Visits & medical services prices at Medical City Alliance

Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.

157 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $30,134.65 $30,134.65 3.8×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$379.05–$671.71 $379.05–$671.71 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $371.55 $371.55 25.9×
Application Modality 1/> Areas Infrared (97026) $371.55 $371.55 55.6×
Arrhythmia Induction (93618) $5,555.99 $5,555.99 4.5×
Assessment of aphasia per hr (96105) $969.88 $969.88 10.0×
Biofeedback training any modality (90901) $324.91 $324.91 7.9×
Canalith repositioning proc (95992) $414.99 $414.99 10.2×
Car seat/bed test 60 min (94780) $395.43 $395.43 10.5×
Cardiac Stress Tst,Tracing Only (93017) $6,953.14 $6,953.14 32.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$2,901.05–$3,191.16 $2,901.05–$3,191.16 varies
Cardioversion (92960) $6,750.17 $6,750.17 10.1×
Cardioversion elective internal (92961)
range across 2 matching MRF lines
$3,853.23–$4,238.55 $3,853.23–$4,238.55 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $247.70 $247.70 9.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 3 matching MRF lines
$56,848.06–$62,532.87 $56,848.06–$62,532.87 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 3 matching MRF lines
$49,187.70–$54,106.47 $49,187.70–$54,106.47 varies
Cbt 1st hour (94644) $788.07 $788.07 5.9×
Chest Wall Manipulation (94668) $636.44 $636.44 4.8×
Color/duplex Doppler, complete (93975) $2,096.36 $2,096.36 8.7×
Color/duplex Doppler, limited (93976) $3,612.81 $3,612.81 34.3×
Coronary Art/Grft Angio S&I (93455)
range across 3 matching MRF lines
$43,230.76–$47,553.84 $43,230.76–$47,553.84 varies
Coronary Artery Angio S&I (93454)
range across 3 matching MRF lines
$26,860.66–$29,546.73 $26,860.66–$29,546.73 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $5,690.97 $5,690.97 25.8×
Cpt initial (94667)
range across 2 matching MRF lines
$671.71–$761.62 $671.71–$761.62 varies
Critical care first hour (99291) $11,816.71 $11,816.71 14.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$365.12–$1,154.87 $365.12–$1,154.87 varies
Dialysis One Evaluation (90945) $1,567.34 $1,567.34 3.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $4,146.50 $4,146.50 17.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,096.36 $2,096.36 8.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,397.58 $1,397.58 13.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,096.36 $2,096.36 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,397.58 $1,397.58 13.3×
Duplex Scan Hemodialysis Access (93990) $1,397.58 $1,397.58 13.3×
Duplex up extrem art bilat (93930) $3,295.80 $3,295.80 13.7×
Duplex up extrem art unilat/ltd (93931) $1,397.58 $1,397.58 13.3×
Echo Congenital Complete (93303) $7,277.50 $7,277.50 13.2×
Echo Heart Xthoracic,Limited (93308) $2,928.39 $2,928.39 12.2×
Echo transesophageal (93312) $6,996.63 $6,996.63 12.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $9,453.87 $9,453.87 17.2×
EEG awake and asleep (95819) $3,347.11 $3,347.11 15.4×
EEG awake drowsy (95816) $3,636.55 $3,636.55 16.7×
EEG cerebral death evaluation (95824) $3,493.89 $3,493.89 9.3×
Eeg Sleep Only (95822) $4,255.23 $4,255.23 19.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $7,279.96 $7,279.96 33.5×
EEG w/o vid 2-12hr cont mntr (95707) $9,707.99 $9,707.99 44.7×
EEG w/o vid ea 12-26hr intmt (95709) $9,157.90 $9,157.90 24.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $10,256.70 $10,256.70 27.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $8,609.20 $8,609.20 39.6×
EEG wo vid ea 12-26hr unmntr (95708) $7,828.66 $7,828.66 20.8×
Electrical Stimulation Ea 15 Min (97032) $414.99 $414.99 28.2×
Electrocardiogram Tracing (93005) $1,318.27 $1,318.27 22.2×
Emergency Dept Visit Level 2 (99282) $1,782.77 $1,782.77 11.5×
Emergency Dept Visit Level 3 (99283) $2,857.78 $2,857.78 10.4×
