Supplies, drugs & other prices at Medical City Alliance
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
55 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $8,861.30 | $8,861.30 | 11.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $8,861.30 | $8,861.30 | 11.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $6,427.62 | $6,427.62 | 18.3× |
| Adm tocilizu covid-19 1st (M0249) | $760.69 | $760.69 | 1.7× |
| Adm tocilizu covid-19 2nd (M0250) | $760.69 | $760.69 | 1.7× |
| Admin hepatitis b vaccine (G0010) | $227.13 | $227.13 | 4.8× |
| Admin influenza virus vac (G0008) | $140.39 | $140.39 | 3.0× |
| Admin pneumococcal vaccine (G0009) | $140.39 | $140.39 | 3.0× |
| Colon ca scrn not hi rsk ind (G0121) | $3,658.14 | $3,658.14 | 3.9× |
| Colorectal scrn; hi risk ind (G0105) | $7,112.47 | $7,112.47 | 7.6× |
| Direct refer hospital observ (G0379) | $1,218.17 | $1,218.17 | 2.0× |
| Drug test def 1-7 classes (G0480) | $1,311.78 | $1,311.78 | 11.5× |
| Drug test def 15-21 classes (G0482) | $1,443.81 | $1,443.81 | 7.3× |
| Drug test def 22+ classes (G0483) | $1,584.42 | $1,584.42 | 6.4× |
| Drug test def 8-14 classes (G0481) | $1,742.17 | $1,742.17 | 11.1× |
| Elec stim other than wound (G0283) | $461.63 | $461.63 | 36.4× |
| Elec stim unattend for press (G0281) | $461.63 | $461.63 | 39.5× |
| Lev 1 hosp type b ed visit (G0380) | $1,478.97 | $1,478.97 | 19.8× |
| Lev 2 hosp type b ed visit (G0381) | $1,782.77 | $1,782.77 | 19.1× |
| Lev 3 hosp type b ed visit (G0382) | $3,386.92 | $3,386.92 | 19.6× |
| Lev 4 hosp type b ed visit (G0383) | $5,349.97 | $5,349.97 | 20.1× |
| Lev 5 hosp type b ed visit (G0384) | $7,728.68 | $7,728.68 | 18.7× |
| Mra w/cont, abd (C8900) | $7,181.77 | $7,181.77 | 20.5× |
| Mra w/cont, chest (C8909) | $7,181.77 | $7,181.77 | 20.5× |
| Mra w/cont, lwr ext (C8912) | $9,156.67 | $9,156.67 | 26.1× |
| Mra w/o cont, abd (C8901) | $5,641.37 | $5,641.37 | 23.5× |
| Mra w/o cont, chest (C8910) | $7,038.76 | $7,038.76 | 29.3× |
| Mra w/o cont, lwr ext (C8913) | $5,683.59 | $5,683.59 | 23.7× |
| Mra w/o fol w/cont, abd (C8902) | $7,147.72 | $7,147.72 | 20.4× |
| Mra w/o fol w/cont, chest (C8911) | $6,961.13 | $6,961.13 | 19.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $8,842.05 | $8,842.05 | 25.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $4,234.42 | $4,234.42 | 12.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $4,234.42 | $4,234.42 | 12.1× |
| Mri w/cont, breast, uni (C8903) | $1,675.24 | $1,675.24 | 9.5× |
| Mri w/o fol w/cont, breast, (C8908) | $5,712.19 | $5,712.19 | 16.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,503.80 | $5,503.80 | 15.7× |
| Pathogen test for platelets (P9100) | $395.35 | $395.35 | 6.7× |
| Perc d-e cor revasc chro sin (C9607) range across 11 matching MRF lines |
$48,833.15–$65,479.38 | $48,833.15–$65,479.38 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 11 matching MRF lines |
$48,833.15–$70,785.29 | $48,833.15–$70,785.29 | varies |
| Perc d-e cor stent ather s (C9602) range across 11 matching MRF lines |
$44,056.09–$48,461.70 | $44,056.09–$48,461.70 | varies |
| Perc drug-el cor stent sing (C9600) range across 11 matching MRF lines |
$48,833.15–$65,477.58 | $48,833.15–$65,477.58 | varies |
| Psa screening (G0103) | $1,207.17 | $1,207.17 | 62.5× |
| Revasc intra lithotrip-ather (C9766) range across 4 matching MRF lines |
$83,215.17–$124,822.76 | $83,215.17–$124,822.76 | varies |
| Revasc intra lithotrip-stent (C9765) range across 4 matching MRF lines |
$76,653.45–$114,980.18 | $76,653.45–$114,980.18 | varies |
| Revasc intravasc lithotripsy (C9764) range across 4 matching MRF lines |
$44,996.71–$67,495.07 | $44,996.71–$67,495.07 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 4 matching MRF lines |
$61,641.91–$92,462.87 | $61,641.91–$92,462.87 | varies |
| Revasc lithotrip-stent-ather (C9767) range across 4 matching MRF lines |
$72,813.27–$109,219.91 | $72,813.27–$109,219.91 | varies |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) range across 2 matching MRF lines |
$19,955.32–$21,950.85 | $19,955.32–$21,950.85 | varies |
| Tomosynthesis, mammo (G0279) | $251.97 | $251.97 | 19.9× |
| Trauma respons w/hosp criti (G0390) | $24,489 | $24,489 | 18.3× |
| Trluml perip athrc abd aorta (0236T) | $100,847.68 | $100,847.68 | 8.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $100,847.68 | $100,847.68 | 8.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $104,283.76 | $104,283.76 | 9.0× |
| Tte w or wo fol wcon,doppler (C8929) | $8,861.30 | $8,861.30 | 11.2× |
| Unsched dialysis esrd pt hos (G0257) | $6,113.12 | $6,113.12 | 8.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.