Texas Health Arlington Memorial Hospital — price list
← Hospital overviewVerified from Texas Health Arlington Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ALLOPURINOL SODIUM 500 MG INTRAVENOUS SOLR [3162] Inpatient | J0206 HCPCS | $12,870 | $7,722 | $4,450 – $12,111 | — | |
| AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLR [4371] Inpatient | J0207 HCPCS | $3,536 | $2,121 | $1,223 – $3,327 | — | |
| LEMTRADA 12 MG/1.2 ML INTRAVENOUS SOLN [127557] Inpatient | J0202 HCPCS | $95,034 | $57,020 | $32,863 – $89,427 | — | |
| LINEZOLID IN DEXTROSE 5% 600 MG/300 ML INTRAVENOUS PGBK [25500] Inpatient | J2020 HCPCS | $139 | $83.16 | $47.93 – $130 | — |