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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AFLURIA QD 2023-24(3YR UP)(PF) 60 MCG (15 MCG X 4)/0.5 ML INTRAMUSC SYRG [157456] Inpatient | 90686 CPT | $91.40 | $54.84 | $31.61 – $86.01 | — | |
| CEFAZOLIN 3 GRAM INTRAVENOUS SOLR [156178] Inpatient | J0688 HCPCS | $40.01 | $24.01 | $13.84 – $37.65 | — | |
| FLUARIX QUAD 2023-2024 (PF) 60 MCG (15 MCG X 4)/0.5 ML INTRAMUSC SYRG [157460] Inpatient | 90686 CPT | $86.55 | $51.93 | $29.93 – $81.44 | — | |
| FLUBLOK QUAD 2023-2024 (PF) 180 MCG (45 MCG X 4)/0.5 ML INTRAMUSC SYRG [157458] Inpatient | 90682 CPT | $249 | $149 | $85.99 – $234 | — | |
| HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML INJECTION SOLR [106068] Inpatient | J1720 HCPCS | $23.26 | $13.96 | $8.04 – $21.89 | — | |
| LIDOCAINE-DIPHENHYD-AL-MAG-33-4-67 MG/5 ML MUCOUS MEMBR MWSH [300684] Inpatient | 0250 RC | $2.67 | $1.61 | $0.92 – $2.51 | — | |
| OPT MAGNESIUM SULFATE 500 MG/ML INJECTION SOLN [300687] Inpatient | J3475 HCPCS | $30.00 | $18.00 | $10.37 – $28.23 | — |