Visits & medical services prices at Texas Health Arlington Memorial Hospital

Arlington, TX · every code in this section with a posted price and a Medicare benchmark.

208 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,281.55 $10,469.25 0.8×
Airway Inhalation Treatment (94640) $310.80 $518 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $96.30 $160.50 6.7×
Application on-body injector (96377) $148.20 $247 3.1×
Behavral qualit analys voice (92524)
range across 6 matching MRF lines
$205.95–$710.40 $343.25–$1,184 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $454.65 $757.75 1.2×
Canalith repositioning proc (95992) $115.35 $192.25 2.8×
Car seat/bed test 60 min (94780) $61.50 $102.50 1.6×
Cardiac Stress Tst,Tracing Only (93017) $818.10 $1,363.50 3.8×
Cardiopulmonary exercise testing (94621) $963.30 $1,605.50 2.6×
Cardiopulmonary resuscitation (92950) $545.40 $909 2.5×
Cardioversion (92960) $913.95 $1,523.25 1.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $57 $95 2.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,316.35 $15,527.25 2.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,316.35 $15,527.25 2.9×
Cbt 1st hour (94644) $202.80 $338 1.5×
Chemo Anti-Neopl Sq/Im (96401) $265.50 $442.50 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $265.50 $442.50 3.7×
Chemo Ia Push (96420) $265.50 $442.50 0.8×
Chemo IV infusion addl hr (96415) $68.85 $114.75 1.0×
Chemo IV push addl drug (96411) $265.50 $442.50 3.7×
Chemother Prolong Infuse W/Pump (96416) $681.75 $1,136.25 2.1×
Chemotherapy Into Cns (96450) $270.15 $450.25 0.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $655.65 $1,092.75 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $108.90 $181.50 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $256.50 $427.50 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $265.50 $442.50 0.8×
Chest Wall Manipulation (94668) $82.50 $137.50 0.6×
Color/duplex Doppler, complete (93975) $724.65 $1,207.75 3.0×
Color/duplex Doppler, limited (93976) $697.20 $1,162 6.6×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$35–$225.45 $58.33–$375.75 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $344.10 $573.50 2.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $106.95 $178.25 1.8×
Continuous Pulse Ox (94762) $437.55 $729.25 3.4×
Coronary Art/Grft Angio S&I (93455) $9,316.35 $15,527.25 2.9×
Coronary Artery Angio S&I (93454) $9,316.35 $15,527.25 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,305 $2,175 5.9×
Cpt initial (94667) $188.70 $314.50 1.4×
Critical care first hour (99291) $1,929.60 $3,216 2.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 7 matching MRF lines
$153.75–$351.60 $256.25–$586 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $670.35 $1,117.25 2.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $697.20 $1,162 6.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $697.20 $1,162 6.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$985.20–$1,121.25 $1,642–$1,868.75 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,203.45 $2,005.75 11.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,212.45 $2,020.75 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $652.20 $1,087 6.2×
Duplex Scan Hemodialysis Access (93990) $652.20 $1,087 6.2×
Duplex up extrem art bilat (93930) $985.20 $1,642 4.1×
Duplex up extrem art unilat/ltd (93931) $1,203.45 $2,005.75 11.4×
Echo Congenital Complete (93303) $1,332.45 $2,220.75 2.4×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$379.20–$488.55 $632–$814.25 varies
Echo r-t 2d w/probe placement only (93313) $2,127.45 $3,545.75 3.9×
Echo transesophageal (93312) $1,998.60 $3,331 3.6×
Echo Transesophageal - Congenital Tee Complete (93315) $1,998.60 $3,331 3.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,680.20 $4,467 4.9×
Eeg 41-60 Minutes (95812) $2,239.80 $3,733 10.3×
EEG awake and asleep (95819) $914.10 $1,523.50 4.2×
EEG awake drowsy (95816) $914.10 $1,523.50 4.2×
EEG cerebral death evaluation (95824) $1,216.80 $2,028 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $554.70 $924.50 2.6×
EEG extended monitoring 61-119 minutes (95813) $2,239.80 $3,733 10.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $554.70 $924.50 2.6×
EEG w/o vid 2-12hr cont mntr (95707) $462.30 $770.50 2.1×
EEG w/o vid ea 12-26hr intmt (95709) $886.80 $1,478 2.4×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $886.80 $1,478 2.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $462.30 $770.50 2.1×
EEG wo vid ea 12-26hr unmntr (95708) $886.80 $1,478 2.4×
Electrical Stimulation Ea 15 Min (97032) $103.50 $172.50 7.0×
Electrocardiogram Tracing (93005) $205.35 $342.25 3.5×
Electrophysiology Evaluation (93642) $3,037.65 $5,062.75 2.5×
Emergency Dept Visit Level 2 (99282) $298.65 $497.75 1.9×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$139.80–$579.15 $233–$965.25 varies
