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 manganese CPT 83785 | not published | not published | $26.65 – $69.82 | 6 |
| Mayo metanephrines plasma CPT 83835 | not published | not published | $16.94 – $44.38 | 6 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $31.57 | 6 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $18.40 – $48.21 | 6 |
| Mayo microsomal antibody liver-kidney CPT 86376 | not published | not published | $14.55 – $38.12 | 6 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | not published | not published | $18.64 – $48.84 | 6 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $137.00 – $358.94 | 6 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $485.22 | 6 |
| Mayo muramidase CPT 85549 | not published | not published | $18.75 – $49.13 | 6 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $18.40 – $48.21 | 6 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $47.29 | 6 |
| Mayo myoglobin CPT 83874 | not published | not published | $12.92 – $33.85 | 6 |
| Mayo nickel CPT 83885 | not published | not published | $24.51 – $64.22 | 6 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $21.21 – $55.57 | 6 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $43.10 | 6 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $14.45 – $37.86 | 6 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $30.21 | 6 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $15.03 – $39.38 | 6 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $12.05 – $31.57 | 6 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $35.09 – $91.94 | 6 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $17.98 – $47.11 | 6 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $207.48 | $207.48 | $13.76 – $36.05 | 6 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $8.44 – $22.11 | 6 |
| Mayo pregnenolone CPT 84140 | not published | not published | $20.67 – $54.16 | 6 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.59 – $43.47 | 6 |
| Mayo proinsulin CPT 84206 | not published | not published | $26.69 – $69.93 | 6 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $18.39 – $48.18 | 6 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $18.40 – $48.21 | 6 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $35.00 | 6 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $36.57 – $95.81 | 6 |
| Mayo renin CPT 84244 | not published | not published | $21.99 – $57.61 | 6 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $17.83 – $46.71 | 6 |
| Mayo selenium CPT 84255 | not published | not published | $25.53 – $66.89 | 6 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $40.61 | 6 |
| Mayo serotonin CPT 84260 | $655.61 | $655.61 | $30.98 – $81.17 | 6 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $19.35 – $50.70 | 6 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $13.73 – $35.97 | 6 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $241.12 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $109.59 | $109.59 | $4.27 – $11.19 | 6 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $337.77 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $547.37 | 6 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $25.47 – $66.73 | 6 |
| Mayo tgrp testosterone total CPT 84403 | not published | not published | $25.81 – $67.62 | 6 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $58.09 | 6 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $16.06 – $42.08 | 6 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $10.18 – $26.67 | 6 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $12.39 – $32.46 | 6 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $134.35 | 6 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $37.10 | 6 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $35.47 | 6 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $35.33 – $92.56 | 6 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $20.24 – $53.03 | 6 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $44.70 | 6 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $35.95 | 6 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $13.25 – $34.72 | 6 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $102.99 | 6 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $32.86 – $32.86 | 1 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $420.79 – $1,102.47 | 6 |
| #mec-opiates CPT 80356 | not published | not published | $0.02 – $0.02 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $393.00 | 6 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,383.02 | 6 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $314.40 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $337.98 | $337.98 | $8.46 – $22.17 | 6 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $432.76 | $432.76 | $10.56 – $27.67 | 6 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $35.97 | 6 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $5,044.10 | 6 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $428.55 – $1,122.80 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $101.05 | 6 |
| Methylphenidate CPT 80360 | not published | not published | $0.02 – $0.02 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $238.84 | 6 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $326.56 | 6 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $16.32 | 6 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $105.25 | 6 |
| Microdissection laser CPT 88380 | not published | not published | $97.14 – $97.14 | 1 |
| Microdissection manual CPT 88381 | not published | not published | $247.11 – $247.11 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $58.90 | 6 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,634.16 – $14,761.50 | 6 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $913.23 | 6 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $93.29 – $93.29 | 1 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $1,711.44 | 6 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $8,708.88 | 6 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $503.88 | 6 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $530.29 | 6 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,769.55 | 6 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $867.22 | 6 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $20.05 – $52.53 | 6 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.32 – $13.94 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $90.80 – $90.80 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $26.85 – $70.35 | 6 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $804.84 – $2,108.68 | 6 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $98.85 | 6 |
| Molded inner boot HCPCS L2280 | not published | not published | $520.33 – $1,363.26 | 6 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,480.09 – $9,117.84 | 6 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,069.47 – $13,282.01 | 6 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,872.71 – $4,906.50 | 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.