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 |
|---|---|---|---|---|
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Surgical opening of throat CPT 42955 | not published | not published | $420.64 – $462.70 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $303.00 | $505.00 | $16.57 – $49.48 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $107.85 | $179.75 | $16.57 – $114.04 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $555.30 | $925.50 | $35.38 – $135.20 | 6 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $576.00 | $960.00 | $35.38 – $176.63 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $330.45 | $550.75 | $48.21 – $330.00 | 6 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $490.20 | $817.00 | $48.21 – $698.56 | 6 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $939.93 – $1,033.92 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $177.75 | $296.25 | $3.99 – $19.18 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $46.05 | $76.75 | $3.99 – $19.18 | 11 |
| Susceptibility mic per plate CPT 87186 | $258.30 | $430.50 | $7.27 – $35.29 | 11 |
| Suscept studies macrobroth dilution ea CPT 87188 | $103.20 | $172.00 | $5.58 – $27.22 | 11 |
| Suspension of testis CPT 54620 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Svc venogram s&i CPT 75827 | $1,633.50 | $2,722.50 | $118.95 – $130.85 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $48.21 – $48.21 | 1 |
| Sympathectomy cervical CPT 64802 | not published | not published | $659.94 – $725.93 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $659.94 – $725.93 | 8 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Synvisc or synvisc-one HCPCS J7325 | $2,711.85 | $4,519.75 | $15.46 – $37.18 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $136.35 | $227.25 | $3.70 – $18.16 | 11 |
| System cardiomems hosp electronics HCPCS C2624 | $30,006.00 | $50,010.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $34,155.00 | $56,925.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,003.00 | $20,005.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $904.05 | $1,506.75 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $324.00 | $540.00 | $14.23 – $69.59 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $188.70 | $314.50 | $11.91 – $58.47 | 11 |
| T4 (thyroxine) free CPT 84439 | $284.70 | $474.50 | $7.58 – $37.31 | 11 |
| T4 (thyroxine) total CPT 84436 | $110.40 | $184.00 | $5.77 – $28.26 | 11 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $10.86 | $18.09 | $1.70 – $1.70 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.78 | $16.30 | $4.74 – $4.74 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $534.82 | $891.36 | $263.73 – $951.17 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $239.40 | $399.00 | $11.53 – $56.47 | 11 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,541.40 | $2,569.00 | $57.57 – $63.33 | 8 |
| Tap block uni by cont infusion 64487 CPT 64487 | $771.00 | $1,285.00 | $47.45 – $52.20 | 8 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,055.72 | $1,759.53 | $638.01 – $759.53 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,100.00 | $3,500.00 | $2,452.46 – $2,919.60 | 9 |
| Target gsa panel organ neop CPT 81445 | $2,700.00 | $4,500.00 | $597.91 – $1,364.93 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $119.87 – $131.86 | 8 |
| Tavr perq femoral CPT 33361 | $14,593.50 | $24,322.50 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $863.75 | $1,439.58 | $1.07 – $1.67 | 3 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $66.82 – $66.82 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.70 – $16.70 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $133.07 – $133.07 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $132.51 – $132.51 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $184.80 | $308.00 | $84.00 – $100.00 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $221.40 | $369.00 | $52.06 – $256.11 | 11 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,431.95 | $4,053.25 | $1,892.43 – $1,892.43 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $306.00 | $510.00 | $121.40 – $121.40 | 1 |
| Tc-99m maa HCPCS A9540 | $74.55 | $124.25 | $38.99 – $38.99 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $202.80 | $338.00 | $71.91 – $71.91 | 1 |
| Tc-99m medronate HCPCS A9503 | $41.70 | $69.50 | $16.90 – $16.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $74.55 | $124.25 | $57.19 – $57.19 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $139.65 | $232.75 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $408.45 | $680.75 | $177.65 – $177.65 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $347.10 | $578.50 | $69.50 – $69.50 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $366.60 | $611.00 | $126.68 – $126.68 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,121.70 | $1,869.50 | $610.64 – $610.64 | 1 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $106.34 – $116.97 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $106.34 – $116.97 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $246.00 | $410.00 | $39.46 – $194.59 | 11 |
| T cells absolute cd 4 count CPT 86361 | $123.00 | $205.00 | $22.50 – $110.91 | 11 |
| T cells total count CPT 86359 | $123.00 | $205.00 | $31.69 – $156.27 | 11 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $40,114.80 | $66,858.00 | $243.84 – $787.84 | 3 |
| Telavancin injection HCPCS J3095 | $1,191.80 | $1,986.33 | $7.49 – $26.40 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $46.35 | $77.25 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $872.85 | $1,454.75 | $156.29 – $156.29 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $86.56 – $86.56 | 1 |
| Temozolomide HCPCS J8700 | $647.64 | $1,079.40 | $5.36 – $5.36 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,950.80 | $8,251.32 | $57.46 – $130.03 | 3 |
| Tendon lengthening CPT 26476 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $9,028.34 | $15,047.23 | $157.58 – $590.21 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,398.52 – $2,638.37 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $593.04 – $652.34 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $203.76 – $224.14 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $10.95 | $18.24 | $3.60 – $3.60 | 1 |
| Tert gene targeted seq alys CPT 81345 | $1,710.00 | $2,850.00 | $185.20 – $555.60 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.05 – $11.78 | 8 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.89 – $8.41 | 8 |
| Test for urine cystines CPT 82615 | not published | not published | $8.02 – $16.02 | 8 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $200.15 – $220.17 | 8 |
| Testosterone response panel CPT 80414 | not published | not published | $43.38 – $101.36 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $818.10 | $1,363.50 | $308.02 – $308.02 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $9.45 – $10.80 | 8 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.22 – $16.90 | 8 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.75 – $6.38 | 8 |
| Tetanus immune globulin inj HCPCS J1670 | $1,285.36 | $2,142.26 | $691.52 – $2,091.02 | 3 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $638.01 – $689.05 | 7 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,577.00 | $4,295.00 | $2,452.46 – $2,919.60 | 9 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $1,110.00 | $1,850.00 | $502.24 – $597.91 | 9 |
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.