Emergency Dept Visit Level 4 (99284) $3,669.03 $3,669.03 8.7×
Endomyocardial Biopsy (93505)
range across 2 matching MRF lines
$6,212.31–$6,833.54 $6,212.31–$6,833.54 varies
Ep & ablate supravent arrhyt (93653) $79,746.24 $79,746.24 3.0×
Ep & ablate ventric tachy (93654) $111,643.31 $111,643.31 4.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $40,675 $40,675 5.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $38,150.70 $38,150.70 4.9×
Er level 1 (99281) $1,478.97 $1,478.97 17.4×
Er level v (99285) $7,974.05 $7,974.05 13.3×
Evaluate pt use of inhaler (94664) $876.21 $876.21 4.0×
Evaluate Speech Production (92522) $1,357.52 $1,357.52 12.1×
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines
$451.97–$1,793.41 $451.97–$1,793.41 varies
Evaluation of speech fluency (92521) $446.11 $446.11 3.3×
Extracranial Bilat Study (93880) $3,170.30 $3,170.30 13.2×
Extracranial Uni/Ltd Study (93882) $3,612.81 $3,612.81 34.3×
Gi tract capsule endoscopy (91110) $5,809.18 $5,809.18 6.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 3 matching MRF lines
$83,708.72–$92,079.59 $83,708.72–$92,079.59 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,692.74 $1,692.74 2.5×
Immunization administration (90471)
range across 2 matching MRF lines
$140.39–$186.60 $140.39–$186.60 varies
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$10,591.05–$11,650.16 $10,591.05–$11,650.16 varies
Intra-atrial pacing (93610) $22,387.01 $22,387.01 2.9×
Intracranial Complete Study (93886) $3,612.81 $3,612.81 15.0×
Intraventricular pacing (93612) $28,513.19 $28,513.19 3.6×
Iontophoresis 15 min (97033) $451.97 $451.97 23.7×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$191.18–$313.36 $191.18–$313.36 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$1,079.48–$1,104.26 $1,079.48–$1,104.26 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$316.34–$881.92 $316.34–$881.92 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$191.18–$316.34 $191.18–$316.34 varies
IV push initial (96374)
range across 5 matching MRF lines
$526.50–$1,176.94 $526.50–$1,176.94 varies
L Hrt Art/Grft Angio (93459)
range across 3 matching MRF lines
$54,963.45–$60,459.80 $54,963.45–$60,459.80 varies
Low frequency non-thermal us (97610) $710.92 $710.92 3.5×
Lwr Xtr Vasc Stdy Bilat (93924) $2,096.36 $2,096.36 9.6×
Mechanical chest wall oscillation per session (94669) $689.34 $689.34 3.1×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$1,124.30–$1,573.04 $1,124.30–$1,573.04 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $644.97 $644.97 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$310.43–$1,211.13 $310.43–$1,211.13 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$802.63–$1,315.70 $802.63–$1,315.70 varies
Neuromuscular Reeducation (97112) $414.99 $414.99 12.7×
Newborn resuscitation (99465) $3,450.19 $3,450.19 5.2×
Oral Function Therapy (92526)
range across 4 matching MRF lines
$408.55–$1,457.24 $408.55–$1,457.24 varies
Oral Speech Device Eval (92597) $902.33 $902.33 12.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $287.91 $287.91 6.2×
Ot Contrast Bath Ea 15 Min (97034) $318.48 $318.48 22.7×
Ot eval high complexity (97167) $902.33 $902.33 9.0×
Ot Eval Low Complex (97165) $345.81 $345.81 3.4×
Ot Eval Moderate Complexity (97166) $681.98 $681.98 6.8×
Ot manual therapy 15 min (97140) $316.88 $316.88 11.4×
Ot paraffin bath (97018) $397.29 $397.29 66.1×
Ot Prosthetic Training, Each 15 Min (97761) $281.48 $281.48 7.0×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$570.99–$910.38 $570.99–$910.38 varies
Penile Vascular Study,Ltd or F/U (93981) $2,565.30 $2,565.30 24.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,100.13 $1,100.13 5.0×
Perq transcath closure pda (93582)
range across 2 matching MRF lines
$55,246.81–$60,771.49 $55,246.81–$60,771.49 varies
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 11 matching MRF lines
