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 |
|---|---|---|---|---|
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $2.12 – $5.55 | 6 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $36.86 | 6 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $23.06 | 6 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $51.25 | 6 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $35.09 – $91.94 | 6 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $358.94 | 6 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $180.12 – $471.91 | 6 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.28 – $11.21 | 6 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $12.29 | 6 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $11.76 | 6 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $10,172.30 – $26,651.43 | 6 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $558.34 – $1,462.85 | 6 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $130.05 – $340.73 | 6 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $32.46 – $85.05 | 6 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $113.62 – $297.68 | 6 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $21.14 | 6 |
| Cold agglutinin titer CPT 86157 | not published | not published | $8.06 – $21.12 | 6 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $44.14 – $115.65 | 6 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $29.97 – $78.52 | 6 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $29.97 – $78.52 | 6 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $8.81 – $23.08 | 6 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $3.25 – $8.52 | 6 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $536.09 – $1,404.56 | 6 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $30.50 – $79.91 | 6 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $75.05 – $196.63 | 6 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $161.96 – $424.34 | 6 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $124.18 – $325.35 | 6 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $684.43 – $1,793.21 | 6 |
| Collection of venous blood by venipuncture CPT 36415 | $26.47 | $26.47 | $9.34 – $24.47 | 6 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $2,389.17 – $6,259.63 | 6 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $573.92 – $1,503.67 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | not published | not published | $49.23 – $49.23 | 1 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $37.04 – $37.04 | 1 |
| Compatibility test each unit immediate spin technique CPT 86920 | not published | not published | $46.07 – $46.07 | 1 |
| Compatibility test incubate CPT 86921 | not published | not published | $41.55 – $41.55 | 1 |
| Complement antigen each component c3 CPT 86160 | not published | not published | $12.00 – $31.44 | 6 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $26.23 | 6 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $817.68 – $2,142.32 | 6 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $8.86 – $23.21 | 6 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $4.80 – $12.58 | 6 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $39.07 – $102.36 | 6 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $584.00 – $584.00 | 1 |
| Concentration infection agents any type CPT 87015 | not published | not published | $6.68 – $17.50 | 6 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.40 – $1.05 | 6 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.55 – $1.44 | 6 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.97 – $2.54 | 6 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $12.97 | 6 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $368.50 – $965.47 | 6 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $45.58 – $45.58 | 1 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $42.70 – $42.70 | 1 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | not published | not published | $31.86 – $31.86 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | not published | not published | $53.98 – $53.98 | 1 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $35.47 – $35.47 | 1 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $107.63 – $107.63 | 1 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $174.14 – $174.14 | 1 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $10.47 – $27.43 | 6 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $670.24 – $1,756.03 | 6 |
| Contrast baths charges CPT 97034 | not published | not published | $13.95 – $36.55 | 6 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $102.30 – $102.30 | 1 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $278.43 – $278.43 | 1 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $114.43 – $114.43 | 1 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $123.72 – $123.72 | 1 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $180.07 – $180.07 | 1 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $69.58 – $69.58 | 1 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $193.02 – $193.02 | 1 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $145.69 – $145.69 | 1 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $180.63 – $180.63 | 1 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $204.31 – $204.31 | 1 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $186.83 – $186.83 | 1 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $17,988.00 – $47,128.56 | 6 |
| Coombs direct CPT 86880 | not published | not published | $5.39 – $14.12 | 6 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.72 – $14.99 | 6 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $5.18 – $13.57 | 6 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,751.00 | 6 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $8,065.55 – $21,131.74 | 6 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $76.79 – $76.79 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $32.62 – $85.46 | 6 |
| Cortisol total am CPT 82533 | not published | not published | $16.30 – $42.71 | 6 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $23.93 – $62.70 | 6 |
| Covers for upright each HCPCS L1120 | not published | not published | $53.66 – $140.59 | 6 |
| Cover wrist HCPCS L3984 | not published | not published | $406.39 – $1,064.74 | 6 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $134.43 | 6 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $70.20 – $183.92 | 6 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $13.03 – $34.14 | 6 |
| C-peptide CPT 84681 | not published | not published | $20.81 – $54.52 | 6 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $823.50 – $823.50 | 1 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $1,729.24 – $4,530.61 | 6 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $352.36 – $923.18 | 6 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $484.45 – $484.45 | 1 |
| C-reactive protein CPT 86140 | $291.45 | $291.45 | $5.18 – $13.57 | 6 |
| C-reactive protein high sensitivity CPT 86141 | not published | not published | $12.95 – $33.93 | 6 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.64 – $27.88 | 6 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $31.10 | 6 |
| Creatine kinase CPT 82550 | $90.00 | $90.00 | $6.51 – $17.06 | 6 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $13.39 – $35.08 | 6 |
| Creatine kinase mb CPT 82553 | not published | not published | $11.55 – $30.26 | 6 |
| Creatine - sendout CPT 82540 | not published | not published | $4.64 – $12.16 | 6 |
| Creatinine CPT 82565 | $143.96 | $143.96 | $5.12 – $13.41 | 6 |
| Creatinine 24 hour urine CPT 82570 | $116.01 | $116.01 | $5.18 – $13.57 | 6 |
| Creatinine clearance urine CPT 82575 | not published | not published | $9.46 – $24.79 | 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.