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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $30,134.65 $30,134.65 3.8×
Airway inhalation treatment (94640) $541.24 $541.24 2.5×
Arrhythmia induction (93618) $5,555.99 $5,555.99 4.5×
Assessment of aphasia (96105) $969.88 $969.88 10.0×
Biofeedback training any modality (90901) $324.91 $324.91 7.9×
Canalith Repositioning (95992) $414.99 $414.99 10.2×
Capsule endoscopy (91110) $5,809.18 $5,809.18 6.4×
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) $3,046.10 $3,046.10 14.0×
Cardioversion (92960) $6,750.17 $6,750.17 10.1×
Cardioversion internal (92961) $4,045.89 $4,045.89 6.1×
Caregiver training 1st 30 min (97550) $495.41 $495.41 9.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $247.70 $247.70 9.5×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $43,230.76 $43,230.76 13.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $54,428.03 $54,428.03 16.7×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $54,963.45 $54,963.45 16.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $49,187.70 $49,187.70 15.1×
Cbt 1st hour (94644) $788.07 $788.07 5.9×
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 artery angio s&i (93454) $26,860.66 $26,860.66 8.2×
Cpap initiation and management (94660) $5,690.97 $5,690.97 25.8×
Cpt initial (94667) $716.66 $716.66 5.4×
Critical care (99291) $11,816.71 $11,816.71 14.2×
Debridement Open Wound 20 Sq Cm< (97597) $694.04 $694.04 3.4×
Demo &/or eval,pt use,aerosol device (94664) $876.21 $876.21 4.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 artl infl&ven o/f pen vsl f-up/lmtd std (93981) $2,565.30 $2,565.30 24.4×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $3,295.80 $3,295.80 13.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,397.58 $1,397.58 13.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,397.58 $1,397.58 13.3×
Duplex hemodialysis access (93990) $1,397.58 $1,397.58 13.3×
Duplex scan extracranial art compl bi study (93880) $3,170.30 $3,170.30 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 Transthoracic - Congenital Tte Complete (93303) $7,277.50 $7,277.50 13.2×
EEG awake 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 coma or 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 by tech ea incr 12-26 hr intmt mntr (95709) $9,157.90 $9,157.90 24.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $7,828.66 $7,828.66 20.8×
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 w/o video by tech 2-12hr continuous r-t mntr (95707) $9,707.99 $9,707.99 44.7×
EKG (93005) $1,318.27 $1,318.27 22.2×
Endomyocardial biopsy (93505) $6,522.92 $6,522.92 2.1×
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 ii (99282) $1,782.77 $1,782.77 11.5×
Er level iii (99283) $2,857.78 $2,857.78 10.4×
Er level IV (99284) $3,669.03 $3,669.03 8.7×
Er level v (99285) $7,974.05 $7,974.05 13.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $902.33 $902.33 12.7×
Evaluation of speech fluency (92521) $446.11 $446.11 3.3×
Evaluation of speech sound production (92522) $1,357.52 $1,357.52 12.1×
Evaluation of swallowing function (92610) $1,125.90 $1,125.90 13.3×
Hemodialysis (90935) $1,692.74 $1,692.74 2.5×
Immunization Admin (90471) $163.50 $163.50 2.3×
Ins swan ganz bedside (93503) $11,120.60 $11,120.60 7.0×
Intra-atrial pacing (93610) $22,387.01 $22,387.01 2.9×
Intraventricular pacing (93612) $28,513.19 $28,513.19 3.6×
IV infusion hydration each additional hour (96361) $252.27 $252.27 5.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,091.87 $1,091.87 5.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $599.13 $599.13 8.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,086.06 $1,086.06 5.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $253.76 $253.76 5.4×
IV push initial (96374) $1,074.28 $1,074.28 5.0×
Low frequency non-thermal us (97610) $710.92 $710.92 3.5×
Manual therapy 15 min (97140) $316.88 $316.88 11.4×
Massage 15 min (97124) $287.91 $287.91 9.7×
Mechanical chest wall oscillation (94669) $689.34 $689.34 3.1×
Mechanical traction (97012) $342.61 $342.61 23.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,349.48 $1,349.48 14.7×
Neg press wnd tx </=50 sq cm (97607) $644.97 $644.97 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $644.97 $644.97 3.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,016.52 $1,016.52 2.5×
Newborn resuscitation (99465) $3,450.19 $3,450.19 5.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,945.78 $1,945.78 14.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $4,956.19 $4,956.19 22.8×
Orthotics mgmt & traing 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 complex 60 min (97167) $902.33 $902.33 9.0×
Ot eval low complex 30 min (97165) $345.81 $345.81 3.4×
Ot eval mod complex 45 min (97166) $681.98 $681.98 6.8×
Ot Prosthetic Training, Each 15 Min (97761) $281.48 $281.48 7.0×
Ot re-eval est plan care (97168) $740.68 $740.68 10.8×
Paraffin bath (97018) $397.29 $397.29 66.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,100.13 $1,100.13 5.0×
Perq transcath closure pda (93582) $58,009.15 $58,009.15 3.1×
Prq card revasc chronic 1vsl (92943) $62,503.04 $62,503.04 5.4×
Prq Card Stent W/Angio 1 Vsl (92928) $60,122.34 $60,122.34 5.2×
Prq Card Stent/Ath/Angio (92933) $44,399.96 $44,399.96 2.4×
Prq revasc byp graft 1 vsl (92937) $62,503.04 $62,503.04 5.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $47,310.91 $47,310.91 4.1×
Prq trluml coronary angioplasty one art/branch (92920) $53,805.66 $53,805.66 9.4×
Pt Electric Current Therapy (97033) $451.97 $451.97 23.7×
Pt Electrical Stimulation (97032) $414.99 $414.99 28.2×
Pt eval high complex 45 min (97163) $902.33 $902.33 9.2×
Pt eval low complex 20 min (97161) $345.81 $345.81 3.5×
Pt Gait Training Therapy (97116) $231.62 $231.62 8.0×
Pt group caregiver training (97552) $495.41 $495.41 22.5×
Pt Infrared Therapy (97026) $371.55 $371.55 55.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $414.99 $414.99 12.7×
Pt Physical Performance Test (97750) $312.04 $312.04 9.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $681.98 $681.98 7.0×
Pt re-evaluation (97164) $740.68 $740.68 11.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $247.70 $247.70 7.6×
Pt Ultrasound Therapy (97035) $371.55 $371.55 25.9×
Pt Whirlpool Therapy (97022) $394.08 $394.08 25.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $49,187.70 $49,187.70 15.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $56,848.06 $56,848.06 17.4×
R hrt art/grft angio (93457) $60,200.48 $60,200.48 18.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $83,708.72 $83,708.72 25.7×
Right heart cath (93451) $27,120.95 $27,120.95 8.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $705.30 $705.30 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $636.44 $636.44 4.8×
Sensory Integration Ea 15 Min (97533) $431.07 $431.07 7.1×
Smoking cessation > 10 min (99407) $105.38 $105.38 2.8×
Speech sound lang comprehen (92523) $1,357.52 $1,357.52 6.0×
Standardized Cognitive Performance Testing (96125) $1,758.02 $1,758.02 17.1×
Stress echo (93350) $8,493.43 $8,493.43 15.4×
Stress Tte Complete (93351) $9,453.87 $9,453.87 17.2×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $176.92 $176.92 8.4×
Ther/Proph/Diag Inj Sc/Im (96372) $166.76 $166.76 2.3×
Therapeutic Activities (97530) $231.62 $231.62 6.6×
Therapeutic phlebotomy (99195) $546.04 $546.04 4.1×
Tilt Table Eval (93660) $17,793.27 $17,793.27 47.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $76.63 $76.63 2.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $3,612.81 $3,612.81 15.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $9,013.53 $9,013.53 16.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (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) $937.70 $937.70 12.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $937.70 $937.70 11.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $175.59 $175.59 3.7×
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×
Vasc Duplex Extrem Venous,Bilat (93970) $2,096.36 $2,096.36 8.7×
Vasc Duplex Scan Extracranial,Limited (93882) $3,612.81 $3,612.81 34.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $2,096.36 $2,096.36 9.6×
Vasopneumatic device (97016) $394.08 $394.08 32.8×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $7,971.48 $7,971.48 9.2×
Ventilation assist & mgmt inpatient 1st 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×