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.

39 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
CEFAZOLIN 1 GRAM INJECTION SOLR [459] Inpatient	J0690 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFAZOLIN 2 GRAM INJECTION SOLR [153016] Inpatient	J0690 HCPCS	$27.79	$16.68	$9.61 – $26.15	—
CEFAZOLIN 500 MG INJECTION SOLR [13297] Inpatient	J0690 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFAZOLIN IN 0.9% SOD CHLORIDE 2 GRAM/100 ML INTRAVENOUS SOLN [37760] Inpatient	J0690 HCPCS	$50.00	$30.00	$17.29 – $47.05	—
CEFAZOLIN IN 0.9% SOD CHLORIDE 3 GRAM/100 ML INTRAVENOUS PGBK [129250] Inpatient	J0690 HCPCS	$50.00	$30.00	$17.29 – $47.05	—
CEFAZOLIN IN DEXTROSE (ISO-OS) 1 GRAM/50 ML INTRAVENOUS PGBK [10547] Inpatient	J0690 HCPCS	$50.00	$30.00	$17.29 – $47.05	—
CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/100 ML INTRAVENOUS PGBK [131290] Inpatient	J0690 HCPCS	$50.00	$30.00	$17.29 – $47.05	—
CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML INTRAVENOUS PGBK [115090] Inpatient	J0690 HCPCS	$67.31	$40.39	$23.28 – $63.34	—
CEFAZOLIN IN STERILE WATER 1 GRAM/10 ML INTRAVENOUS SYRG [100932] Inpatient	J0690 HCPCS	$15.12	$9.08	$5.23 – $14.23	—
CEFEPIME 1 GRAM INJECTION SOLR [2218] Inpatient	J0692 HCPCS	$25.99	$15.60	$8.99 – $24.46	—
CEFEPIME 2 GRAM INJECTION SOLR [4588] Inpatient	J0692 HCPCS	$26.01	$15.61	$8.99 – $24.48	—
CEFEPIME IN DEXTROSE 5 % 1 GRAM/50 ML INTRAVENOUS PGBK [106759] Inpatient	J0692 HCPCS	$89.74	$53.85	$31.03 – $84.45	—
CEFEPIME IN DEXTROSE 5 % 2 GRAM/50 ML INTRAVENOUS PGBK [106760] Inpatient	J0692 HCPCS	$125	$75.23	$43.35 – $118	—
CEFEPIME IN DEXTROSE,ISO-OSM 1 GRAM/50 ML INTRAVENOUS PGBK [98932] Inpatient	J0692 HCPCS	$113	$67.94	$39.15 – $107	—
CEFEPIME IN DEXTROSE,ISO-OSM 2 GRAM/100 ML INTRAVENOUS PGBK [98933] Inpatient	J0692 HCPCS	$166	$99.65	$57.43 – $156	—
CEFIDEROCOL 1 GRAM INTRAVENOUS SOLR [146228] Inpatient	J0699 HCPCS	$791	$474	$273 – $744	—
CEFOTAXIME 1 GRAM INTRAVENOUS SOLR [17614] Inpatient	J0698 HCPCS	$15.78	$9.47	$5.46 – $14.85	—
CEFOTAXIME 2 GRAM INJECTION SOLR [5270] Inpatient	J0698 HCPCS	$20.52	$12.32	$7.10 – $19.31	—
CEFOXITIN 1 GRAM INTRAVENOUS SOLR [5171] Inpatient	J0694 HCPCS	$31.88	$19.13	$11.02 – $30.00	—
CEFOXITIN 2 GRAM INTRAVENOUS SOLR [8319] Inpatient	J0694 HCPCS	$29.23	$17.54	$10.11 – $27.51	—
CEFOXITIN IN DEXTROSE, ISO-OSM 1 GRAM/50 ML INTRAVENOUS PGBK [81549] Inpatient	J0694 HCPCS	$86.00	$51.60	$29.74 – $80.93	—
CEFOXITIN IN DEXTROSE, ISO-OSM 2 GRAM/50 ML INTRAVENOUS PGBK [81550] Inpatient	J0694 HCPCS	$141	$84.53	$48.71 – $133	—
CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLR [127753] Inpatient	J0695 HCPCS	$571	$343	$198 – $537	—
CEFTRIAXONE 1 GRAM INJECTION SOLR [9863] Inpatient	J0696 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFTRIAXONE 2 GRAM INJECTION SOLR [20455] Inpatient	J0696 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFTRIAXONE 250 MG INJECTION SOLR [4848] Inpatient	J0696 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFTRIAXONE 500 MG INJECTION SOLR [16282] Inpatient	J0696 HCPCS	$15.00	$9.00	$5.19 – $14.12	—
CEFTRIAXONE IN DEXTROSE,ISO-OS 1 GRAM/50 ML INTRAVENOUS PGBK [39105] Inpatient	J0696 HCPCS	$52.90	$31.74	$18.29 – $49.78	—
CEFTRIAXONE IN DEXTROSE,ISO-OS 2 GRAM/50 ML INTRAVENOUS PGBK [39106] Inpatient	J0696 HCPCS	$83.13	$49.88	$28.75 – $78.23	—
CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLR [17030] Inpatient	J0697 HCPCS	$15.00	$9.00	$5.19 – $14.12	—