$48,914.24–$53,805.66 $48,914.24–$53,805.66 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 10 matching MRF lines
$59,526.71–$65,479.38 $59,526.71–$65,479.38 varies
Phlebotomy therapeutic (99195) $546.04 $546.04 4.1×
Physical Performance Test (97750) $312.04 $312.04 9.3×
Prq Card Angio/Athrect 1 Art (92924)
range across 10 matching MRF lines
$45,058.01–$49,563.81 $45,058.01–$49,563.81 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 11 matching MRF lines
$54,731.13–$60,204.24 $54,731.13–$60,204.24 varies
Prq Card Stent/Ath/Angio (92933)
range across 11 matching MRF lines
$40,418.60–$44,460.46 $40,418.60–$44,460.46 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 10 matching MRF lines
$59,526.71–$65,479.38 $59,526.71–$65,479.38 varies
Pt Eval High Complex (97163) $902.33 $902.33 9.2×
Pt eval low complex 20 min (97161) $345.81 $345.81 3.5×
Pt Eval Mod Complex (97162) $681.98 $681.98 7.0×
Pt gait training 15 min (97116) $231.62 $231.62 8.0×
Pt group caregiver training (97552) $495.41 $495.41 22.5×
Pt mechanical traction (97012) $342.61 $342.61 23.9×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$570.99–$910.38 $570.99–$910.38 varies
R Hrt Art/Grft Angio (93457)
range across 3 matching MRF lines
$60,200.48–$66,220.53 $60,200.48–$66,220.53 varies
R hrt coronary artery angio (93456)
range across 3 matching MRF lines
$54,428.03–$59,870.83 $54,428.03–$59,870.83 varies
R&L Hrt Cath W/Ventriclgrphy (93453)
range across 3 matching MRF lines
$49,187.70–$54,106.47 $49,187.70–$54,106.47 varies
Right Heart Cath (93451)
range across 3 matching MRF lines
$27,120.95–$29,833.05 $27,120.95–$29,833.05 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$345.81–$1,180.59 $345.81–$1,180.59 varies
Self Care Mngment Training (97535) $247.70 $247.70 7.6×
Sensory Integration Ea 15 Min (97533) $431.07 $431.07 7.1×
Slp caregiver training 1st 30 min (97550) $495.41 $495.41 9.4×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$461.63–$1,511.93 $461.63–$1,511.93 varies
Standardized Cognitive Performance Testing (96125) $1,758.02 $1,758.02 17.1×
Stress Tte Only (93350) $8,493.43 $8,493.43 15.4×
Surfactant Admin Thru Tube (94610) $486.60 $486.60 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $215.53 $215.53 9.6×
Ther Ivntj Ea Addl 15 Min (97130) $176.92 $176.92 8.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $287.91 $287.91 9.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$159.71–$173.81 $159.71–$173.81 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$1,079.48–$1,092.63 $1,079.48–$1,092.63 varies
Therapeutic Activities (97530) $231.62 $231.62 6.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $17,793.27 $17,793.27 47.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $105.38 $105.38 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $76.63 $76.63 2.0×
Tte w/doppler, complete (93306) $9,013.53 $9,013.53 16.4×
Tte W/O Doppler Complete (93307) $6,050.69 $6,050.69 25.2×
Tx atrial fib pulm vein isol (93656) $54,227.89 $54,227.89 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines
$408.55–$1,457.24 $408.55–$1,457.24 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 7 matching MRF lines
$175.17–$381.68 $175.17–$381.68 varies
Unlisted cardiovascular service/procedure (93799) $9,158.82 $9,158.82 70.7×
Unlisted noninvasive vascular diagnostic study (93998) $4,146.50 $4,146.50 142.5×
Upr/L Xtremity Art 2 Levels (93922) $1,945.78 $1,945.78 14.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $4,956.19 $4,956.19 22.8×
Vasopneumatic device (97016) $394.08 $394.08 32.8×
Veeg ea 12-26hr cont mntr (95716) $7,971.48 $7,971.48 9.2×
Vent Mgmt Inpat Init Day (94002) $11,364.29 $11,364.29 18.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $9,243.42 $9,243.42 14.9×
Vital capacity, total (94150) $1,061.68 $1,061.68 8.2×
Wheelchair Mgmt Ea 15 Min (97542) $204.27 $204.27 6.6×
Whirlpool Therapy (97022) $394.08 $394.08 25.1×

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.