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 |
|---|---|---|---|---|
| Ak open end sach HCPCS L5321 | not published | not published | $4,710.53 – $12,341.59 | 6 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $216.90 – $568.28 | 6 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $296.13 – $775.86 | 6 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $266.20 – $697.44 | 6 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,216.96 – $5,808.44 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.78 – $20.38 | 6 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $113.65 – $113.65 | 1 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $45.45 – $45.45 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $113.65 – $113.65 | 1 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $22.73 – $22.73 | 1 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $88.92 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.78 – $15.14 | 6 |
| Albumin serum plasma or whole blood CPT 82040 | $129.56 | $129.56 | $4.95 – $12.97 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $45.25 | 6 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.02 – $0.02 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $328.81 | 6 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.49 – $27.48 | 6 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $23.44 – $61.41 | 6 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.52 – $19.70 | 6 |
| Alkaline phosphatase CPT 84075 | $163.43 | $163.43 | $5.18 – $13.57 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $46.98 | 6 |
| Allergen egg white ige CPT 86003 | not published | not published | $5.22 – $13.68 | 6 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $20.88 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $168.75 | 6 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $44.54 | 6 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $16.77 – $43.94 | 6 |
| Alt/sgpt CPT 84460 | $34.94 | $34.94 | $5.30 – $13.89 | 6 |
| Aluminum - quest CPT 82108 | not published | not published | $25.48 – $66.76 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.02 – $0.02 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $15.69 | 6 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $36.34 | 6 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $37.15 | 6 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $51.38 | 6 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $16.45 – $43.10 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $0.02 | 1 |
| Ammonia CPT 82140 | $223.17 | $223.17 | $14.57 – $38.17 | 6 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $24.50 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.02 – $0.02 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.02 – $0.02 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $689.03 | 6 |
| Amylase CPT 82150 | $195.56 | $195.56 | $6.48 – $16.98 | 6 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $0.02 – $0.02 | 1 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $0.02 – $0.02 | 1 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $31.73 | 6 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $0.02 – $0.02 | 1 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $0.02 – $0.02 | 1 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $507.92 | $507.92 | $0.02 – $0.02 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $65.69 – $172.11 | 6 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $73.37 – $192.23 | 6 |
| Analysis nerve CPT 88356 | not published | not published | $155.86 – $155.86 | 1 |
| Analysis tumor CPT 88358 | not published | not published | $119.93 – $119.93 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $91.94 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $15.05 – $39.43 | 6 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $75.53 | 6 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $142.87 – $142.87 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $53.76 | 6 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $21,298.00 – $55,800.76 | 6 |
| Ankle X-ray CPT 73610 | not published | not published | $47.64 – $47.64 | 1 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $3,541.48 – $9,278.68 | 6 |
| Anodyne therapy charges pt CPT 97026 | $89.37 | $89.37 | $6.59 – $17.27 | 6 |
| Anterior asis pad HCPCS L1250 | not published | not published | $93.47 – $244.89 | 6 |
| Anterior swing band HCPCS L2335 | not published | not published | $261.05 – $683.95 | 6 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $94.04 – $246.38 | 6 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $290.99 – $762.39 | 6 |
| Antibody CPT 86744 | not published | not published | $15.99 – $41.89 | 6 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $12.88 – $33.75 | 6 |
| Antibody elution rbc reference CPT 86860 | not published | not published | $41.55 – $41.55 | 1 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $19.35 – $50.70 | 6 |
| Antibody htlv-i CPT 86687 | not published | not published | $9.09 – $23.82 | 6 |
| Antibody htlv-ii CPT 86688 | not published | not published | $14.00 – $36.68 | 6 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $18.37 – $48.13 | 6 |
| Antibody id rbc panel CPT 86870 | not published | not published | $56.90 – $56.90 | 1 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.55 – $35.50 | 6 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.87 – $33.72 | 6 |
| Antibody screen rbc CPT 86850 | not published | not published | $9.77 – $25.60 | 6 |
| Antibody tetanus CPT 86774 | not published | not published | $14.80 – $38.78 | 6 |
| Antidepressant not specified CPT 80338 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressants class 3-5 CPT 80333 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $0.02 – $0.02 | 1 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $0.02 – $0.02 | 1 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $0.02 – $0.02 | 1 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $0.02 – $0.02 | 1 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $31.57 | 6 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $31.57 | 6 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $31.57 | 6 |
| Antinuclear antibodies CPT 86038 | not published | not published | $12.09 – $31.68 | 6 |
| Antinuclear antibodies titer CPT 86039 | $522.21 | $522.21 | $11.16 – $29.24 | 6 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $16.07 – $42.10 | 6 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $0.02 – $0.02 | 1 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $0.02 – $0.02 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $0.02 – $0.02 | 1 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $15.12 | 6 |
| Antistreptolysin o titer CPT 86060 | not published | not published | $7.30 – $19.13 | 6 |
| Antithrombin iii activity CPT 85300 | not published | not published | $11.85 – $31.05 | 6 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $1,169.10 – $3,063.04 | 6 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $1,320.48 | 6 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $3,537.50 | 6 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $524.00 | 6 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $2,043.60 | 6 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $733.60 | 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.