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 |
|---|---|---|---|---|
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $24.34 | 6 |
| Urine pregnancy test CPT 81025 | $164.72 | $164.72 | $8.61 – $22.56 | 6 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $78.55 | 6 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.82 – $24.47 | 6 |
| Urography, antegrade CPT 74425 | not published | not published | $194.71 – $194.71 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $202.06 – $202.06 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $110.75 – $110.75 | 1 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,245.81 – $5,884.02 | 6 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $60.62 – $158.82 | 6 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $579.49 – $1,518.26 | 6 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $227.49 – $596.02 | 6 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,170.85 – $13,547.63 | 6 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,689.55 – $4,426.62 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $261.17 | $261.17 | $13.54 – $35.47 | 6 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $13.54 – $35.47 | 6 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $91.94 | 6 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.86 – $2.25 | 6 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.88 – $33.75 | 6 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $61.71 – $161.68 | 6 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $125.98 – $125.98 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $125.41 – $125.41 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $114.69 – $114.69 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $122.04 – $122.04 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $120.35 – $120.35 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $121.47 – $121.47 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $122.60 – $122.60 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $172.75 – $172.75 | 1 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $125.98 – $125.98 | 1 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $4,760.60 – $4,760.60 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.34 – $29.71 | 6 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $110.75 – $110.75 | 1 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $102.86 – $102.86 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $131.61 – $131.61 | 1 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $227.74 – $227.74 | 1 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $258.18 – $258.18 | 1 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.75 – $51.75 | 6 |
| Vest large holster HCPCS Q0498 | not published | not published | $635.84 – $1,665.90 | 6 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $61.99 – $162.41 | 6 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $45.82 | 6 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $20.20 – $52.92 | 6 |
| Vitamin b-12 CPT 82607 | $118.89 | $118.89 | $15.08 – $39.51 | 6 |
| Vitamin D Test CPT 82306 | $1,575.18 | $1,575.18 | $29.60 – $77.55 | 6 |
| Vkorc1 gene CPT 81355 | not published | not published | $88.20 – $231.08 | 6 |
| Voice amplifier HCPCS L8510 | not published | not published | $312.83 – $819.61 | 6 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $42.91 – $42.91 | 1 |
| Volume measurement urine timed CPT 81050 | not published | not published | $3.64 – $9.54 | 6 |
| Waist belt HCPCS L2190 | not published | not published | $115.04 – $301.40 | 6 |
| Warde 1003990 aldosterone CPT 82088 | not published | not published | $40.75 – $106.77 | 6 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | not published | not published | $27.80 – $72.84 | 6 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | not published | not published | $12.90 – $33.80 | 6 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | not published | not published | $25.25 – $66.16 | 6 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | not published | not published | $15.50 – $40.61 | 6 |
| Warde 1015200 kappa light chain free CPT 83521 | not published | not published | $17.27 – $45.25 | 6 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | not published | not published | $8.02 – $21.01 | 6 |
| Warde 3008005 oligoclonal bands CPT 83916 | not published | not published | $27.39 – $71.76 | 6 |
| Warde 3016000 west nile virus antibody CPT 86788 | not published | not published | $16.85 – $44.15 | 6 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | not published | not published | $14.39 – $37.70 | 6 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | not published | not published | $12.25 – $32.09 | 6 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | not published | not published | $8.90 – $23.32 | 6 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | not published | not published | $17.98 – $47.11 | 6 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $142.63 – $373.69 | 6 |
| Warde 3400852 arsenic CPT 82175 | not published | not published | $18.97 – $49.70 | 6 |
| Warde 3708165 mercury urine CPT 83825 | not published | not published | $16.26 – $42.60 | 6 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | not published | not published | $18.40 – $48.21 | 6 |
| Warde actin (smooth muscle) antibody each CPT 86015 | not published | not published | $12.05 – $31.57 | 6 |
| Warde adenosine deaminase pleural fluid CPT 84311 | not published | not published | $8.10 – $21.22 | 6 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | not published | not published | $38.62 – $101.18 | 6 |
| Warde aldolase CPT 82085 | not published | not published | $9.71 – $25.44 | 6 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | not published | not published | $16.87 – $44.20 | 6 |
| Warde amiodarone therapeutic drug level CPT 80151 | not published | not published | $18.64 – $48.84 | 6 |
| Warde analysis gene hfe common variants CPT 81256 | not published | not published | $65.36 – $171.24 | 6 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | not published | not published | $163.96 – $429.58 | 6 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | not published | not published | $0.02 – $0.02 | 1 |
| Warde anti-mullerian hormone CPT 82166 | not published | not published | $38.62 – $101.18 | 6 |
| Warde apolipoprotein b CPT 82172 | not published | not published | $21.09 – $55.26 | 6 |
| Warde bile acids CPT 82239 | not published | not published | $17.12 – $44.85 | 6 |
| Warde cadmium blood CPT 82300 | not published | not published | $23.64 – $61.94 | 6 |
| Warde calcitonin CPT 82308 | not published | not published | $26.79 – $70.19 | 6 |
| Warde calculus (stone) infrared CPT 82365 | not published | not published | $12.90 – $33.80 | 6 |
| Warde clozapine therapeutic drug level CPT 80159 | $659.46 | $659.46 | $20.15 – $52.79 | 6 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | not published | not published | $21.96 – $57.54 | 6 |
| Warde collagen cross links c-telopeptide CPT 82523 | not published | not published | $18.68 – $48.94 | 6 |
| Warde complement total hemolytic CPT 86162 | not published | not published | $20.32 – $53.24 | 6 |
| Warde copper CPT 82525 | not published | not published | $12.41 – $32.51 | 6 |
| Warde cryoglobulin CPT 82595 | not published | not published | $6.47 – $16.95 | 6 |
| Warde erythropoietin CPT 82668 | not published | not published | $18.79 – $49.23 | 6 |
| Warde estrogen fractionated CPT 82671 | not published | not published | $32.30 – $84.63 | 6 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | not published | not published | $12.09 – $31.68 | 6 |
| Warde folic acid rbc CPT 82747 | not published | not published | $17.65 – $46.24 | 6 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | not published | not published | $9.70 – $25.41 | 6 |
| Warde gastrin CPT 82941 | not published | not published | $17.63 – $46.19 | 6 |
| Warde growth hormone (hgh) CPT 83003 | not published | not published | $16.67 – $43.68 | 6 |
| Warde haloperidol therapeutic drug level CPT 80173 | not published | not published | $15.78 – $41.34 | 6 |
| Warde helminth antibody strongyloides igg CPT 86682 | not published | not published | $13.01 – $34.09 | 6 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | not published | not published | $12.87 – $33.72 | 6 |
| Warde hepatitis a antibody CPT 86708 | not published | not published | $12.39 – $32.46 | 6 |
| Warde hepatitis be antibody CPT 86707 | not published | not published | $11.57 – $30.31 | 6 |
| Warde hepatitis delta agent antibody CPT 86692 | not published | not published | $17.16 – $44.96 | 6 |
| Warde immunofixation electrophoresis urine CPT 86335 | not published | not published | $29.35 – $76.90 | 6 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | not published | not published | $11.53 – $30.21 | 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.