MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE
3100 Alliance Town Ctr, FORT WORTH, TX · Medicalcityhealthcare · · NPI 1316775935
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,831.48 – $7,418.48 | 6 |
| Flex foot system HCPCS L5980 | not published | not published | $4,801.22 – $12,579.20 | 6 |
| Flexible keel foot HCPCS L5972 | not published | not published | $524.57 – $1,374.37 | 6 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $247.59 – $648.69 | 6 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $410.70 – $1,076.03 | 6 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $187.48 – $491.20 | 6 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,666.67 – $9,606.68 | 6 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $8,355.84 – $8,355.84 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $108.08 – $108.08 | 1 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $28.90 – $28.90 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $122.34 | $122.34 | $89.91 – $89.91 | 1 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $80.35 – $80.35 | 1 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $433.64 | 6 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $217.46 | 6 |
| Fluidotherapy charges pt CPT 97022 | $550.66 | $550.66 | $13.70 – $35.90 | 6 |
| Fluorescent antibody titer dna CPT 86256 | not published | not published | $12.05 – $31.57 | 6 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | not published | not published | $129.92 – $129.92 | 1 |
| Fluoroguide needle placement CPT 77002 | not published | not published | $151.32 – $151.32 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $49.54 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | not published | not published | $46.52 – $46.52 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $8,110.08 – $8,110.08 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $761.00 – $761.00 | 1 |
| Fmri brain by tech CPT 70554 | not published | not published | $761.00 – $761.00 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $28.40 – $74.41 | 6 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $13.84 – $36.26 | 6 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $14.68 – $38.46 | 6 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $41.86 – $109.67 | 6 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $10.65 – $27.90 | 6 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $12.75 – $33.41 | 6 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $49.54 | 6 |
| Folic acid CPT 82746 | $104.27 | $104.27 | $14.70 – $38.51 | 6 |
| Follow-up angiography CPT 75898 | not published | not published | $4,760.60 – $4,760.60 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $248.46 – $650.97 | 6 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $94.30 – $247.07 | 6 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $58.14 – $152.33 | 6 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $95.45 – $250.08 | 6 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $278.64 – $730.04 | 6 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $199.51 – $522.72 | 6 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $163.39 – $428.08 | 6 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $215.28 – $564.03 | 6 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $151.31 – $396.43 | 6 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $215.28 – $564.03 | 6 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $245.12 – $642.21 | 6 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $62.84 – $164.64 | 6 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $408.31 – $1,069.77 | 6 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $324.52 – $850.24 | 6 |
| Foot X-ray CPT 73630 | $683.51 | $683.51 | $44.26 – $44.26 | 1 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,247.88 – $3,269.45 | 6 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $853.15 – $2,235.25 | 6 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $767.78 – $767.78 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $17.41 – $17.41 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $74.67 | 6 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $40.88 – $40.88 | 1 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $117.61 | 6 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $834.62 – $2,186.70 | 6 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $706.16 – $1,850.14 | 6 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $873.35 – $2,288.18 | 6 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $947.61 – $2,482.74 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $118.38 – $118.38 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | not published | not published | $137.69 – $137.69 | 1 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $26.20 – $26.20 | 1 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $29.00 – $29.00 | 1 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $130.97 – $130.97 | 1 |
| Frozen blood prep CPT 86930 | not published | not published | $154.02 – $154.02 | 1 |
| Frozen blood thaw CPT 86931 | not published | not published | $115.62 – $115.62 | 1 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $31.68 | 6 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $1.74 – $1.74 | 1 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $16.76 – $43.91 | 6 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $58.14 – $152.33 | 6 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $388.12 – $1,016.87 | 6 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $3,896.91 | 6 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $182.14 | 6 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $153.50 – $402.17 | 6 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $145.51 | 6 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $142.27 | 6 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $416.66 – $1,091.65 | 6 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $73.55 – $73.55 | 1 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $67.55 – $176.98 | 6 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,070.70 – $5,425.23 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $720.05 | 6 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $358.94 | 6 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $720.05 | 6 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $485.22 | 6 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $153.24 | 6 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,572.00 | 6 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $458.00 | 6 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $983.16 | 6 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $331.83 – $331.83 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $136.55 – $136.55 | 1 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $0.02 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.69 – $0.69 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $3.87 – $3.87 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.31 – $0.31 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $38.04 – $38.04 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $55.20 | 6 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $56.28 | 6 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $30.76 | 6 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $115.94 | 6 |
| Gammaglobulin iga CPT 82784 | not published | not published | $9.30 – $24.37 | 6 |
| Gammaglobulin ige CPT 82785 | not published | not published | $16.46 – $43.13 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.