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 |
|---|---|---|---|---|
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $584.00 – $584.00 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | not published | not published | $584.00 – $584.00 | 1 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | not published | not published | $584.00 – $584.00 | 1 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | not published | not published | $761.00 – $761.00 | 1 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | not published | not published | $761.00 – $761.00 | 1 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | not published | not published | $761.00 – $761.00 | 1 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | not published | not published | $761.00 – $761.00 | 1 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | not published | not published | $761.00 – $761.00 | 1 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | not published | not published | $761.00 – $761.00 | 1 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $31.35 – $82.14 | 6 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $34.56 | 6 |
| Nerve teasing preparations CPT 88362 | not published | not published | $147.26 – $147.26 | 1 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $110.38 | 6 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $208.58 | 6 |
| Neutron beam tx complex CPT 77423 | not published | not published | $155.72 – $155.72 | 1 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $257.45 – $674.52 | 6 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $689.03 | 6 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $24.56 – $64.35 | 6 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $42.84 – $112.24 | 6 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.61 – $35.66 | 6 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $1,619.56 – $1,619.56 | 1 |
| Nm imaging bone/joint 3 phase study CPT 78315 | not published | not published | $471.50 – $471.50 | 1 |
| Nm imaging bone/joint whole body CPT 78306 | not published | not published | $405.27 – $405.27 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | not published | not published | $287.49 – $287.49 | 1 |
| Nm imaging gastric emptying study CPT 78264 | not published | not published | $464.18 – $464.18 | 1 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | not published | not published | $477.13 – $477.13 | 1 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | not published | not published | $625.95 – $625.95 | 1 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | not published | not published | $197.04 – $197.04 | 1 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | not published | not published | $446.13 – $446.13 | 1 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | not published | not published | $340.45 – $340.45 | 1 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $84.56 – $84.56 | 1 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $3,426.30 – $8,976.91 | 6 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $4,304.46 – $11,277.69 | 6 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $294.25 – $294.25 | 1 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $77.77 – $203.76 | 6 |
| Non-imaging heart function CPT 78414 | not published | not published | $81.00 – $81.00 | 1 |
| Non-molded lacer HCPCS L2320 | not published | not published | $257.98 – $675.91 | 6 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.05 – $0.13 | 6 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,143.60 – $5,616.23 | 6 |
| Npm1 gene CPT 81310 | not published | not published | $246.52 – $645.88 | 6 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $22.99 – $60.23 | 6 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $34.34 – $89.97 | 6 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $12.34 – $32.33 | 6 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $774.97 | 6 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $17,803.00 – $17,803.00 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $543.15 | 6 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $543.15 | 6 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $543.15 | 6 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,357.89 | 6 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $254.80 – $254.80 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $57.06 | 6 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $144.23 – $144.23 | 1 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $67.66 – $67.66 | 1 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $89.65 – $89.65 | 1 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $87.96 – $87.96 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | not published | not published | $627.38 – $627.38 | 1 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $69.43 – $69.43 | 1 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $527.81 – $1,382.86 | 6 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $763.36 | 6 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $196.13 | 6 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $125.26 | 6 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $104.55 – $104.55 | 1 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $47.64 – $47.64 | 1 |
| Offset knee joint each HCPCS L2390 | not published | not published | $125.79 – $329.57 | 6 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $239.73 – $628.09 | 6 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $6,576.75 | 6 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $18,845.66 | 6 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $8,163.92 | 6 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,333.24 | 6 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,518.19 | 6 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $465.21 | 6 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $7,522.02 | 6 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $1,991.20 | 6 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,362.40 | 6 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $9,825.00 | 6 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $2,350.14 | 6 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $682.51 | 6 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $168.75 | 6 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $168.75 | 6 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $5,318.60 | 6 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $10,147.26 | 6 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $9,432.00 | 6 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $20,373.12 | 6 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $12.85 – $12.85 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $57.96 – $151.86 | 6 |
| Oocyte identification CPT 89254 | not published | not published | $610.67 – $610.67 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $51.02 – $51.02 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $72.99 – $72.99 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $35.81 – $35.81 | 1 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.02 – $0.02 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $62.05 – $62.05 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $31.39 | 6 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $61.83 | 6 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.95 – $78.47 | 6 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $324.71 – $850.74 | 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.