Revasc lithotr-stent tib/per 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

not published by hospital

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.

Full explanation →

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

not published by hospital

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.

$7,058.36 with Superior Health Plan vs $100,833.76 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 STARPLUS $7,058.36
Superior Health Plan STARKids $7,058.36
Superior Health Plan MCDSTAR $7,058.36
Superior Health Plan STARHealth $7,058.36
Superior Health Plan CHIP $7,058.36
Parkland Community Health Plan MCD $8,497.34
United STARPerinate $8,497.34
United STAR $8,497.34
Amerigroup MGMCD $8,497.34
Cook Childrens Health Plan CHIP $8,497.34
Cook Childrens Health Plan STAR $8,497.34
Amerigroup CHIP $8,497.34
United CHIP $8,497.34
United STARPLUS $8,497.34
United STARKids $8,497.34
Healthspring Life MCD $8,922.21
Cigna Healthspring MGMCD $8,922.21
Aetna Better Health MCD $9,177.13
Aetna Better Health CHIP $9,177.13
Molina STAR+PLUS $9,347.07
Molina MCDSTAR $9,347.07
Molina STARKIDS $9,347.07
Molina CHIP $9,347.07
Curative Administrators COMM $9,875.00
Humana MGMCD $10,621.67
United NarrowNetworkIndivExchange $12,694.00
United SmallGroup $13,381.00
Cigna IFP $13,612.56
Cigna QHP $14,116.73
Aetna QHPHIX $16,435.90
United OptionsPPO $18,956.75
Oscar HIX $20,973.42
United AllPayerAppendix $21,258.00
Cigna LocalPlus $21,804.00
Cigna NewBusiness $21,826.00
Unicare CHIP $22,183.43
BCBS BluePremier $23,774.72
Aetna NewBusiness $23,998.43
Cigna HMO $24,362.00
Cigna OpenAccessPlus $24,362.00
Cigna NetworkBenefit $24,362.00
Healthcare Highways NarrowNetwork $24,704.27
Aetna COMM $25,813.44
Aetna Meritain $25,813.44
Evry Health COMM $26,015.11
Aetna OON $30,250.13
Cigna AllOther $30,818.00
Humana COMM $31,248.38
Healthcare Highways CityofPlano $34,081.81
BCBS BlueAdvantageHMO $44,657.92
BCBS MyBlueHealth $44,657.92
BCBS Traditional $44,770.19
City of McKinney COMM $45,375.19
Fidelis SecureCare MGMCR $45,375.19
BCBS BlueEssentials $49,316.48
BCBS BlueEssentialsAccess $49,316.48
National ChoiceCare WCOMP $50,416.88
Emerging Therapy Solutions MGMCR $50,416.88
BCBS EPOSOA $51,726.08
Aetna ASA $53,139.39
Cigna Lifesource COMM $53,441.89
BCBS PPO $54,135.68
PC Texas Partners WCOMP $55,458.57
Physicians Coop of TX MGMCR $55,458.57
Rockport Health Group WORKERSCOMP $55,458.57
Aetna WCOMP $55,458.57
Averde Health, Inc PPO $58,483.58
Aetna Coventry First Health NONEXCLUSIVE $59,391.08
Aetna Coventry First Health EXCLUSIVE $59,391.08
Coastal Comp Health Networks WCOMP $70,583.63
Mega Life MGMCRPPO $70,583.63
Multiplan PHCS PrimaryNetwork $70,583.63
HealthSmart Preferred Care PPO $71,591.97
Emerging Therapy Solutions Commercial $72,600.31
LEWISVILLE ISD/DLS CONSULTING COMMPPO $75,625.32
TCU ATHLETICS COMM $80,667.01
USC Health Services COMM $80,667.01
USA Managed Care COMM $80,667.01
Galaxy Health Network PPO $85,708.70
Optum Transplant COMM $86,717.03
Independent Medical Systems COMM $100,833.76
National Healthcare Solutions COMM $100,833.76
Unicare MCD $100,833.76

Visitor-reported prices

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Revasc lithotr-stent tib/per at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $22,322.36 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $20,668.85 $3,867.58 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,729.36 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $22,322.36 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $20,668.85 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $20,668.85 $8,497.34 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,729.36 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $22,322.36 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →