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) | |
|---|---|---|---|---|---|---|
| ETHYL ALCOHOL 99 % INTRA-ARTIA SOLN [143095] Inpatient | 0250 RC | $2,749 | $1,649 | $950 – $2,586 | — | |
| GENTAMICIN 0.3 % OPHTHALMIC DROP [10959] Inpatient | 0250 RC | $33.57 | $20.15 | $11.61 – $31.59 | — | |
| HYDROMORPHONE IN 0.9 % NACL 30 MG/30 ML INTRAVENOUS DISCRETE PCA [300950] Inpatient | J1170 HCPCS | $65.66 | $39.40 | $22.71 – $61.79 | — | |
| MEPERIDINE 300 MG/30 ML INTRAVENOUS DISCRETE PCA [300951] Inpatient | J2175 HCPCS | $38.08 | $22.85 | $13.17 – $35.83 | — | |
| PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRG [140951] Inpatient | Q5108 HCPCS | $6,889 | $4,133 | $2,382 – $6,482 | — |