Revasc lithotrip tibi/perone at MEDICAL CITY WEATHERFORD HOSPITAL

713 East Anderson Street, Weatherford, TX · Medicalcityhealthcare · · NPI 1417471467

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.

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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.

$2,698.88 with Superior Health Plan vs $38,555.38 with National Healthcare Solutions — 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 $2,698.88
Superior Health Plan STARPLUS $2,698.88
Superior Health Plan STARKids $2,698.88
Superior Health Plan CHIP $2,698.88
Superior Health Plan MCDSTAR $2,698.88
United STARPLUS $4,750.24
Parkland Community Health Plan MCD $4,750.24
Cook Childrens Health Plan STAR $4,750.24
Cook Childrens Health Plan CHIP $4,750.24
United CHIP $4,750.24
Amerigroup MGMCD $4,750.24
Amerigroup CHIP $4,750.24
United STAR $4,750.24
United STARKids $4,750.24
United STARPerinate $4,750.24
Cigna Healthspring MGMCD $4,987.75
Aetna Better Health CHIP $5,130.26
Aetna Better Health MCD $5,130.26
Cigna IFP $5,204.98
Cigna QHP $5,397.75
Humana MGMCD $5,937.80
Aetna QHPHIX $6,284.53
Oscar HIX $8,019.52
Aetna NewBusiness $9,176.18
United OptionsPPO $9,291.85
Aetna COMM $9,870.18
Aetna Meritain $9,870.18
Evry Health COMM $9,947.29
Aetna OON $11,566.61
Humana COMM $11,948.31
United NarrowNetworkIndivExchange $12,413.00
United SmallGroup $13,086.00
BCBS BluePremier $14,763.12
BCBS Traditional $17,118.59
Cigna LocalPlus $17,220.00
Cigna NewBusiness $17,238.00
BCBS BlueAdvantageHMO $19,081.59
Cigna HMO $19,240.00
Cigna NetworkBenefit $19,240.00
Cigna OpenAccessPlus $19,240.00
Aetna ASA $20,318.69
United AllPayerAppendix $21,258.00
BCBS BlueEssentials $21,893.61
BCBS BlueEssentialsAccess $21,893.61
Aetna Coventry First Health EXCLUSIVE $22,709.12
Aetna Coventry First Health NONEXCLUSIVE $22,709.12
BCBS EPOSOA $22,998.33
BCBS PPO $24,103.06
Cigna AllOther $24,339.00
Multiplan PHCS PrimaryNetwork $26,988.77
HealthSmart Preferred Care PPO $27,374.32
Parker County LOGOV $28,916.53
Independent Medical Systems COMM $38,555.38
National Healthcare Solutions COMM $38,555.38

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 →