Emergency Dept Visit Level 4 (99284) $845.10 $1,408.50 2.0×
Endomyocardial Biopsy (93505) $2,687.10 $4,478.50 0.8×
Ep & ablate supravent arrhyt (93653) $14,791.50 $24,652.50 0.6×
Ep & ablate ventric tachy (93654) $14,791.50 $24,652.50 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,281.55 $10,469.25 0.8×
Er level 1 (99281) $184.50 $307.50 2.2×
Er level v (99285) $1,591.20 $2,652 2.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $763.05 $1,271.75 2.0×
Evaluate pt use of inhaler (94664) $155.55 $259.25 0.7×
Evaluate Speech Production (92522)
range across 6 matching MRF lines
$205.95–$710.40 $343.25–$1,184 varies
Evaluate Swallowing Function (92610)
range across 13 matching MRF lines
$113.70–$1,672.05 $189.50–$2,786.75 varies
Evaluation of speech fluency (92521)
range across 5 matching MRF lines
$205.95–$610.35 $343.25–$1,017.25 varies
Exercise test for bronchospasm (94617) $324 $540 2.4×
External Ecg Scanning Analysis Report (93226) $529.20 $882 8.9×
Extracranial Bilat Study (93880) $1,288.35 $2,147.25 5.4×
F-up/limited tthrc echo congenital car anomaly (93304) $1,332.45 $2,220.75 2.4×
Flexible endoscopic eval swallow c/v rec (92612)
range across 8 matching MRF lines
$213.45–$477.90 $355.75–$796.50 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $325.65 $542.75 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,551.45 $2,585.75 1.8×
Gi tract capsule endoscopy (91110) $1,842.15 $3,070.25 2.0×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$164.55–$327.15 $274.25–$545.25 varies
Health behavior ivntj indiv f2f 1st 30 min (96158) $103.20 $172 0.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,316.35 $15,527.25 2.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,127.45 $3,545.75 3.1×
Holter monitor recording (93225) $832.50 $1,387.50 6.2×
Immunization administration (90471)
range across 5 matching MRF lines
$109.20–$113.70 $182–$189.50 varies
Insert/Place Heart Catheter (93503)
range across 3 matching MRF lines
$3,160.05–$3,286.50 $5,266.75–$5,477.50 varies
Intra-atrial pacing (93610) $10,164.90 $16,941.50 1.3×
Intracranial Complete Study (93886) $1,288.35 $2,147.25 5.4×
Iontophoresis 15 min (97033) $103.50 $172.50 5.4×
Irrig Drug Delivery Device (96523) $72.15 $120.25 1.2×
IV infusion hydration each additional hour (96361) $59.70 $99.50 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $449.55 $749.25 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $394.35 $657.25 5.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $59.70 $99.50 1.3×
IV push initial (96374) $192.15 $320.25 0.9×
L Hrt Art/Grft Angio (93459) $9,316.35 $15,527.25 2.9×
Laryngeal Function Studies (92520)
range across 3 matching MRF lines
$137.70–$410.55 $229.50–$684.25 varies
Lung Function Test (Mbc/Mvv) (94200) $241.80 $403 4.1×
Mechanical chest wall oscillation per session (94669) $155.55 $259.25 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $90 $150 2.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $86.40 $144 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $37.35 $62.25 2.2×
Motility study esophagus (91010) $771 $1,285 2.1×
Motion Fluoroscopy/Swallow (92611)
range across 6 matching MRF lines
$183.60–$731.70 $306–$1,219.50 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$266.55–$718.50 $444.25–$1,197.50 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 3 matching MRF lines
$266.70–$718.50 $444.50–$1,197.50 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$153.75–$306.75 $256.25–$511.25 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$266.55–$532.35 $444.25–$887.25 varies
Neuromuscular Reeducation (97112) $113.70 $189.50 3.5×
Newborn resuscitation (99465) $950.85 $1,584.75 1.4×
Oral Function Therapy (92526)
range across 10 matching MRF lines
$125.85–$761.40 $209.75–$1,269 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $134.70 $224.50 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$123.15–$128.10 $205.25–$213.50 varies
Ot Contrast Bath Ea 15 Min (97034) $92.85 $154.75 6.6×
Ot eval high complexity (97167)
range across 4 matching MRF lines
$188.85–$508.20 $314.75–$847 varies
Ot Eval Low Complex (97165)
range across 4 matching MRF lines
$188.85–$508.20 $314.75–$847 varies
Ot Eval Moderate Complexity (97166)
range across 4 matching MRF lines
$188.85–$508.20 $314.75–$847 varies
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$110.70–$115.20 $184.50–$192 varies
Ot paraffin bath (97018) $96.30 $160.50 16.0×
Ot Prosthetic Training, Each 15 Min (97761) $109.65 $182.75 2.7×
Ot Re-Eval Est Plan Care (97168)
range across 4 matching MRF lines
$103.50–$508.20 $172.50–$847 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $196.50 $327.50 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $196.50 $327.50 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $271.35 $452.25 1.2×
