEssentials $30,419.03 ↓ -44%
Cigna AllOther $30,818.00 ↓ -43%
Averde Health, Inc PPO $31,244.69 ↓ -42%
Aetna Coventry First Health EXCLUSIVE $31,729.52 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $31,729.52 ↓ -41%
BCBS EPOSOA $31,905.31 ↓ -41%
BCBS PPO $33,391.58 ↓ -38%
Mega Life MGMCRPPO $37,709.11 ↓ -30%
Coastal Comp Health Networks WCOMP $37,709.11 ↓ -30%
Multiplan PHCS PrimaryNetwork $37,709.11 ↓ -30%
HealthSmart Preferred Care PPO $38,247.81 ↓ -29%
Emerging Therapy Solutions Commercial $38,786.52 ↓ -28%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $40,402.62 ↓ -25%
TCU ATHLETICS COMM $43,096.13 ↓ -20%
USA Managed Care COMM $43,096.13 ↓ -20%
USC Health Services COMM $43,096.13 ↓ -20%
Galaxy Health Network PPO $45,789.64 ↓ -15%
Optum Transplant COMM $46,328.34 ↓ -14%
Independent Medical Systems COMM $53,870.16 ↑ +0%
National Healthcare Solutions COMM $53,870.16 ↑ +0%
Unicare MCD $53,870.16 ↑ +0%

Visitor-reported prices

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Revasc intra lithotrip-ather at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $28,802.66 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,250.53 $3,850.11 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $28,802.66 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $27,304.92 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $27,304.92 $14,096.00 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,250.53 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $28,802.66 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →