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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ALPHA-1 PROTEINASE INHIB.(HUM) 1 GRAM/50 ML (2 %) INTRAVENOUS SOLN [108371] Inpatient | J0257 HCPCS | $56,400 | $33,840 | $19,503 – $53,072 | — | |
| COSYNTROPIN 0.25 MG INJECTION SOLR [6673] Inpatient | J0834 HCPCS | $384 | $230 | $133 – $361 | — | |
| HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSC SOLN [90837] Inpatient | 90371 CPT | $300 | $180 | $104 – $283 | — | |
| HYALURONATE SOD, CROSS-LINKED 30 MG/3 ML INTRA-ARTIC SYRG [120833] Inpatient | J7326 HCPCS | $3,795 | $2,277 | $1,312 – $3,571 | — | |
| LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMBR SOLN [10838] Inpatient | 0250 RC | $84.00 | $50.40 | $29.05 – $79.04 | — |