Medical City Alliance
Cash prices and insurer rates for 16 common procedures, from the hospital’s own price file.
- Prices from each hospital’s official price file
- Checked October 30, 2026
- Outpatient facility prices
- Address
- 3101 North Tarrant Parkway, Fort Worth, TX 76177
- Type
- Acute care hospital · emergency department
- Prices published
- September 1, 2026 · checked October 29, 2026
Outpatient facility charge only. These are the hospital’s own published prices for the facility part of the visit. The doctor’s or radiologist’s fee is billed separately and isn’t included, and your final bill can differ (extra tests, contrast, supplies). Not medical or insurance advice.
| Procedure | Cash price | List price | Insurers paylowest–highest | Area median cash |
|---|---|---|---|---|
| Brain MRICPT 70551 | $9,308same as list price: no self-pay discount in the file | $9,308 | $222–9,308median $518 | $1,931 |
| Lower back MRICPT 72148 | $9,795same as list price: no self-pay discount in the file | $9,795 | $217–9,795median $518 | $1,900 |
| Knee MRICPT 73721 | $8,364–16,728same as list price: no self-pay discount in the file | $8,364–16,728 | $230–16,728median $1,129 | $2,171 |
| Shoulder MRICPT 73221 | $8,364–16,728same as list price: no self-pay discount in the file | $8,364–16,728 | $230–16,728median $1,129 | $1,985 |
| Head CTCPT 70450 | $5,881same as list price: no self-pay discount in the file | $5,881 | $115–5,881median $1,300 | $1,416 |
| Abdomen and pelvis CTCPT 74177 | $13,581–15,883same as list price: no self-pay discount in the file | $13,581–15,883 | $341–15,883median $3,001 | $2,715 |
| Abdominal ultrasoundCPT 76700 | $2,514–2,886same as list price: no self-pay discount in the file | $2,514–2,886 | $115–2,886median $707 | $619 |
| Screening mammogramCPT 77067 | $789same as list price: no self-pay discount in the file | $789 | $55–789median $98 | $226 |
| ColonoscopyCPT 45378 | not published | – | $361–4,880median $2,469 | $1,647 |
| Screening colonoscopyCPT G0121 | not published | – | $361–4,880median $2,300 | $985 |
| Upper endoscopyCPT 43235 | not published | – | $368–4,723median $2,340 | $1,048 |
| Chest X-rayCPT 71046 | $1,151same as list price: no self-pay discount in the file | $1,151 | $37–1,151median $267 | $253 |
| Metabolic panelCPT 80053 | $1,920same as list price: no self-pay discount in the file | $1,920 | $10–1,920median $12 | $266 |
| CBC blood testCPT 85025 | not published | – | $7–42median $8 | $96 |
| Lipid panelCPT 80061 | $1,428same as list price: no self-pay discount in the file | $1,428 | $8–1,428median $15 | $140 |
| A1c testCPT 83036 | $797same as list price: no self-pay discount in the file | $797 | $9–797median $11 | $82 |
Source: MEDICAL CITY ALLIANCE standard charges file, published September 1, 2026. “Area median” is the median cash price across the Dallas–Fort Worth hospitals’ price lists.
Cash or your insurance plan?Your plan pays a different rate at each hospital. See your plan’s own rate at every hospital nearby, next to the cash price, and what you would pay after your deductible. See an example report.
See what your plan paysInsurer rates
Brain MRI
Molina Healthcare $222–226 · UnitedHealthcare $314–4,189 · Superior HealthPlan $652 · Blue Cross and Blue Shield of Texas $294–3,853 · Aetna $1,046–5,333 · Cigna $1,257–1,303 · MultiPlan / PHCS (rental network) $6,981–7,912
Lower back MRI
Molina Healthcare $217–221 · UnitedHealthcare $314–4,408 · Superior HealthPlan $686 · Blue Cross and Blue Shield of Texas $294–4,055 · Aetna $1,046–5,613 · Cigna $1,322–1,371 · MultiPlan / PHCS (rental network) $7,347–8,326
Knee MRI
Molina Healthcare $230–234 · UnitedHealthcare $314–7,528 · Superior HealthPlan $585–1,171 · Blue Cross and Blue Shield of Texas $294–6,925 · Cigna $1,129–2,342 · Aetna $1,046–9,585 · MultiPlan / PHCS (rental network) $6,273–14,219
Shoulder MRI
Molina Healthcare $230–234 · UnitedHealthcare $314–7,528 · Superior HealthPlan $585–1,171 · Blue Cross and Blue Shield of Texas $294–6,925 · Cigna $1,129–2,342 · Aetna $1,046–9,585 · MultiPlan / PHCS (rental network) $6,273–14,219
Head CT
Molina Healthcare $115–117 · UnitedHealthcare $155–2,646 · Superior HealthPlan $412 · Blue Cross and Blue Shield of Texas $141–2,435 · Cigna $794–823 · Aetna $801–3,370 · MultiPlan / PHCS (rental network) $4,411–4,999
Abdomen and pelvis CT
Molina Healthcare $343–350 · UnitedHealthcare $341–7,147 · Superior HealthPlan $951–1,112 · Blue Cross and Blue Shield of Texas $481–6,575 · Cigna $1,833–2,224 · Aetna $801–9,101 · MultiPlan / PHCS (rental network) $10,186–13,500
Each insurer has several plans, often at different rates. Your plan’s price shows the rate for your own plan.