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 |
|---|---|---|---|---|
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $568.76 – $568.76 | 1 |
| Unlisted procedure liver CPT 47399 | $2,926.80 | $4,878.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $810.00 | $1,350.00 | $7.11 – $10.28 | 2 |
| Unlisted procedure rectum CPT 45999 | $543.60 | $906.00 | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $136.50 | $227.50 | not published | 0 |
| Unlisted px external ear CPT 69399 | $329.70 | $549.50 | not published | 0 |
| Unlisted px inner ear CPT 69949 | $1,476.90 | $2,461.50 | not published | 0 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $140.77 – $140.77 | 1 |
| Unlisted px small intestine CPT 44799 | $2,754.15 | $4,590.25 | not published | 0 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $140.77 – $140.77 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | $211.95 | $353.25 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $646.20 | $1,077.00 | not published | 0 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $568.76 – $568.76 | 1 |
| Unlisted special svc px/rprt CPT 99199 | $90.00 | $150.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $7.11 – $7.11 | 1 |
| Unlisted transfusion med px CPT 86999 | $469.05 | $781.75 | $18.81 – $25.56 | 5 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $86.58 – $95.24 | 8 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $7.11 – $7.11 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $568.76 – $568.76 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,127.45 | $3,545.75 | $869.16 – $869.16 | 1 |
| Upgrade pm system CPT 33214 | $18,019.35 | $30,032.25 | $6,346.73 – $6,981.40 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,264.90 | $5,441.50 | $330.45 – $363.50 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,612.85 | $4,354.75 | $281.34 – $309.47 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,394.15 | $3,990.25 | $196.14 – $215.75 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,824.75 | $3,041.25 | $334.95 – $368.45 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,707.60 | $2,846.00 | $334.95 – $368.45 | 8 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $760.76 | $1,267.93 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $731.70 | $1,219.50 | $334.95 – $368.45 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,888.85 – $2,077.74 | 8 |
| Urea nitrogen CPT 84520 | $133.20 | $222.00 | $3.32 – $16.14 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $111.45 | $185.75 | $4.67 – $19.18 | 11 |
| Urea nitrogen clearance CPT 84545 | $31.95 | $53.25 | $6.05 – $27.22 | 11 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.31 – $7.37 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | not published | 0 |
| Ureteral reflux study CPT 78740 | $820.20 | $1,367.00 | $203.83 – $224.21 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,142.90 – $1,257.19 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,689.43 – $1,858.37 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $622.35 | $1,037.25 | $81.38 – $89.52 | 8 |
| Urethrocystography void s&i CPT 74455 | $622.35 | $1,037.25 | $104.25 – $114.68 | 8 |
| Uric acid blood CPT 84550 | $130.65 | $217.75 | $3.80 – $19.18 | 11 |
| Uric acid urine CPT 84560 | $130.65 | $217.75 | $4.27 – $19.18 | 11 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.95 – $7.24 | 8 |
| Urinalysis microscopic only CPT 81015 | $43.50 | $72.50 | $2.56 – $12.10 | 11 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.82 – $4.26 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $107.85 | $179.75 | $2.66 – $13.08 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $107.85 | $179.75 | $1.89 – $9.07 | 11 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $110.81 – $110.81 | 1 |
| Urine Culture Test CPT 87086 | $210.00 | $350.00 | $6.78 – $33.26 | 11 |
| Urine ost pouch w faucet/tap HCPCS A4428 | $2.00 | $3.33 | not published | 0 |
| Urine pregnancy test CPT 81025 | $187.20 | $312.00 | $7.23 – $26.21 | 11 |
| Urine screen for bacteria CPT 81007 | not published | not published | $5.05 – $27.19 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $4.21 – $4.21 | 1 |
| Urography, antegrade CPT 74425 | $622.35 | $1,037.25 | $135.99 – $149.59 | 8 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $142.00 – $156.20 | 8 |
| Use 1st target lesion CPT 76982 | not published | not published | $93.56 – $102.92 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,008.54 | $6,680.89 | $15.61 – $48.66 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $55,128.85 | $91,881.41 | $309.82 – $570.69 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | $68.19 | $113.65 | $36.10 – $36.10 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $221.24 | $368.73 | $146.79 – $146.79 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $72.98 | $121.63 | $38.26 – $38.26 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $33.30 | $55.50 | $16.56 – $16.56 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $192.15 | $320.25 | $87.64 – $87.64 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $93.90 | $156.49 | $49.86 – $49.86 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $160.86 | $268.09 | $74.25 – $272.04 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $69.74 | $116.22 | $29.79 – $115.56 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.21 | $248.68 | $56.28 – $270.33 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $54.84 | $91.40 | $21.95 – $83.18 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.21 | $248.68 | $59.70 – $270.33 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $409.35 | $682.24 | $213.03 – $213.03 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $194.93 | $324.88 | $91.69 – $91.69 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $252.90 | $421.49 | $152.97 – $515.88 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $487.47 | $812.45 | $241.16 – $997.17 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $563.36 | $938.92 | $323.48 – $1,115.72 | 3 |
| Vaccine rabies im CPT 90675 | $858.95 | $1,431.57 | $386.44 – $1,275.46 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $637.20 | $1,062.00 | $283.82 – $283.82 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $980.10 | $1,633.50 | $717.75 – $717.75 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $980.10 | $1,633.50 | $717.75 – $717.75 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.83 | $171.38 | $129.06 – $129.06 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $106.66 | $177.76 | $51.57 – $51.57 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $89.72 | $149.53 | $24.19 – $24.19 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | not published | 0 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,526.99 – $1,679.69 | 8 |
| Vaginal bx CPT 58999 | $513.30 | $855.50 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,843.60 | $6,406.00 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,526.99 – $1,679.69 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $226.50 | $377.50 | $11.37 – $56.47 | 11 |
| Valvuloplasty aortic CPT 92986 | $5,841.45 | $9,735.75 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $459.00 | $765.00 | $1.85 – $1.85 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $362.70 | $604.50 | $11.37 – $56.47 | 11 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $29.48 – $31.84 | 7 |
| Varicella zoster antibody igg CPT 86787 | $140.40 | $234.00 | $10.82 – $53.42 | 11 |
| Varicella-zoster immue globin im CPT 90396 | $4,321.49 | $7,202.48 | $2,142.31 – $8,724.89 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,088.27 – $1,197.10 | 8 |
| Vasectomy CPT 55250 | not published | not published | $652.80 – $718.08 | 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.