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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLN [135676] Inpatient | J0565 HCPCS | $12,540 | $7,524 | $4,336 – $11,800 | — | |
| KETAMINE 100 MG/ML INJECTION SOLN [20569] Inpatient | 0250 RC | $37.91 | $22.75 | $13.11 – $35.67 | — | |
| NITROGLYCERIN IN D5W 50 MG/250 ML CATH LAB INTRAVENOUS SOLN [300569] Inpatient | J2305 HCPCS | $50.00 | $30.00 | $17.29 – $47.05 | — | |
| OPT ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLN [300566] Inpatient | J2795 HCPCS | $442 | $265 | $153 – $416 | — | |
| OPT ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLN [300567] Inpatient | J2795 HCPCS | $641 | $384 | $222 – $603 | — | |
| PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSC SYRG [25822] Inpatient | J0561 HCPCS | $499 | $299 | $173 – $470 | — | |
| PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSC SYRG [25821] Inpatient | J0561 HCPCS | $1,875 | $1,125 | $648 – $1,764 | — | |
| PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSC SYRG [16605] Inpatient | J0561 HCPCS | $576 | $346 | $199 – $542 | — |