Peripheral arterial disease rehab per session (93668) $108.15 $180.25 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $8,539.65 $14,232.75 1.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,695.05 $19,491.75 1.0×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$167.70–$174.45 $279.50–$290.75 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $147 $245 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $147 $245 2.5×
Physical Performance Test (97750) $93.90 $156.50 2.8×
Plethysmography (94726) $227.55 $379.25 0.6×
Prq Card Angio/Athrect 1 Art (92924) $11,261.55 $18,769.25 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,695.05 $19,491.75 1.0×
Prq Card Stent/Ath/Angio (92933) $11,695.05 $19,491.75 0.6×
Prq Revasc Byp Graft 1 Vsl (92937) $11,695.05 $19,491.75 1.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $419.70 $699.50 3.1×
Pt Eval High Complex (97163)
range across 4 matching MRF lines
$123.90–$327.15 $206.50–$545.25 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$123.90–$327.15 $206.50–$545.25 varies
Pt Eval Mod Complex (97162)
range across 4 matching MRF lines
$123.90–$327.15 $206.50–$545.25 varies
Pt gait training 15 min (97116) $117.45 $195.75 4.0×
Pt mechanical traction (97012) $106.80 $178 7.4×
Pt Re-Eval Est Plan Care (97164)
range across 4 matching MRF lines
$113.70–$446.85 $189.50–$744.75 varies
Pulm function test by gas (94727) $132.60 $221 0.6×
Pulmonary Stress Testing (94618) $324 $540 2.4×
R Hrt Art/Grft Angio (93457) $9,316.35 $15,527.25 2.9×
R hrt coronary artery angio (93456) $9,316.35 $15,527.25 2.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,316.35 $15,527.25 2.9×
Respiratory flow volume loop (94375) $454.65 $757.75 2.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $164.55 $274.25 2.8×
Right Heart Cath (93451) $9,316.35 $15,527.25 2.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $235.35 $392.25 1.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $345.75 $576.25 2.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $286.35 $477.25 6.0×
Self Care Mngment Training (97535) $111.60 $186 3.4×
Sensory Integration Ea 15 Min (97533) $134.70 $224.50 2.2×
Slp caregiver training 1st 30 min (97550) $114.45 $190.75 2.2×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$205.95–$914.10 $343.25–$1,523.50 varies
Spirometry (94010) $356.85 $594.75 1.6×
Standardized Cognitive Performance Testing (96125) $240 $400 2.3×
Surfactant Admin Thru Tube (94610) $155.55 $259.25 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $123.90 $206.50 5.5×
Ther Ivntj Ea Addl 15 Min (97130) $123.90 $206.50 5.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $113.70 $189.50 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $113.70 $189.50 3.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 3 matching MRF lines
$145.05–$288.60 $241.75–$481 varies
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$178.95–$186.15 $298.25–$310.25 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$42–$146.85 $70–$244.75 varies
Ther/Proph/Diag Iv Inf Init (96365) $449.55 $749.25 2.1×
Therapeutic Activities (97530) $117.45 $195.75 3.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,051.80 $1,753 2.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $559.80 $933 5.3×
Tte w/doppler, complete (93306) $1,859.40 $3,099 3.4×
Tte W/O Doppler Complete (93307) $379.20 $632 1.6×
Tx atrial fib pulm vein isol (93656) $14,791.50 $24,652.50 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 7 matching MRF lines
$106.80–$524.40 $178–$874 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $192.15 $320.25 4.1×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$1,518.15–$2,640.30 $2,530.25–$4,400.50 varies
Unlisted noninvasive vascular diagnostic study (93998) $1,105.80 $1,843 38.0×
Upr/L Xtremity Art 2 Levels (93922) $791.40 $1,319 5.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $849.60 $1,416 3.9×
Valvuloplasty aortic valve (92986) $5,841.45 $9,735.75 1.0×
Vasopneumatic device (97016) $103.50 $172.50 8.6×
Veeg 2-12 Hr Cont Mntr (95713) $1,063.95 $1,773.25 2.8×
Veeg 2-12 hr intmt mntr (95712) $554.70 $924.50 1.5×
Veeg 2-12 hr unmonitored (95711) $554.70 $924.50 2.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,063.95 $1,773.25 2.8×
Veeg Ea 12-26 Hr Unmntr (95714) $1,063.95 $1,773.25 2.8×
Veeg ea 12-26hr cont mntr (95716) $1,990.80 $3,318 2.3×
Vent Mgmt Inpat Init Day (94002) $3,143.25 $5,238.75 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,915.20 $3,192 3.1×
Vital capacity, total (94150) $174.75 $291.25 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $111.60 $186 3.6×
Whirlpool Therapy (97022) $115.20 $192 7.3×

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.