Bx/exc xdrl/idrl lsn any lvl cost in Oklahoma
BX/EXC XDRL/IDRL LSN ANY LVL · CPT 63290
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $4,103.56 – $4,229.21 | 2 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $4,229.21 – $10,454.00 | 4 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $2,991.12 – $3,153.59 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $2,991.12 – $5,093.72 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $2,991.12 – $5,840.79 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $2,991.12 – $5,840.79 | 7 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $2,991.12 – $5,908.71 | 7 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $2,991.12 – $5,093.72 | 7 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $4,229.21 – $19,664.12 | 4 |