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Medical City Mental Health And Wellness Center - Alliance prices. From its own published file.

Medical City Mental Health And Wellness Center - Alliance in Fort Worth, TX publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

11,041prices published
Sep 2026file last updated
$433cash price for comprehensive metabolic panel (list $433)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
——$1,030–$1,555
Emergency visit, high (level 4)
99284
——$1,386–$3,786
Emergency visit, highest (level 5)
99285
——$1,386–$6,861
Comprehensive metabolic panel
80053
$433$433$10.56–$260
Basic metabolic panel
80048
$338$338$8.46–$203
Complete blood count (CBC)
85025
——$7.77–$20.36
Blood draw (venipuncture)
36415
$26.47$26.47$9.34–$24.47
Urinalysis
81001
$222$222$3.17–$133
Troponin (heart test)
84484
$722$722$12.47–$433
EKG tracing
93005
$595$595$300–$1,514
Chest X-ray, 2 views
71046
$569$569$53.12–$342
CT head without contrast
70450
——$801–$1,013
CT abdomen and pelvis with contrast
74177
——$801–$1,013
MRI lower back without contrast
72148
——$1,046–$1,321
Ultrasound, abdomen
76700
$1,592$1,592$185–$955
Ketorolac injection, 15 mg
J1885
$247$247$125–$148
Ondansetron injection
J2405
$1.32$1.32$0.26–$0.99
Colonoscopy, diagnostic
45378
——$4,568–$5,773
Upper GI endoscopy with biopsy
43239
——$4,568–$5,773
Knee arthroscopy
29881
——$24,430–$30,876

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Medical City Mental Health And Wellness Center - Alliance price transparency page.

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