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) | |
|---|---|---|---|---|---|---|
| DEXTROSE 70% IN WATER NO PERCENT DISPLAY INTRAVENOUS [300572] Inpatient | 0250 RC | $57.00 | $34.20 | $19.71 – $53.64 | — | |
| OPT DOBUTAMINE IN D5W 250 MG/250 ML INTRAVENOUS [300574] Inpatient | J1250 HCPCS | $50.00 | $30.00 | $17.29 – $47.05 | — | |
| OPT DOPAMINE IN D5W 400 MG/250 ML INTRAVENOUS [300575] Inpatient | J1265 HCPCS | $64.60 | $38.76 | $22.34 – $60.79 | — | |
| OPT DOPAMINE IN D5W 800 MG/500 ML INTRAVENOUS [300576] Inpatient | J1265 HCPCS | $96.25 | $57.75 | $33.28 – $90.57 | — | |
| OPT HEPARIN IN D5W 25,000 UNIT/250 ML INTRAVENOUS [300578] Inpatient | J1644 HCPCS | $70.30 | $42.18 | $24.31 – $66.15 | — | |
| OPT HEPARIN IN D5W 25,000 UNIT/500 ML INTRAVENOUS [300577] Inpatient | J1644 HCPCS | $74.10 | $44.46 | $25.62 – $69.73 | — | |
| OPT LIDOCAINE IN D5W (PF) 4 MG/ML INTRAVENOUS [300579] Inpatient | J2001 HCPCS | $50.00 | $30.00 | $17.29 – $47.05 | — |