Revasc lithotrip tibi/perone 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.

$3,703.73 with Superior Health Plan vs $52,910.49 with Independent Medical Systems — 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 MCDSTAR $3,703.73
Superior Health Plan STARHealth $3,703.73
Superior Health Plan STARPLUS $3,703.73
Superior Health Plan STARKids $3,703.73
Superior Health Plan CHIP $3,703.73
United STARPerinate $4,750.24
United STARPLUS $4,750.24
United STARKids $4,750.24
United STAR $4,750.24
Parkland Community Health Plan MCD $4,750.24
Amerigroup MGMCD $4,750.24
Amerigroup CHIP $4,750.24
Cook Childrens Health Plan CHIP $4,750.24
United CHIP $4,750.24
Cook Childrens Health Plan STAR $4,750.24
Healthspring Life MCD $4,987.75
Cigna Healthspring MGMCD $4,987.75
Aetna Better Health CHIP $5,130.26
Aetna Better Health MCD $5,130.26
Molina STAR+PLUS $5,225.26
Molina STARKIDS $5,225.26
Molina MCDSTAR $5,225.26
Molina CHIP $5,225.26
Humana MGMCD $5,937.80
Cigna IFP $7,142.92
Cigna QHP $7,407.47
Aetna QHPHIX $8,624.41
Curative Administrators COMM $9,875.00
United OptionsPPO $9,947.17
Oscar HIX $11,005.38
Unicare CHIP $11,640.31
Aetna NewBusiness $12,592.70
United NarrowNetworkIndivExchange $12,694.00
Healthcare Highways NarrowNetwork $12,963.07
United SmallGroup $13,381.00
Aetna COMM $13,545.09
Aetna Meritain $13,545.09
Evry Health COMM $13,650.91
BCBS BluePremier $14,863.55
Aetna OON $15,873.15
Humana COMM $16,396.96
Healthcare Highways CityofPlano $17,883.75
United AllPayerAppendix $21,258.00
Cigna LocalPlus $21,804.00
Cigna NewBusiness $21,826.00
BCBS Traditional $23,492.26
City of McKinney COMM $23,809.72
Fidelis SecureCare MGMCR $23,809.72
Cigna OpenAccessPlus $24,362.00
Cigna HMO $24,362.00
Cigna NetworkBenefit $24,362.00
Emerging Therapy Solutions MGMCR $26,455.24
National ChoiceCare WCOMP $26,455.24
Aetna ASA $27,883.83
BCBS BlueAdvantageHMO $27,919.37
BCBS MyBlueHealth $27,919.37
Cigna Lifesource COMM $28,042.56
PC Texas Partners WCOMP $29,100.77
Rockport Health Group WORKERSCOMP $29,100.77
Physicians Coop of TX MGMCR $29,100.77
Aetna WCOMP $29,100.77
Averde Health, Inc PPO $30,688.08
Cigna AllOther $30,818.00
BCBS BlueEssentialsAccess $30,831.83
BCBS BlueEssentials $30,831.83
Aetna Coventry First Health NONEXCLUSIVE $31,164.28
Aetna Coventry First Health EXCLUSIVE $31,164.28
BCBS EPOSOA $32,338.27
BCBS PPO $33,844.71
Coastal Comp Health Networks WCOMP $37,037.34
Multiplan PHCS PrimaryNetwork $37,037.34
Mega Life MGMCRPPO $37,037.34
HealthSmart Preferred Care PPO $37,566.45
Emerging Therapy Solutions Commercial $38,095.55
LEWISVILLE ISD/DLS CONSULTING COMMPPO $39,682.87
USC Health Services COMM $42,328.39
TCU ATHLETICS COMM $42,328.39
USA Managed Care COMM $42,328.39
Galaxy Health Network PPO $44,973.92
Optum Transplant COMM $45,503.02
National Healthcare Solutions COMM $52,910.49
Unicare MCD $52,910.49
Independent Medical Systems COMM $52,910.49

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $14,653.35 $3,016.15 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $14,653.35 $5,082.76 – $27,252.71
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $14,653.35 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $14,653.34 $4,750.24 – $27,252.71

All Texas hospitals for this procedure →