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 |
|---|---|---|---|---|
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $24.73 | 6 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $51.72 | 6 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $96.99 – $254.11 | 6 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $11.19 | 6 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $37.65 – $98.64 | 6 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $1,114.51 – $1,114.51 | 1 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $1,324.51 – $1,324.51 | 1 |
| Ast/sgot CPT 84450 | $180.39 | $180.39 | $5.18 – $13.57 | 6 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $1,772.43 | 6 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $633.78 | 6 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $358.94 | 6 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $41.66 | 6 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $358.94 | 6 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $358.94 | 6 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $358.94 | 6 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $358.94 | 6 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $358.94 | 6 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $358.94 | 6 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $2,202.50 | 6 |
| Autologous blood op salvage CPT 86891 | not published | not published | $184.72 – $184.72 | 1 |
| Autologous blood process CPT 86890 | not published | not published | $130.97 – $130.97 | 1 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $16.95 | 6 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $476.02 – $476.02 | 1 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $460.68 – $460.68 | 1 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $491.37 – $491.37 | 1 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $276.41 – $276.41 | 1 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $276.41 – $276.41 | 1 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $276.41 – $276.41 | 1 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $322.47 – $322.47 | 1 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $337.82 – $337.82 | 1 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $276.41 – $276.41 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $253.36 – $253.36 | 1 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $353.17 – $353.17 | 1 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $226.58 – $593.64 | 6 |
| Baclofen eval charges CPT 97750 | $367.59 | $367.59 | $29.54 – $77.40 | 6 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.54 – $30.23 | 6 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $70.20 – $183.92 | 6 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $39.35 | 6 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $91.94 | 6 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $8.04 – $21.06 | 6 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.35 – $0.92 | 6 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.46 – $9.07 | 6 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $14.07 – $36.86 | 6 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $8.84 – $23.16 | 6 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $7.01 – $18.37 | 6 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $12.48 – $32.70 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $91.94 | 6 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $112.24 | 6 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $876.17 – $2,295.57 | 6 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $354.56 – $928.95 | 6 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,855.88 – $4,862.41 | 6 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,609.77 – $4,217.60 | 6 |
| B cells total count CPT 86355 | not published | not published | $37.73 – $98.85 | 6 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $248.87 | 6 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $11.76 – $30.81 | 6 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $10,594.90 – $27,758.64 | 6 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $3,070.68 – $8,045.18 | 6 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $518.74 – $1,359.10 | 6 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $114.26 – $299.36 | 6 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $870.73 – $2,281.31 | 6 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $776.67 – $2,034.88 | 6 |
| Below knee leather socket HCPCS L5638 | not published | not published | $617.95 – $1,619.03 | 6 |
| Below knee suction socket HCPCS L5647 | not published | not published | $973.84 – $2,551.46 | 6 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $158.53 – $415.35 | 6 |
| Below knee total contact HCPCS L5637 | not published | not published | $471.56 – $1,235.49 | 6 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,372.60 – $3,596.21 | 6 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $9.70 – $25.41 | 6 |
| #_benzodiazconfur CPT 80346 | $230.17 | $230.17 | $0.02 – $0.02 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $25.45 – $66.68 | 6 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $16.18 – $42.39 | 6 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $337.77 | 6 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $337.77 | 6 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $71.74 – $187.95 | 6 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $28.64 – $75.02 | 6 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $44.20 | 6 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $69.64 | 6 |
| Bilicheck CPT 88720 | not published | not published | $5.02 – $13.15 | 6 |
| Bilirubin direct CPT 82248 | $93.87 | $93.87 | $5.02 – $13.15 | 6 |
| Bilirubin total CPT 82247 | not published | not published | $5.02 – $13.15 | 6 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $40.36 – $105.74 | 6 |
| Biofeedback, pt CPT 90901 | not published | not published | $35.89 – $94.02 | 6 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $1,676.09 – $1,676.09 | 1 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $1,332.46 – $1,332.46 | 1 |
| Biotinidase - quest CPT 82261 | not published | not published | $16.87 – $44.20 | 6 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $703.88 – $1,844.17 | 6 |
| Bk back check HCPCS L5686 | not published | not published | $66.14 – $173.29 | 6 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $978.80 – $2,564.46 | 6 |
| Bk fork strap HCPCS L5684 | not published | not published | $65.90 – $172.66 | 6 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $64.81 – $169.80 | 6 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $804.82 – $2,108.63 | 6 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $577.76 – $1,513.73 | 6 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $164.84 – $431.88 | 6 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $442.94 – $1,160.50 | 6 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $3,376.36 – $8,846.06 | 6 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $365.06 – $956.46 | 6 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $781.15 – $2,046.61 | 6 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $399.64 – $1,047.06 | 6 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $132.07 – $346.02 | 6 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $94.01 – $246.31 | 6 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $12.71 – $33.30 | 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.