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 |
|---|---|---|---|---|
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $15.08 – $39.51 | 6 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $318.67 | 6 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $91.66 – $240.15 | 6 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $358.94 | 6 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,160.00 – $3,039.20 | 6 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.28 – $76.71 | 6 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.60 – $38.25 | 6 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $28.32 | 6 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $15.05 – $39.43 | 6 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $30.86 – $80.85 | 6 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $10.18 – $26.67 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $379.48 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $562.30 | 6 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $33.80 | 6 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $13.19 – $34.56 | 6 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $23.40 | 6 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $13.60 – $35.63 | 6 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.87 – $44.20 | 6 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $26.78 – $70.16 | 6 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $320.22 | 6 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $10.74 – $28.14 | 6 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $14.12 – $36.99 | 6 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $12.88 – $33.75 | 6 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $11.82 – $30.97 | 6 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $12.68 – $33.22 | 6 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $116.49 – $305.20 | 6 |
| Mayo chromium CPT 82495 | not published | not published | $20.28 – $53.13 | 6 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $11.47 – $30.05 | 6 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $24.09 – $63.12 | 6 |
| Mayo cortisol free CPT 82530 | not published | not published | $16.71 – $43.78 | 6 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $42.13 – $110.38 | 6 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $12.12 – $31.75 | 6 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $50.83 | 6 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $746.16 – $746.16 | 1 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $13.25 – $34.72 | 6 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $25.27 – $66.21 | 6 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $76.71 | 6 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $25.26 | 6 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $13.10 | 6 |
| Mayo estriol CPT 82677 | not published | not published | $24.18 – $63.35 | 6 |
| Mayo estrone CPT 82679 | not published | not published | $24.95 – $65.37 | 6 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $16.34 – $42.81 | 6 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $35.97 | 6 |
| Mayo factor ii CPT 85210 | not published | not published | $12.98 – $34.01 | 6 |
| Mayo factor v CPT 85220 | not published | not published | $17.65 – $46.24 | 6 |
| Mayo factor vii CPT 85230 | not published | not published | $17.90 – $46.90 | 6 |
| Mayo factor viii vw factor antigen CPT 85246 | not published | not published | $22.94 – $60.10 | 6 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.94 – $60.10 | 6 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | not published | not published | $22.94 – $60.10 | 6 |
| Mayo factor x CPT 85260 | not published | not published | $17.90 – $46.90 | 6 |
| Mayo factor xi CPT 85270 | not published | not published | $17.90 – $46.90 | 6 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $44.02 | 6 |
| Mayo fbl culture fungi blood CPT 87103 | not published | not published | $20.46 – $53.61 | 6 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $210.81 | 6 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.82 – $20.49 | 6 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $37.89 | 6 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $21.67 – $56.78 | 6 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.75 – $12.45 | 6 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $13.79 – $36.13 | 6 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $67.62 | 6 |
| Mayo hvdip HIV 1 antibody CPT 86701 | not published | not published | $8.89 – $23.29 | 6 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $13.52 – $35.42 | 6 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $27.17 – $71.19 | 6 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | not published | not published | $17.27 – $45.25 | 6 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $14.99 – $39.27 | 6 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | not published | not published | $20.81 – $54.52 | 6 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $20.81 – $54.52 | 6 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $16.07 – $42.10 | 6 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | not published | not published | $11.98 – $31.39 | 6 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | not published | not published | $42.84 – $112.24 | 6 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $189.14 | 6 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $38.57 – $101.05 | 6 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $15.59 – $40.85 | 6 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $33.93 | 6 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $21.41 – $56.09 | 6 |
| Mayo iodine CPT 83789 | not published | not published | $24.11 – $63.17 | 6 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.11 – $71.03 | 6 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $27.11 – $71.03 | 6 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $258.62 | $258.62 | $13.25 – $34.72 | 6 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.79 – $33.51 | 6 |
| Mayo legionella antibody CPT 86713 | not published | not published | $15.30 – $40.09 | 6 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $16.20 – $42.44 | 6 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $29.50 | 6 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $15.49 – $40.58 | 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.