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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BICARB DIALYSIS 16 W-O CALCIUM K 4 MEQ/L -MG 1.5 MEQ/L HEMO SOLN [108077] Inpatient | 0250 RC | $123 | $73.50 | $42.36 – $115 | — | |
| INCOBOTULINUMTOXINA 100 UNIT INTRAMUSC SOLR [108098] Inpatient | J0588 HCPCS | $1,686 | $1,012 | $583 – $1,587 | — | |
| KETAMINE 50 MG/ML INTRAMUSCULAR INJECTION SOLN [300800] Inpatient | 0250 RC | $12.50 | $7.50 | $4.32 – $11.76 | — | |
| KETAMINE 50 MG/ML INTRAVENOUS INJECTION SOLN [300801] Inpatient | 0250 RC | $12.50 | $7.50 | $4.32 – $11.76 | — |