Foam drg > 48 sq in w/border cost in Oklahoma

Foam drg > 48 sq in w/border ยท HCPCS A6214

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $23.08 โ€“ $25.18 2
SSM Health St. Anthony Hospital - Midwest Midwest City not published $21.59 โ€“ $23.08 2
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $21.59 โ€“ $23.08 2