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) | |
|---|---|---|---|---|---|---|
| CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML INTRAVENOUS PGBK [115090] Inpatient | J0690 HCPCS | $67.31 | $40.39 | $23.28 – $63.34 | — | |
| DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLN [109044] Inpatient | J0897 HCPCS | $10,542 | $6,325 | $3,645 – $9,920 | — | |
| FACTOR IX CPLX(PCC)NO4,3FACTOR 500 (+/-) UNIT INTRAVENOUS SOLR [7090] Inpatient | J7194 HCPCS | $6.16 | $3.70 | $2.13 – $5.80 | — | |
| HOMATROPINE HBR 5 % OPHTHALMIC DROP [10908] Inpatient | 0250 RC | $33.39 | $20.04 | $11.55 – $31.42 | — | |
| HYDROMORPHONE 0.5 MG/0.5 ML INJECTION WRAPPER [300909] Inpatient | J1170 HCPCS | $16.42 | $9.86 | $5.68 – $15.45 | — | |
| KETAMINE 10 MG/ML INJECTION SOLN WRAPPER [300901] Inpatient | 0250 RC | $12.50 | $7.50 | $4.32 – $11.76 | — | |
| NITROGLYCERIN IN 5 % DEXTROSE 25 MG/250 ML (100 MCG/ML) INTRAVENOUS SOLN [100090] Inpatient | J2305 HCPCS | $93.10 | $55.86 | $32.19 – $87.61 | — |