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 |
|---|---|---|---|---|
| Instillation anticarcinogenic agent bladder CPT 51720 | $545.55 | $909.25 | $44.85 – $49.34 | 8 |
| Instill, bupivac and meloxic HCPCS C9088 | $637.01 | $1,061.68 | $1.42 – $1.42 | 1 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $41.53 – $45.68 | 8 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $1,939.15 – $2,133.07 | 8 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $2,529.23 – $2,782.15 | 8 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,045.90 | $5,076.50 | $1,118.22 – $1,230.04 | 8 |
| Ins tun intraperit dia cath CPT 49421 | $3,880.20 | $6,467.00 | $1,151.54 – $1,266.69 | 8 |
| Insulin suppression panel CPT 80432 | not published | not published | $139.11 – $265.10 | 8 |
| Insulin tolerance panel CPT 80434 | not published | not published | $198.47 – $258.58 | 8 |
| Insulin tolerance panel CPT 80435 | not published | not published | $86.52 – $202.06 | 8 |
| Insulin total CPT 83525 | $75.90 | $126.50 | $9.60 – $47.38 | 11 |
| Ins vag brachytx device CPT 57156 | not published | not published | $116.74 – $128.41 | 8 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $5,124.80 | $8,541.32 | $2,138.87 – $2,138.87 | 1 |
| Integra meshed bil wound mat HCPCS C9363 | $486.69 | $811.14 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $4,440.00 | $7,400.00 | not published | 0 |
| Intercalary algrft compl CPT 20934 | not published | not published | not published | 0 |
| Interdental fixation CPT 21110 | not published | not published | $420.64 – $462.70 | 8 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $420.64 – $462.70 | 8 |
| Interdiscal perq aspir dx CPT 62267 | $830.10 | $1,383.50 | $257.60 – $283.36 | 8 |
| Interferon alfa-2b inj HCPCS J9214 | $1,409.92 | $2,349.86 | $30.45 – $125.88 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | $59.64 | $99.40 | $38.33 – $38.33 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $4,091.60 | $6,819.32 | $75.01 – $205.43 | 3 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $289.67 | $482.77 | $579.67 – $579.67 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | $5,659.20 | $9,432.00 | not published | 0 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | not published | 0 |
| Interstitial brachy inter CPT 77799 | not published | not published | $136.45 – $136.45 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $939.93 – $1,033.92 | 8 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $939.93 – $1,033.92 | 8 |
| Intra-atrial pacing CPT 93610 | $10,164.90 | $16,941.50 | $7,162.91 – $7,162.91 | 1 |
| Intracard echo interv w/s&i CPT 93662 | $7,396.05 | $12,326.75 | $178.51 – $178.51 | 1 |
| Intracran angioplsty w/stent CPT 61635 | $18,920.25 | $31,533.75 | not published | 0 |
| Intracranial complete study CPT 93886 | $1,288.35 | $2,147.25 | $241.72 – $265.89 | 8 |
| Intracranial limited study CPT 93888 | $559.80 | $933.00 | $106.34 – $116.97 | 8 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $88.87 – $97.76 | 8 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,954.22 – $2,149.64 | 8 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,536.00 | $2,560.00 | $83.33 – $91.66 | 8 |
| Intrapul surf admin endo tube CPT 94610 | $155.55 | $259.25 | $249.82 – $249.82 | 1 |
| Intrinsic factor antibody CPT 86340 | $157.80 | $263.00 | $12.67 – $62.51 | 11 |
| Intro cath dialysis circuit CPT 36901 | $1,545.15 | $2,575.25 | $446.27 – $490.90 | 8 |
| Intro cath dialysis circuit w/pta CPT 36902 | $9,720.45 | $16,200.75 | $1,764.89 – $1,941.38 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $11,787.75 | $19,646.25 | $5,270.09 – $5,797.10 | 8 |
| Intro catheter aorta CPT 36200 | $1,654.05 | $2,756.75 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,572.75 | $2,621.25 | not published | 0 |
| Intro long gi tube CPT 44500 | $669.90 | $1,116.50 | $334.95 – $368.45 | 8 |
| Intro long gi tube w/mult fluo CPT 74340 | $383.10 | $638.50 | $42.87 – $42.87 | 1 |
| Intro windpipe wire/tube CPT 31730 | $1,584.00 | $2,640.00 | $525.71 – $578.28 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $7,840.80 | $13,068.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $7,840.80 | $13,068.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $539.85 | $899.75 | $87.58 – $96.34 | 8 |
| Io anal gast n-stim init CPT 95980 | not published | not published | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $405.00 | $675.00 | $0.37 – $0.37 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $315.00 | $525.00 | $0.42 – $0.42 | 1 |
| Io radiation tx management CPT 77469 | not published | not published | $360.68 – $360.68 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $290.94 – $290.94 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $268.50 – $268.50 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $763.50 | $1,272.50 | $0.42 – $0.42 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $67,577.14 | $112,628.56 | $191.13 – $649.07 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $77.27 | $128.77 | $3.73 – $3.73 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,476.68 | $9,127.80 | $55.68 – $239.48 | 3 |
| Iron CPT 83540 | $217.80 | $363.00 | $5.43 – $27.22 | 11 |
| Iron binding capacity CPT 83550 | $255.15 | $425.25 | $7.34 – $36.29 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $44.75 | $74.57 | $17.75 – $66.41 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.78 – $12.70 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $143.26 | $238.76 | $0.46 – $0.46 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $223.50 | $372.50 | $29.63 – $60.52 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $72.15 | $120.25 | $74.70 – $74.70 | 1 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $592.78 – $652.06 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $779.91 | 8 |
| Ivc venogram s&i CPT 75825 | $2,899.95 | $4,833.25 | $114.28 – $125.71 | 8 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $394.35 | $657.25 | $43.06 – $43.06 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $61.50 | $102.50 | $28.87 – $28.87 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $59.70 | $99.50 | $29.85 – $29.85 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $449.55 | $749.25 | $98.86 – $98.86 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $568.76 – $568.76 | 1 |
| Ivp w/nephrotomography CPT 74415 | $622.35 | $1,037.25 | $151.36 – $166.50 | 8 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $622.35 | $1,037.25 | $135.33 – $148.86 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $11,501.78 | $19,169.63 | $124.94 – $473.67 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | $492.00 | $820.00 | $185.20 – $555.60 | 4 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Jejunstmy tube plcmt CPT 44372 | $1,138.20 | $1,897.00 | $564.97 – $621.47 | 8 |
| John cunningham antibody CPT 86711 | $49.20 | $82.00 | $16.89 – $44.75 | 4 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,185.15 | $3,641.91 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,130.66 | $5,217.76 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,130.02 | $3,550.03 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,445.29 | $4,075.48 | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $10.33 – $11.16 | 7 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.99 – $27.82 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $71.10 | $118.50 | $6.86 – $34.27 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $19.68 | $32.79 | $0.23 – $0.23 | 1 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,322.27 – $3,654.50 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $3,322.27 – $3,654.50 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,689.43 – $1,858.37 | 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.