Skip to main content
States Procedures Methodology Search
Hospital Profile Acute Care Hospital Physician 34 Beds · urban Updated: 7/13/2026

Usmd Hospital at Arlington L P

801 W Interstate 20, Arlington, TX 76017 · 19 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.95×vs. Fair Market Price
Position vs. 1.00× Fair Price+95% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +95% above the fair benchmark (1.95×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).81/100 · Corroborated
81/100Self-Pay Cash Beats Insurance 19% of the Time
File Completeness60Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic100Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment76Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing69Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score65/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait149 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.95× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Usmd Hospital at Arlington L P prices routine shoppable procedures near 2.1× Medicare (p50 2.20×) while skewing captive emergency, lab, and upper-quartile codes to 3.4× Medicare (p75 2.29×, +4% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#269 of 307 in TX · 87th State Percentile#3,055 of 3,385 in U.S. · 90th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.75× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 19% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (65/100 safety score) with 66% patient recommendation
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
  • Captive ER (3.0×) & laboratory (2.8×) services average 1.62× higher multiples than routine shoppable care (2.1×)
  • Specialty infusion drugs (J-codes) average 2.4× Medicare — verify per-unit billing on itemized statements
  • Unnegotiated chargemaster list prices average 6.8× Medicare (18¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.62× Divergence
3.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+4% Upper Tail
Q25 1.75× · Q50 2.20× · Q75 2.29×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
2.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.0× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.3× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
3.0× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
2.8× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
19% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 65/100Fair

Procedure Prices at Usmd Hospital at Arlington L P

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 19 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 $48,474 unverified
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $48,379 unverified
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $43,706 unverified
Total hip replacement
CPT Code: 27130
 $21,206 1.6×
Total knee replacement
CPT Code: 27447
 $21,206 1.6×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $17,541 unverified
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $13,878 unverified
Inguinal hernia repair
CPT Code: 49505
 $8,277 unverified
Bunion correction surgery
CPT Code: 28296
 $7,831 unverified
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $7,831 unverified
Breast lump removal
CPT Code: 19120
 $5,513 1.4×
C-section delivery (full package)
CPT Code: 59510
 $5,211 1.8×
Cataract surgery with lens implant
CPT Code: 66984
 $4,781 1.9×
Vaginal delivery (full package)
CPT Code: 59400
 $4,700 1.8×
Colonoscopy with biopsy
CPT Code: 45380
 $2,585 unverified
Upper endoscopy with biopsy
CPT Code: 43239
 $2,323 unverified
Colonoscopy (diagnostic)
CPT Code: 45378
 $2,296 2.3×
Injection procedure for pain management
HCPCS Code: G0260
 $1,882 2.2×
Blood transfusion
CPT Code: 36430
 $635 1.3×
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Usmd Hospital at Arlington L P (Zero PHI Required)

CMS CCN: 450872
CPT 322
Fair BaseRate™ $17,936
Medicare Rate $12,807
Self-Pay Cash Request Quote
Insurer Median $48,474
Pre-filled with Usmd Hospital at Arlington L P’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Usmd Hospital at Arlington L P's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$98,402 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($116,338) is $98,402 above the denoised Fair BaseRate ($17,936) and 9.1× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 731662763

Public IRS & CMS ownership records classify Usmd Hospital at Arlington L P as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)
Safety Composite65/100
Would Recommend66%
Rated 9 or 10 (HCAHPS)67%
Median ER Wait149 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Source: CMS Hospital Care Compare (133 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Usmd Hospital at Arlington L P.

Price Index: 1.37× regional baseline
Quality: 56/100 CMS composite
Median Household Income$81,905U.S. Census ACS
Local Uninsured Share16.6%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 450872 EIN 731662763

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450872) ↗ Verify IRS Form 990 (EIN 731662763) ↗ CMS HCRIS Cost Reports ↗
Published MRF File731662763_usmd-hospital-at-arlington-llc_standardcharges.csv
Publication / Vintage7/13/2026 · 30.75 MB
Validated Rate Rows117 (CMS v3.0.0)
File Integrity DigestVerified · CCN 450872

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy