Revasc lithotrip tibi/perone at MEDICAL CITY ARLINGTON HOSPITAL

317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406

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

$39,989.29

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.

$39,989.29

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.

$2,799.25 with Superior Health Plan vs $39,989.29 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 $2,799.25 ↓ -93%
Superior Health Plan CHIP $2,799.25 ↓ -93%
Superior Health Plan STARKids $2,799.25 ↓ -93%
Superior Health Plan STARPLUS $2,799.25 ↓ -93%
Superior Health Plan MCDSTAR $2,799.25 ↓ -93%
TEXAS HEALTH NETWORK MCD $4,678.99 ↓ -88%
Cook Childrens Health Plan CHIP $4,750.24 ↓ -88%
United STARPLUS $4,750.24 ↓ -88%
United STARKids $4,750.24 ↓ -88%
United STAR $4,750.24 ↓ -88%
United CHIP $4,750.24 ↓ -88%
Amerigroup CHIP $4,750.24 ↓ -88%
United STARPerinate $4,750.24 ↓ -88%
Parkland Community Health Plan MCD $4,750.24 ↓ -88%
Cook Childrens Health Plan STAR $4,750.24 ↓ -88%
Amerigroup MGMCD $4,750.24 ↓ -88%
Cigna Healthspring MGMCD $4,987.75 ↓ -88%
Aetna Better Health CHIP $5,130.26 ↓ -87%
Aetna Better Health MCD $5,130.26 ↓ -87%
Molina STARKIDS $5,225.26 ↓ -87%
Molina MCDSTAR $5,225.26 ↓ -87%
Molina CHIP $5,225.26 ↓ -87%
Molina STAR+PLUS $5,225.26 ↓ -87%
Cigna IFP $5,398.55 ↓ -87%
Aetna QHPHIX $5,398.55 ↓ -87%
Cigna QHP $5,598.50 ↓ -86%
Humana MGMCD $5,937.80 ↓ -85%
United OptionsPPO $7,517.99 ↓ -81%
Unicare CHIP $7,597.97 ↓ -81%
Aetna NewBusiness $7,957.87 ↓ -80%
Oscar HIX $8,317.77 ↓ -79%
Aetna Meritain $8,517.72 ↓ -79%
Aetna COMM $8,517.72 ↓ -79%
Healthcare Highways NarrowNetwork $9,797.38 ↓ -75%
Curative Administrators COMM $9,875.00 ↓ -75%
Aetna OON $10,037.31 ↓ -75%
Evry Health COMM $10,317.24 ↓ -74%
Humana COMM $12,392.68 ↓ -69%
BCBS BluePremier $13,055.82 ↓ -67%
Healthcare Highways CityofPlano $13,516.38 ↓ -66%
United NarrowNetworkIndivExchange $14,554.00 ↓ -64%
United SmallGroup $15,342.00 ↓ -62%
BCBS Traditional $17,755.24 ↓ -56%
City of McKinney COMM $17,995.18 ↓ -55%
Fidelis SecureCare MGMCR $17,995.18 ↓ -55%
National ChoiceCare WCOMP $19,994.65 ↓ -50%
Cigna LocalPlus $20,013.00 ↓ -50%
Cigna NewBusiness $20,033.00 ↓ -50%
Aetna ASA $21,074.36 ↓ -47%
PC Texas Partners WCOMP $21,994.11 ↓ -45%
Rockport Health Group WORKERSCOMP $21,994.11 ↓ -45%
Aetna WCOMP $21,994.11 ↓ -45%
Physicians Coop of TX MGMCR $21,994.11 ↓ -45%
Cigna HMO $22,360.00 ↓ -44%
Cigna NetworkBenefit $22,360.00 ↓ -44%
Cigna OpenAccessPlus $22,360.00 ↓ -44%
United AllPayerAppendix $22,660.00 ↓ -43%
BCBS BlueAdvantageHMO $22,998.33 ↓ -42%
BCBS MyBlueHealth $22,998.33 ↓ -42%
Averde Health, Inc PPO $23,193.79 ↓ -42%
BCBS BlueEssentials $25,609.50 ↓ -36%
BCBS BlueEssentialsAccess $25,609.50 ↓ -36%
BCBS EPOSOA $26,915.08 ↓ -33%
Mega Life MGMCRPPO $27,992.50 ↓ -30%
Multiplan PHCS PrimaryNetwork $27,992.50 ↓ -30%
Coastal Comp Health Networks WCOMP $27,992.50 ↓ -30%
BCBS PPO $28,120.23 ↓ -30%
Cigna AllOther $28,286.00 ↓ -29%
HealthSmart Preferred Care PPO $28,392.40 ↓ -29%
Aetna Coventry First Health COMM $29,072.21 ↓ -27%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $29,991.97 ↓ -25%
USC Health Services COMM $31,991.43 ↓ -20%
USA Managed Care COMM $31,991.43 ↓ -20%
Galaxy Health Network PPO $33,990.90 ↓ -15%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $35,990.36 ↓ -10%
Independent Medical Systems COMM $39,989.29 ↑ +0%
National Healthcare Solutions COMM $39,989.29 ↑ +0%
Unicare MCD $39,989.29 ↑ +0%

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 →