Supplies, drugs & other prices at Texas Health Arlington Memorial Hospital
Arlington, TX · every code in this section with a posted price and a Medicare benchmark.
50 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,375.05 | $2,291.75 | 1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,375.05 | $2,291.75 | 3.9× |
| Admin influenza virus vac (G0008) | $113.70 | $189.50 | 2.4× |
| Catheterize for urine spec (P9612) | $148.80 | $248 | 15.9× |
| Diab manage trn per indiv (G0108) | $144.60 | $241 | 2.6× |
| Diab manage trn ind/group (G0109) | $84 | $140 | 5.2× |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$224.70–$384 | $374.50–$640 | varies |
| Drug test def 1-7 classes (G0480) range across 60 matching MRF lines |
$55.20–$396 | $92–$660 | varies |
| Drug test def 15-21 classes (G0482) | $442.80 | $738 | 2.2× |
| Drug test def 8-14 classes (G0481) | $405.90 | $676.50 | 2.6× |
| Elec stim other than wound (G0283) | $93.90 | $156.50 | 7.4× |
| Hbot, full body chamber, 30m (G0277) | $362.40 | $604 | 2.6× |
| Hep c screen high risk/other (G0472) | $225.45 | $375.75 | 4.9× |
| Mnt subs tx for change dx (G0270) | $90 | $150 | 2.8× |
| Mra w/cont, abd (C8900) | $2,394.15 | $3,990.25 | 6.8× |
| Mra w/cont, pelvis (C8918) | $2,929.95 | $4,883.25 | 8.3× |
| Mra w/o cont, abd (C8901) | $2,274.45 | $3,790.75 | 9.5× |
| Mra w/o cont, chest (C8910) | $2,939.25 | $4,898.75 | 12.2× |
| Mra w/o cont, lwr ext (C8913) | $3,082.65 | $5,137.75 | 12.8× |
| Mra w/o cont, pelvis (C8919) | $3,047.25 | $5,078.75 | 12.7× |
| Mra w/o fol w/cont, abd (C8902) | $2,394.15 | $3,990.25 | 6.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,939.25 | $4,898.75 | 8.4× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$2,964–$3,082.65 | $4,940–$5,137.75 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $3,047.25 | $5,078.75 | 8.7× |
| Mri w/cont, breast, bi (C8906) | $2,574.45 | $4,290.75 | 7.3× |
| Mri w/cont, breast, uni (C8903) | $2,479.35 | $4,132.25 | 14.0× |
| Mri w/o fol w/cont, breast, (C8908) | $3,209.55 | $5,349.25 | 9.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,610.75 | $4,351.25 | 7.4× |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$326.40–$492.60 | $544–$821 | varies |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $1,278.90 | $2,131.50 | 1.4× |
| Oth resp proc, group (G0239) | $79.95 | $133.25 | 2.1× |
| Oth resp proc, indiv (G0238) | $76.80 | $128 | 2.6× |
| Perc d-e cor revasc chro sin (C9607) | $18,808.65 | $31,347.75 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $18,808.65 | $31,347.75 | 1.6× |
| Perc d-e cor stent ather s (C9602) | $18,808.65 | $31,347.75 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $18,808.65 | $31,347.75 | 1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,284.40 | $10,474 | 0.9× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $1,904.25 | $3,173.75 | 2.2× |
| Psa screening (G0103) | $154.95 | $258.25 | 8.0× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $364.80 | $608 | 1.5× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $1,203.90 | $2,006.50 | 5.0× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $680.55 | $1,134.25 | 0.9× |
| Therapeutic procd strg endur (G0237) | $113.70 | $189.50 | 3.9× |
| Tomosynthesis, mammo (G0279) | $71.40 | $119 | 5.6× |
| Trauma respons w/hosp criti (G0390) range across 8 matching MRF lines |
$1,077–$7,235.25 | $1,795–$12,058.75 | varies |
| Trluml perip athrc abd aorta (0236T) | $17,591.70 | $29,319.50 | 1.5× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$16,915.05–$17,591.70 | $28,191.75–$29,319.50 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,322.40–$1,375.35 | $2,204–$2,292.25 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $1,859.40 | $3,099 | 2.4× |
| Unsched dialysis esrd pt hos (G0257) | $2,127.45 | $3,545.75 | 3.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.