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 |
|---|---|---|---|---|
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.18 – $16.90 | 8 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,151.54 – $1,266.69 | 8 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $1,939.15 – $2,133.07 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $1,939.15 – $2,133.07 | 8 |
| Prq card angio/athrect addl CPT 92925 | $11,261.55 | $18,769.25 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $5,963.10 | $9,938.50 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $18,808.65 | $31,347.75 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | not published | 0 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $593.04 – $652.34 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $3,122.54 – $3,434.79 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,695.05 | $19,491.75 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,539.65 | $14,232.75 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $11,261.55 | $18,769.25 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $11,695.05 | $19,491.75 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $612.90 | $1,021.50 | $54.42 – $59.86 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $197.25 | $328.75 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $219.60 | $366.00 | $51.22 – $56.34 | 8 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $449.25 | $748.75 | $143.08 – $157.39 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $312.90 | $521.50 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $312.90 | $521.50 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $312.90 | $521.50 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $312.90 | $521.50 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $709.01 – $779.91 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,448.70 | $2,414.50 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $150.45 | $250.75 | $15.45 – $75.62 | 11 |
| Psychoeducation 45 min + HCPCS G0177 | $202.50 | $337.50 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $164.55 | $274.25 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $327.15 | $545.25 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $488.40 | $814.00 | not published | 0 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $349.65 | $582.75 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $419.70 | $699.50 | $31.22 – $31.22 | 1 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $419.70 | $699.50 | $26.92 – $26.92 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $103.50 | $172.50 | $20.56 – $20.56 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $93.90 | $156.50 | $8.81 – $8.81 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $103.50 | $172.50 | $28.87 – $28.87 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $96.30 | $160.50 | $19.09 – $19.09 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $106.80 | $178.00 | $20.56 – $20.56 | 1 |
| Pten gene dup/delet variant CPT 81323 | $738.00 | $1,230.00 | $199.68 – $300.00 | 9 |
| Pten gene full sequence CPT 81321 | $960.00 | $1,600.00 | $504.00 – $600.00 | 9 |
| Pten gene known fam variant CPT 81322 | not published | not published | $39.14 – $42.27 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,954.22 – $2,149.64 | 8 |
| Pt evaluation high complexity patient/family CPT 97163 | $327.15 | $545.25 | $117.45 – $117.45 | 1 |
| Pt evaluation low complexity patient/family CPT 97161 | $327.15 | $545.25 | $117.45 – $117.45 | 1 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $327.15 | $545.25 | $117.45 – $117.45 | 1 |
| Pt re-evaluation patient/family CPT 97164 | $446.85 | $744.75 | $79.77 – $79.77 | 1 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $115.35 | $192.25 | $52.36 – $52.36 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $93.90 | $156.50 | $19.58 – $19.58 | 1 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $117.45 | $195.75 | $42.08 – $42.08 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $113.70 | $189.50 | $39.64 – $39.64 | 1 |
| Pt wheelchair management each 15 minutes CPT 97542 | $111.60 | $186.00 | $46.01 – $46.01 | 1 |
| Pul art balloon repr percut CPT 92998 | not published | not published | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $1,203.45 | $2,005.75 | $176.43 – $194.07 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $437.55 | $729.25 | $187.88 – $187.88 | 1 |
| Pulse ox multiple CPT 94761 | $121.35 | $202.25 | $5.87 – $5.87 | 1 |
| Pulse ox single CPT 94760 | $121.35 | $202.25 | $3.42 – $3.42 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $822.00 | $1,370.00 | $262.86 – $289.15 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $77.40 | $129.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $484.50 | $807.50 | $67.83 – $74.61 | 8 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $886.62 – $975.28 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,045.65 | $1,742.75 | $262.86 – $289.15 | 8 |
| Puraply 1 sq cm HCPCS Q4195 | $553.50 | $922.50 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,178.85 | $1,964.75 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $262.86 – $289.15 | 8 |
| Pvb thoracic single inj site CPT 64461 | $1,045.65 | $1,742.75 | $262.86 – $289.15 | 8 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $52.15 | $86.91 | $10.09 – $10.09 | 1 |
| Pyruvate CPT 84210 | $66.00 | $110.00 | $12.16 – $45.37 | 11 |
| Pyruvate kinase CPT 84220 | $96.00 | $160.00 | $7.93 – $39.31 | 11 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $3,479.55 | $5,799.25 | $282.01 – $310.21 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,029.05 | $3,381.75 | $188.11 – $206.92 | 8 |
| Quest t3 uptake CPT 84479 | $15.30 | $25.50 | $5.43 – $27.22 | 11 |
| Quinupristin/dalfopristin HCPCS J2770 | $922.70 | $1,537.83 | $529.41 – $1,909.28 | 3 |
| Radiation handling CPT 77790 | $528.15 | $880.25 | $17.24 – $17.24 | 1 |
| Radiation physics consult CPT 77336 | $310.05 | $516.75 | $90.57 – $90.57 | 1 |
| Radiation therapy dose plan CPT 77300 | $306.75 | $511.25 | $38.48 – $38.48 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $118.63 – $118.63 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $32.46 – $32.46 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $79.35 – $79.35 | 1 |
| Radiation treatment aid(s) CPT 77334 | $863.25 | $1,438.75 | $76.95 – $76.95 | 1 |
| Radiation treatment delivery CPT 77401 | not published | not published | $28.06 – $28.06 | 1 |
| Radiation treatment delivery CPT 77402 | $599.85 | $999.75 | $156.69 – $156.69 | 1 |
| Radiation treatment delivery CPT 77412 | $682.80 | $1,138.00 | $270.10 – $270.10 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $215.21 – $215.21 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $896.72 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $896.72 | 8 |
| Radiology port images(s) CPT 77417 | $164.55 | $274.25 | $12.82 – $12.82 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,728.46 – $1,728.46 | 1 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,051.70 | $3,419.50 | $288.69 – $317.56 | 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.