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) | |
|---|---|---|---|---|---|---|
| BICARBONATE DIALYSIS SOLN NO.9 K (4 MEQ/L)-CA (2.5)-MG (1.5) HEMO SOLN [99075] Inpatient | 0250 RC | $123 | $73.50 | $42.36 – $115 | — | |
| CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS SOLR [7848] Inpatient | J9075 HCPCS | $2,417 | $1,450 | $836 – $2,275 | — | |
| CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLN [148004] Inpatient | J9075 HCPCS | $1,319 | $791 | $456 – $1,241 | — | |
| CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLR [19446] Inpatient | J9075 HCPCS | $1,319 | $791 | $456 – $1,241 | — | |
| DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLN [100075] Inpatient | J1250 HCPCS | $31.62 | $18.98 | $10.93 – $29.75 | — | |
| ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROP [20755] Inpatient | 0250 RC | $150 | $90.18 | $51.97 – $141 | — | |
| FENTANYL (PF)-BUPIVACAINE-NACL 5-0.075 MCG/ML-% INJECTION RESV [37277] Inpatient | 0250 RC | $109 | $65.10 | $37.52 – $102 | — |