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 |
|---|---|---|---|---|
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.31 – $543.15 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $5.94 – $15.56 | 6 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $10.53 – $27.58 | 6 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $776.55 – $776.55 | 1 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $545.23 – $545.23 | 1 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $422.81 – $422.81 | 1 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $371.51 – $371.51 | 1 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $127.82 – $127.82 | 1 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $34.43 – $90.21 | 6 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $91.94 | 6 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $37.73 – $98.85 | 6 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $2,291.20 – $2,291.20 | 1 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $31.57 | 6 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $30.21 | 6 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $131.18 | $131.18 | $32.46 – $85.05 | 6 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $15.81 – $41.43 | 6 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $50.31 – $131.81 | 6 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $39.27 – $102.89 | 6 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $39.27 – $102.89 | 6 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $358.94 | 6 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $789.54 | 6 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $485.22 | 6 |
| Artery xray each vessel 7577426 CPT 75774 | not published | not published | $86.53 – $86.53 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | not published | not published | $130.23 – $130.23 | 1 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $162.89 – $162.89 | 1 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $179.28 – $179.28 | 1 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | not published | not published | $116.97 – $116.97 | 1 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | not published | not published | $120.63 – $120.63 | 1 |
| Artery x-rays chest CPT 75756 | not published | not published | $174.18 – $174.18 | 1 |
| Artery x-rays lung CPT 75741 | not published | not published | $119.22 – $119.22 | 1 |
| Artery x-rays lung CPT 75746 | not published | not published | $135.86 – $135.86 | 1 |
| Artery x-rays lungs CPT 75743 | not published | not published | $121.19 – $121.19 | 1 |
| Artery xrays of pelvis 75736 26 CPT 75736 | not published | not published | $149.38 – $149.38 | 1 |
| Artery x-rays spine CPT 75705 | not published | not published | $217.57 – $217.57 | 1 |
| Artificial larynx HCPCS L8500 | not published | not published | $951.76 – $2,493.61 | 6 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $2,448.56 – $6,415.23 | 6 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $123.80 | 6 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $20.02 | 6 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $21.64 | 6 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $76.19 | 6 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $54.10 | 6 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $73.20 | 6 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $18.86 | 6 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $59.34 | 6 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $19.31 | 6 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $133.25 | 6 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $116.23 – $304.52 | 6 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $67.60 | 6 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $66.94 | 6 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $33.41 | 6 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $13.52 | 6 |
| Assay of breath ethanol CPT 82075 | not published | not published | $0.02 – $78.60 | 6 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $47.32 | 6 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $33.20 | 6 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $59.00 | 6 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $34.79 | 6 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $186.62 | 6 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $230.25 | 6 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $68.75 | 6 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $26.02 | 6 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $39.11 – $102.47 | 6 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $44.02 | 6 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $48.57 | 6 |
| Assay of galactose CPT 82760 | not published | not published | $11.20 – $29.34 | 6 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $34.45 | 6 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $56.28 | 6 |
| Assay of glutathione CPT 82978 | not published | not published | $15.45 – $40.48 | 6 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $70.45 | 6 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $23.19 | 6 |
| Assay of interleukin-6 (il-6) CPT 83529 | not published | not published | $17.27 – $45.25 | 6 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $51.93 | 6 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $25.70 | 6 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $101.05 | 6 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $45.04 | 6 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $28.14 | 6 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $16.95 | 6 |
| Assay of osteocalcin CPT 83937 | not published | not published | $29.85 – $78.21 | 6 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $10.43 | 6 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $55.73 | 6 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $55.15 | 6 |
| Assay of procainamide CPT 80190 | not published | not published | $60.00 – $157.20 | 6 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.75 – $43.89 | 6 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $169.99 | 6 |
| Assay of prostaglandin CPT 84150 | not published | not published | $41.77 – $109.44 | 6 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $48.18 | 6 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $30.47 | 6 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $24.73 | 6 |
| Assay of salicylate CPT 80179 | $674.27 | $674.27 | $18.64 – $48.84 | 6 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $45.43 | 6 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $35.21 | 6 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $66.05 | 6 |
| Assay of somatostatin CPT 84307 | not published | not published | $18.28 – $47.89 | 6 |
| Assay of thiocyanate CPT 84430 | not published | not published | $11.63 – $30.47 | 6 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $26.44 | 6 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.63 – $27.85 | 6 |
| Assay of urine sulfate CPT 84392 | not published | not published | $5.49 – $14.38 | 6 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $25.02 | 6 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $15.85 | 6 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $43.28 | 6 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $28.11 | 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.