Drm agrft t/a/l ea addl cost in Oklahoma
DRM AGRFT T/A/L EA ADDL · CPT 15131
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $134.65 – $991.00 | 2 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $134.65 – $1,496.00 | 3 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $92.57 – $100.02 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $92.57 – $151.69 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $92.57 – $173.94 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $92.57 – $173.94 | 7 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $92.57 – $175.97 | 7 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $92.57 – $151.70 | 7 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $134.65 – $991.00 | 3 |