Dstr mal ls f/e/e/n/l/m>4.0 cost in Oklahoma
DSTR MAL LS F/E/E/N/L/M>4.0 · CPT 17286
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $313.40 – $318.23 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $313.40 – $531.96 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $313.40 – $609.98 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $313.40 – $1,403.12 | 29 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $313.40 – $1,310.11 | 29 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $313.40 – $2,329.08 | 30 |