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 |
|---|---|---|---|---|
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $3.82 – $24.47 | 6 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $26.40 – $69.17 | 6 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $18.33 – $48.02 | 6 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.87 – $7.52 | 6 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $9.11 – $23.87 | 6 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $23.72 – $62.15 | 6 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $2.58 – $6.76 | 6 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $16.83 – $44.09 | 6 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $45.25 – $118.56 | 6 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $365.77 – $365.77 | 1 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $3.76 – $9.85 | 6 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $36.03 – $94.40 | 6 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $36.65 – $96.02 | 6 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $25.70 – $67.33 | 6 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.77 – $20.36 | 6 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.47 – $16.95 | 6 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $47.16 | 6 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $543.15 | 6 |
| Cdna analysis for variants CPT 81403 | not published | not published | $185.20 – $485.22 | 6 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $633.78 | 6 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $248.22 | 6 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $285.92 | 6 |
| Cell count body fluid CPT 89050 | not published | not published | $4.72 – $12.37 | 6 |
| Cell count w differential body fluid CPT 89051 | not published | not published | $5.60 – $14.67 | 6 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $34.24 | 6 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $657.04 | 6 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $44.22 – $44.22 | 1 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $355.95 | 6 |
| Cell marker study CPT 88182 | not published | not published | $143.67 – $143.67 | 1 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $12.97 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $470.37 – $470.37 | 1 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $473.00 – $1,239.26 | 6 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $612.51 – $1,604.78 | 6 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $786.01 – $2,059.35 | 6 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $239.97 – $628.72 | 6 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,458.29 | 6 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $1,139.88 | 6 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $442.13 | 6 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $254.72 | 6 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $233.80 – $612.56 | 6 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $77.21 – $77.21 | 1 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $41.89 | 6 |
| Chest 2 vws w oblique CPT 71048 | not published | not published | $52.71 – $52.71 | 1 |
| Chest apical lordotic proj CPT 71047 | not published | not published | $49.33 – $49.33 | 1 |
| Chest CT scan (with and without contrast) CPT 71270 | not published | not published | $584.00 – $584.00 | 1 |
| Chest CT scan (with contrast) CPT 71260 | not published | not published | $584.00 – $584.00 | 1 |
| Chest CT scan (without contrast) CPT 71250 | not published | not published | $584.00 – $584.00 | 1 |
| Chest X-ray CPT 71046 | $569.20 | $569.20 | $38.63 – $38.63 | 1 |
| Chest X-ray (single view) CPT 71045 | $321.81 | $321.81 | $28.47 – $28.47 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $134.99 – $134.99 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $543.55 | 6 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $683.27 | 6 |
| Chlamydia culture CPT 87110 | not published | not published | $19.60 – $51.35 | 6 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $31.39 | 6 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $14.59 | 6 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $52.53 | 6 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $112.24 | 6 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $30.77 – $30.77 | 1 |
| Chloride CPT 82435 | $123.34 | $123.34 | $4.60 – $12.05 | 6 |
| Chloride 24 hour urine CPT 82436 | not published | not published | $5.75 – $15.07 | 6 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $39.53 – $39.53 | 1 |
| Cholesterol CPT 82465 | $128.17 | $128.17 | $4.35 – $11.40 | 6 |
| Cholesterol (Lipid) Test CPT 80061 | $318.61 | $318.61 | $13.39 – $35.08 | 6 |
| Choline c-11 HCPCS A9515 | not published | not published | $12,288.00 – $12,288.00 | 1 |
| Cholinesterase CPT 82480 | $195.05 | $195.05 | $7.87 – $20.62 | 6 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $91.20 | 6 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $102.18 | 6 |
| Chromatography CPT 83021 | not published | not published | $18.06 – $47.32 | 6 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $31.15 | 6 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $149.44 | 6 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $454.99 | 6 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $453.71 | 6 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $125.49 – $328.78 | 6 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $453.71 | 6 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $393.76 | 6 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $692.57 | 6 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $453.71 | 6 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $494.05 | 6 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $179.73 | 6 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $70.50 | 6 |
| Chromosome karyotype study CPT 88280 | not published | not published | $33.47 – $87.69 | 6 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $90.21 | 6 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $32.65 | 6 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $61.50 – $161.13 | 6 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,531.43 – $4,012.35 | 6 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $8,640.87 – $22,639.08 | 6 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $221.65 – $580.72 | 6 |
| Cine/video x-rays CPT 76120 | not published | not published | $163.74 – $163.74 | 1 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $46.85 – $46.85 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $863.32 | 6 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $315.67 – $827.06 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $41.92 | 6 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $49.60 | 6 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $53.50 | 6 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $49.60 | 6 |
| Clot factor xii hageman CPT 85280 | not published | not published | $19.35 – $50.70 | 6 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $9.11 – $23.87 | 6 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $42.81 | 6 |
| Clotting assay whole blood CPT 85396 | not published | not published | $25.27 – $25.27 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.56 – $6.71 | 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.