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) | |
|---|---|---|---|---|---|---|
| AMIODARONE IN DEXTROSE 5 % 900 MG/500 ML (1.8 MG/ML) INTRAVENOUS SOLN [109817] Inpatient | J0282 HCPCS | $93.10 | $55.86 | $32.19 – $87.61 | — | |
| AMOBARBITAL 500 MG INJECTION SOLR [10098] Inpatient | J0300 HCPCS | $145 | $87.09 | $50.19 – $137 | — | |
| DOPAMINE IN 5 % DEXTROSE 400 MG/250 ML (1,600 MCG/ML) PERIPHERAL IV SOLN [301098] Inpatient | J1265 HCPCS | $64.60 | $38.76 | $22.34 – $60.79 | — | |
| INCOBOTULINUMTOXINA 100 UNIT INTRAMUSC SOLR [108098] Inpatient | J0588 HCPCS | $1,686 | $1,012 | $583 – $1,587 | — | |
| MAKENA 250 MG/ML INTRAMUSC OIL [109819] Inpatient | J1726 HCPCS | $2,650 | $1,590 | $916 – $2,494 | — |