Foam drg >16<=48 sq in without b cost in Oklahoma
Foam drg >16<=48 sq in w/o b · HCPCS A6210
$4.95
lowest in Oklahoma
$166.15
state median
$166.15
highest in Oklahoma
$39.19
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $4.95 | $44.66 – $48.72 | 2 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $134.87 | $38.71 – $38.71 | 1 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $166.15 | $38.71 – $38.71 | 1 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $166.15 | $38.71 – $38.71 | 1 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $166.15 | $38.71 – $38.71 | 1 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $166.15 | $38.71 – $38.71 | 1 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $166.15 | $38.71 – $38.71 | 1 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $41.76 – $44.66 | 2 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $41.76 – $44.66 | 2 |