Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost in Oklahoma
HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636
$808.36
lowest in Oklahoma
$1,616.72
state median
$6,463.05
highest in Oklahoma
$1,879.50
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $808.36 | $67.08 – $128.62 | 6 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $808.36 | $67.08 – $127.14 | 6 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $808.36 | $67.08 – $110.88 | 6 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,616.72 | $67.08 – $110.88 | 6 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $1,616.72 | $67.08 – $127.14 | 6 |
| Mercy Hospital Ardmore | Northwest Ardmore | $3,653.67 | $49.73 – $4,869.00 | 58 |
| Mercy Hospital Oklahoma City | Oklahoma City | $6,463.05 | $49.73 – $4,062.56 | 55 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $67.08 – $67.08 | 1 |