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Hospital Profile Psychiatric Proprietary

Medical City Mental Health and Wellness Center

3100 ALLIANCE TOWN CTR, Fort Worth, TX 76177

CMS Overall Rating No CMS Rating
Factual Overview

Medical City Mental Health and Wellness Center is a Psychiatric (Proprietary) operating in Fort Worth, TX. Mapped commercial insurance prices across 95 procedures average 2.28x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 95 codes Avg Markup vs Medicare: 2.28x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
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Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
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Bunion correction surgery
CPT Code: 28296
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Knee arthroscopy with meniscus repair
CPT Code: 29881
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Heart stent placement (inpatient stay)
MS-DRG Code: 322
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Blood transfusion
CPT Code: 36430
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Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
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Upper endoscopy with biopsy
CPT Code: 43239
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Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
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Colonoscopy (diagnostic)
CPT Code: 45378
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Colonoscopy with biopsy
CPT Code: 45380
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Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
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Gallbladder removal (laparoscopic)
CPT Code: 47562
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Inguinal hernia repair
CPT Code: 49505
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Vaginal delivery (full package)
CPT Code: 59400
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C-section delivery (full package)
CPT Code: 59510
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Cataract surgery with lens implant
CPT Code: 66984
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CT scan, head (no contrast)
CPT Code: 70450
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CT scan, head (with contrast)
CPT Code: 70460
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CT scan, head (with and without contrast)
CPT Code: 70470
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CT scan, sinuses
CPT Code: 70486
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MRI, brain (no contrast)
CPT Code: 70551
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MRI, brain (with and without contrast)
CPT Code: 70553
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X-ray, chest (single view)
CPT Code: 71045
 $322 Calc
X-ray, chest (two views)
CPT Code: 71046
 $569 Calc
CT scan, chest (no contrast)
CPT Code: 71250
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X-ray, neck (cervical spine)
CPT Code: 72040
 $533 Calc
X-ray, lower back
CPT Code: 72110
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CT scan, neck (cervical spine)
CPT Code: 72125
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CT scan, lower back (lumbar spine)
CPT Code: 72131
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MRI, lower back (no contrast)
CPT Code: 72148
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X-ray, pelvis
CPT Code: 72170
 $440 Calc
CT scan, pelvis
CPT Code: 72192
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X-ray, shoulder
CPT Code: 73030
 $658 Calc
X-ray, hand
CPT Code: 73130
 $793 Calc
X-ray, hip
CPT Code: 73502
 $688 Calc
X-ray, ankle
CPT Code: 73610
 $1,107 Calc
X-ray, foot
CPT Code: 73630
 $684 Calc
MRI, knee or other leg joint
CPT Code: 73721
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CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
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CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
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Ultrasound, thyroid and neck
CPT Code: 76536
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Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,592 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $1,373 Calc
Ultrasound, pelvis
CPT Code: 76856
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Diagnostic mammogram (both breasts)
CPT Code: 77066
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Screening mammogram (both breasts)
CPT Code: 77067
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Blood test, basic metabolic panel
CPT Code: 80048
 $338 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $433 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $319 Calc
Blood test, liver function panel
CPT Code: 80076
 $564 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $222 Calc
Blood test, amylase
CPT Code: 82150
 $196 Calc
Blood test, vitamin D
CPT Code: 82306
 $1,575 Calc
Blood test, calcium
CPT Code: 82310
 $166 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $144 Calc
Blood test, vitamin B12
CPT Code: 82607
 $119 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $220 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $114 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $169 Calc
Blood test, lipase
CPT Code: 83690
 $183 Calc
Blood test, magnesium
CPT Code: 83735
 $70 Calc
Blood test, potassium
CPT Code: 84132
 $98 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
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Blood test, sodium
CPT Code: 84295
 $157 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $302 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $117 Calc
Blood test, hemoglobin
CPT Code: 85018
 $77 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
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Blood test, clotting time (PT/INR)
CPT Code: 85610
 $123 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $289 Calc
Hepatitis C antibody test
CPT Code: 86803
 $302 Calc
Blood antibody screen
CPT Code: 86850
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Culture, blood
CPT Code: 87040
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Culture, bacterial
CPT Code: 87070
 $337 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
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Psychotherapy session (45 minutes)
CPT Code: 90834
 $397 Calc
Family therapy session
CPT Code: 90847
 $735 Calc
Group therapy session
CPT Code: 90853
 $735 Calc
Speech therapy (language evaluation)
CPT Code: 92507
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Speech therapy (group session)
CPT Code: 92508
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Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $595 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $4,795 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $2,097 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
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Physical therapy (therapeutic exercise)
CPT Code: 97110
 $162 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $160 Calc
Physical therapy (gait training)
CPT Code: 97116
 $189 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $213 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $176 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $169 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $368 Calc
Orthotic fitting and training
CPT Code: 97760
 $383 Calc
Prosthetic fitting and training
CPT Code: 97761
 $215 Calc