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 |
|---|---|---|---|---|
| Gamma glutamyltransferase CPT 82977 | not published | not published | $7.20 – $18.86 | 6 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $91.94 | 6 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $109.41 | 6 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $17.58 | 6 |
| Gastric emptying imag study CPT 78265 | not published | not published | $546.48 – $546.48 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $617.80 – $617.80 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $280.73 – $280.73 | 1 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $46.35 | 6 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $336.51 – $336.51 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $348.34 – $348.34 | 1 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.46 – $9.07 | 6 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.69 – $9.67 | 6 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $3.04 – $7.96 | 6 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.36 – $3.56 | 6 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $5.13 – $13.44 | 6 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $123.80 | 6 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $193.75 | 6 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $229.70 | 6 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $268.94 | 6 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $143.73 | 6 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $164.14 | 6 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $188.98 | 6 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $256.39 | 6 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $305.70 | 6 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $362.11 | 6 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $78.14 – $204.73 | 6 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.70 – $7.07 | 6 |
| General health panel CPT 80050 | not published | not published | $53.74 – $53.74 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $6,415.23 | 6 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.02 – $6,124.64 | 6 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.02 – $13,181.74 | 6 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.02 – $7,100.07 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $16.38 – $42.92 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $25.70 | 6 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $44.83 | 6 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $267.92 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $14.39 – $37.70 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $12.63 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $35.09 – $91.94 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $31.95 – $83.71 | 6 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $39.85 | 6 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $12.71 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $18.29 | 6 |
| Ghs fish cytogen CPT 88271 | not published | not published | $21.42 – $56.12 | 6 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $51.19 – $134.12 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $775.93 | $775.93 | $35.09 – $91.94 | 6 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $60.18 | 6 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $40.58 | 6 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $24.81 | 6 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $13.25 – $34.72 | 6 |
| Ghs HIV antibody CPT 86703 | $278.74 | $278.74 | $13.71 – $35.92 | 6 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $278.09 | 6 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $78.39 | 6 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $12.87 – $33.72 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $22.53 | 6 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $45.06 | 6 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $25.60 | 6 |
| Ghs ot dds rom CPT 95851 | not published | not published | $25.77 – $67.52 | 6 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $21.87 – $57.30 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $214.79 | $214.79 | $40.19 – $105.30 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $53.04 – $138.96 | 6 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $29.11 – $29.11 | 1 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.50 – $14.41 | 6 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $11.29 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $13.78 – $13.78 | 1 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $25.31 | 6 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $14.70 | 6 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $37.60 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $32.09 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $38.25 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $41.63 | 6 |
| Ghs reticulocyte count CPT 85044 | $117.48 | $117.48 | $4.31 – $11.29 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $36.44 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $11.19 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $32.25 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $25.78 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.48 – $19.60 | 6 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $47.63 – $124.79 | 6 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $102.22 – $267.82 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $71.02 – $186.07 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $19.13 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $63.67 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $38.54 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $35.66 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $38.57 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $382.39 – $382.39 | 1 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $9.44 – $24.73 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $626.41 – $626.41 | 1 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $264.93 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $161.18 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $91.70 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $140.19 – $367.30 | 6 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $37.44 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $120.70 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $132.31 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $46.56 | 6 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.75 – $12.45 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $15.85 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $8.59 | 6 |
| Glucose blood quantitative CPT 82947 | $114.20 | $114.20 | $3.93 – $10.30 | 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.