Texas Health Arlington Memorial Hospital
800 W Randol Mill Rd, Arlington, TX · Texashealth · · NPI 1174533343
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Induced ab 1+vag supp d&c CPT 59856 | $3,668.10 | $6,113.50 | not published | 0 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $3,668.10 | $6,113.50 | not published | 0 |
| Induced abortion d&c CPT 59840 | $1,907.85 | $3,179.75 | $1,063.52 – $1,169.87 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,063.52 – $1,169.87 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $58.97 – $63.69 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $295.95 | $493.25 | $109.49 – $539.46 | 11 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $12.60 – $23.54 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | $192.45 | $320.75 | $11.87 – $49.42 | 11 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $216.26 – $233.56 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $216.26 – $233.56 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $552.00 | $920.00 | $108.13 – $128.73 | 9 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $823.20 | $1,372.00 | $216.26 – $1,064.80 | 11 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $27.53 – $29.73 | 7 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $23.54 – $32.01 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $225.45 | $375.75 | $13.90 – $49.42 | 11 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.06 – $23.54 | 8 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $15.42 – $32.22 | 8 |
| Infect ag if influenza a CPT 87276 | $18.00 | $30.00 | $13.50 – $49.42 | 11 |
| Infect ag if influenza b CPT 87275 | $18.00 | $30.00 | $10.29 – $49.42 | 11 |
| Infect ag if legionella pneumophila CPT 87278 | $248.10 | $413.50 | $13.10 – $49.42 | 11 |
| Infect ag if nos ea CPT 87299 | $158.40 | $264.00 | $13.52 – $49.42 | 11 |
| Infect ag if pneumocystis carinii CPT 87281 | $71.40 | $119.00 | $10.06 – $49.42 | 11 |
| Infect ag if varicella zoster CPT 87290 | $149.40 | $249.00 | $11.27 – $49.42 | 11 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $44.91 – $68.61 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $29.48 – $68.88 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | $330.00 | $550.00 | $35.99 – $177.51 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $186.00 | $310.00 | $29.48 – $35.09 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $309.30 | $515.50 | $80.47 – $95.80 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $43.10 – $46.55 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $209.10 | $348.50 | $39.02 – $145.92 | 4 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,340.70 | $2,234.50 | $350.10 – $416.78 | 9 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,291.65 | $2,152.75 | $410.47 – $2,020.73 | 11 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $67.80 | $113.00 | $21.90 – $107.91 | 11 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $34.76 – $37.54 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $347.10 | $578.50 | $10.06 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $87.00 | $145.00 | $11.27 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $105.00 | $175.00 | $11.61 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $97.05 | $161.75 | $10.06 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $121.80 | $203.00 | $12.08 – $59.49 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $169.50 | $282.50 | $8.68 – $42.33 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $192.45 | $320.75 | $8.68 – $42.33 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $174.90 | $291.50 | $20.23 – $24.08 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $405.90 | $676.50 | $10.06 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $199.20 | $332.00 | $10.06 – $49.42 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $89.10 | $148.50 | $10.06 – $49.42 | 11 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $798.00 | $1,330.00 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $230.40 | $384.00 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $233.25 | $388.75 | $31.31 – $37.27 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,568.70 | $2,614.50 | $416.78 – $1,296.07 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $405.90 | $676.50 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $344.55 | $574.25 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $1,399.80 | $2,333.00 | $35.01 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $183.30 | $305.50 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $140.00 | $233.33 | $43.10 – $54.53 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $119.81 – $129.39 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $285.00 | $475.00 | $119.81 – $311.22 | 10 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $137.10 | $228.50 | $29.48 – $145.22 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $87.45 | $145.75 | $29.48 – $35.09 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $64.49 – $69.65 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $930.00 | $1,550.00 | $350.10 – $416.78 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $107.76 – $116.38 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $362.25 | $603.75 | $220.91 – $262.99 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $798.00 | $1,330.00 | $35.99 – $177.51 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $278.70 | $464.50 | $35.99 – $177.51 | 11 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $334.20 | $557.00 | $35.99 – $177.51 | 11 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $307.95 | $513.25 | $71.48 – $351.91 | 11 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $418.50 | $697.50 | $119.81 – $142.63 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,312.29 | $3,853.81 | $127.20 – $141.74 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,873.64 | $3,122.72 | $71.23 – $116.97 | 3 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $24.54 – $26.50 | 7 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $2,202.30 | $3,670.50 | not published | 0 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $2,262.60 | $3,771.00 | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $2,202.30 | $3,670.50 | not published | 0 |
| Infuse radioactive materials CPT 77750 | not published | not published | $133.85 – $133.85 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $271.35 | $452.25 | $249.82 – $249.82 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,305.00 | $2,175.00 | $249.82 – $249.82 | 1 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $5,583.29 | $9,305.47 | $7.35 – $25.97 | 3 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,722.00 | $12,870.00 | $8.44 – $8.44 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $5,691.32 | $9,485.52 | $93.40 – $280.29 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $10,052.58 | $16,754.30 | $23.54 – $64.39 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | $848.15 | $1,413.57 | $2.44 – $7.23 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $11,239.97 | $18,733.28 | $210.63 – $660.67 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $7,524.00 | $12,540.00 | $49.59 – $154.04 | 3 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $13.68 | $22.80 | $0.27 – $0.27 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $8.20 | $13.66 | $0.98 – $0.98 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $24.01 | $40.01 | $1.51 – $1.51 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $474.47 | $790.78 | $2.47 – $8.36 | 3 |
| Inj ceftolozane tazobactam HCPCS J0695 | $342.69 | $571.14 | $7.44 – $29.14 | 3 |
| Inj, clindamycin (baxter) HCPCS J0737 | $35.69 | $59.47 | $5.65 – $5.65 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,613.60 | $4,356.00 | $1,592.10 – $3,940.38 | 3 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | not published | 0 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $38.48 – $42.33 | 8 |
| Inj dx for sinogram CPT 20501 | $460.50 | $767.50 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,141.35 | $1,902.25 | $139.81 – $153.79 | 8 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $724.65 | $1,207.75 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $1,889.78 | $3,149.62 | $70.07 – $70.07 | 2 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $16,319.16 | $27,198.60 | $899.65 – $2,879.34 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $36.54 – $40.19 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.