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 |
|---|---|---|---|---|
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,333.68 – $13,974.24 | 6 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.13 – $5.13 | 1 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $362.18 – $948.91 | 6 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $435.18 – $1,140.17 | 6 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,210.20 – $60,810.72 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $167.58 | 6 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $393.86 | 6 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $720.05 | 6 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $789.54 | 6 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $741.15 | 6 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,217.23 | 6 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $5,240.00 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $376.45 – $376.45 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $102.31 – $102.31 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $105.47 – $105.47 | 1 |
| Mouth piece HCPCS A4617 | not published | not published | $4.42 – $11.58 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $58.26 – $58.26 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $453.91 – $453.91 | 1 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $110.43 – $110.43 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $79.27 – $79.27 | 1 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $393.86 | 6 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $52.53 | 6 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $792.86 | 6 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $761.00 – $761.00 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $761.00 – $761.00 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $761.00 – $761.00 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $761.00 – $761.00 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $761.00 – $761.00 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $761.00 – $761.00 | 1 |
| Mr elastography CPT 76391 | not published | not published | $761.00 – $761.00 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $761.00 – $761.00 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $761.00 – $761.00 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $761.00 – $761.00 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $761.00 – $761.00 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $761.00 – $761.00 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $761.00 – $761.00 | 1 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $761.00 – $761.00 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $761.00 – $761.00 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $761.00 – $761.00 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $761.00 – $761.00 | 1 |
| MRI chest without contrast CPT 71550 | not published | not published | $761.00 – $761.00 | 1 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $761.00 – $761.00 | 1 |
| MRI chest w IV cont CPT 71551 | not published | not published | $761.00 – $761.00 | 1 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,866.53 – $4,890.31 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $761.00 – $761.00 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $761.00 – $761.00 | 1 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $761.00 – $761.00 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $761.00 – $761.00 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $761.00 – $761.00 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $761.00 – $761.00 | 1 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $761.00 – $761.00 | 1 |
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $761.00 – $761.00 | 1 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $761.00 – $761.00 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $761.00 – $761.00 | 1 |
| MRI tmj CPT 70336 | not published | not published | $761.00 – $761.00 | 1 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $761.00 – $761.00 | 1 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $761.00 – $761.00 | 1 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $761.00 – $761.00 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $761.00 – $761.00 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $558.85 | 6 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $1,000.05 | 6 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $884.85 | 6 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $623.56 | 6 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,681.65 | 6 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $806.96 | 6 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $171.19 | 6 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $70.43 | 6 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $112.24 | 6 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $15.35 | 6 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $74.67 | 6 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $39.30 | 6 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,294.90 – $11,252.64 | 6 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $818.99 – $2,145.75 | 6 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $55.16 – $144.52 | 6 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $36.96 – $96.84 | 6 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $669.92 – $1,755.19 | 6 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.01 – $1,951.93 | 6 |
| Multiple sleep latency test CPT 95805 | not published | not published | $847.86 – $847.86 | 1 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,904.35 – $10,229.40 | 6 |
| Mumps antibody igg CPT 86735 | not published | not published | $13.05 – $34.19 | 6 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $126.39 | 6 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $52.53 | 6 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $112.24 | 6 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $13.24 – $34.69 | 6 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $459.55 | 6 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $171.06 – $171.06 | 1 |
| Myelography l-s spine CPT 72265 | not published | not published | $118.66 – $118.66 | 1 |
| Myelography neck spine CPT 72240 | not published | not published | $121.47 – $121.47 | 1 |
| Myelography thoracic spine CPT 72255 | not published | not published | $123.72 – $123.72 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | not published | not published | $11.53 – $30.21 | 6 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,638.38 – $4,292.56 | 6 |
| Natriuretic peptide CPT 83880 | $313.73 | $313.73 | $39.26 – $102.86 | 6 |
| Natural killer cells total count CPT 86357 | not published | not published | $37.73 – $98.85 | 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.