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Texas Health Arlington Memorial Hospitalprice 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.

3 prices shown (filtered).

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLN [109683]
Inpatient
J2401
HCPCS
$89.53$53.72$30.96 – $84.25
DEGARELIX 80 MG SUBCUTANEOUS SOLR [100962]
Inpatient
J9155
HCPCS
$1,612$967$557 – $1,517
MAFENIDE ACETATE 85 MG/G TOPICAL CREA [8096]
Inpatient
0250
RC
$898$539$311 – $845
Texas Health Arlington Memorial Hospital price list · HospitalPricer