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 |
|---|---|---|---|---|
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | not published | not published | $257.45 – $674.52 | 6 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | not published | not published | $23.57 – $61.75 | 6 |
| Warde lipoprotein (a) CPT 83695 | not published | not published | $14.32 – $37.52 | 6 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $46.31 – $121.33 | 6 |
| Warde mitochondrial antibody each CPT 86381 | not published | not published | $25.45 – $66.68 | 6 |
| Warde neutralization rabies CPT 86382 | not published | not published | $16.91 – $44.30 | 6 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | not published | not published | $13.25 – $34.72 | 6 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | not published | not published | $22.97 – $60.18 | 6 |
| Warde protein c antigen CPT 85302 | not published | not published | $12.01 – $31.47 | 6 |
| Warde sex hormone binding globulin CPT 84270 | not published | not published | $21.73 – $56.93 | 6 |
| Warde somatomedin CPT 84305 | not published | not published | $21.26 – $55.70 | 6 |
| Warde sugars single qualitative each specimen stool CPT 84376 | not published | not published | $5.50 – $14.41 | 6 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $651.68 | $651.68 | $15.76 – $41.29 | 6 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | not published | not published | $50.86 – $133.25 | 6 |
| Warde topiramate therapeutic drug level CPT 80201 | not published | not published | $11.92 – $31.23 | 6 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | not published | not published | $26.07 – $68.30 | 6 |
| Warde viscosity CPT 85810 | not published | not published | $11.67 – $30.58 | 6 |
| Warde vitamin a CPT 84590 | not published | not published | $11.61 – $30.42 | 6 |
| Warde vitamin b-1 (thiamine) CPT 84425 | not published | not published | $21.23 – $55.62 | 6 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | not published | not published | $28.10 – $73.62 | 6 |
| Warde vitamin c (ascorbic acid) CPT 82180 | not published | not published | $9.89 – $25.91 | 6 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | not published | not published | $38.50 – $100.87 | 6 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | not published | not published | $14.18 – $37.15 | 6 |
| Warde zinc CPT 84630 | not published | not published | $11.39 – $29.84 | 6 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $120.72 – $316.29 | 6 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.38 – $1.00 | 6 |
| Wbc automated CPT 85048 | $136.43 | $136.43 | $2.54 – $6.65 | 6 |
| Western blot test CPT 84181 | not published | not published | $17.03 – $44.62 | 6 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.54 – $48.57 | 6 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $3,292.96 – $8,627.56 | 6 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $230.98 – $605.17 | 6 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $510.77 – $1,338.22 | 6 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $57.81 – $57.81 | 1 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $291.65 – $291.65 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $429.38 – $429.38 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $3,371.94 | 6 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $2,452.32 | 6 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $597.72 – $1,566.03 | 6 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $597.72 – $1,566.03 | 6 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.35 – $0.92 | 6 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $67.57 – $177.03 | 6 |
| Wound pouch each HCPCS A6154 | not published | not published | $19.86 – $52.03 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $362.34 – $949.33 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $391.29 – $1,025.18 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | not published | not published | $41.87 – $109.70 | 6 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | not published | not published | $50.14 – $131.37 | 6 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,011.74 – $5,270.76 | 6 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,865.69 – $4,888.11 | 6 |
| Wrist X-ray CPT 73110 | not published | not published | $54.40 – $54.40 | 1 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,817.16 – $7,380.96 | 6 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $626.94 – $626.94 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $2,394.68 | 6 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $2,394.68 | 6 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $24.83 – $24.83 | 1 |
| X-ray abdomen 1 view CPT 74018 | $454.90 | $454.90 | $35.81 – $35.81 | 1 |
| X-ray abdomen 2 views CPT 74019 | $569.20 | $569.20 | $43.14 – $43.14 | 1 |
| X-ray abdomen >=3 views CPT 74021 | $683.51 | $683.51 | $51.02 – $51.02 | 1 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | not published | not published | $58.34 – $58.34 | 1 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | not published | not published | $32.41 – $32.41 | 1 |
| X-ray ankle 2 views (both sides) CPT 73600 | not published | not published | $40.88 – $40.88 | 1 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $178.94 – $178.94 | 1 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $32.80 | 6 |
| X-ray bone age studies CPT 77072 | not published | not published | $28.47 – $28.47 | 1 |
| X-ray bone length studies CPT 77073 | not published | not published | $53.84 – $53.84 | 1 |
| X-ray bone survey complete CPT 77075 | not published | not published | $123.16 – $123.16 | 1 |
| X-ray bone survey infant CPT 77076 | not published | not published | $124.29 – $124.29 | 1 |
| X-ray cervical spine 2-3 views CPT 72040 | $532.81 | $532.81 | $48.20 – $48.20 | 1 |
| X-ray cervical spine 4-5 views CPT 72050 | not published | not published | $67.35 – $67.35 | 1 |
| X-ray cervical spine >= 6 views CPT 72052 | not published | not published | $80.33 – $80.33 | 1 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $40.32 – $40.32 | 1 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | not published | not published | $184.01 – $184.01 | 1 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | not published | not published | $283.78 – $283.78 | 1 |
| X-ray consultation CPT 76140 | not published | not published | $162.51 – $162.51 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $35.25 – $35.25 | 1 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $40.32 – $40.32 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | not published | not published | $121.47 – $121.47 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $103.42 – $103.42 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $132.17 – $132.17 | 1 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $40.32 – $40.32 | 1 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $58.91 – $58.91 | 1 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $35.25 – $35.25 | 1 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $43.70 – $43.70 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $101.17 – $101.17 | 1 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $50.46 – $50.46 | 1 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $74.70 – $74.70 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $180.63 – $180.63 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $382.39 – $382.39 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $49.89 – $49.89 | 1 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $40.32 – $40.32 | 1 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $382.39 – $382.39 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $12.70 – $12.70 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $51.02 – $51.02 | 1 |
| X-ray exam si joints CPT 72200 | $584.37 | $584.37 | $41.45 – $41.45 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $54.96 – $54.96 | 1 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $39.76 – $39.76 | 1 |
| X-ray facial bones complete > 3 views CPT 70150 | $426.06 | $426.06 | $58.91 – $58.91 | 1 |
| X-ray fallopian tube CPT 74742 | not published | not published | $89.19 – $89.19 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $44.26 – $44.26 | 1 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $51.58 – $51.58 | 1 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $34.69 – $34.69 | 1 |
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.