Ghs layer closure 2.5 cm or less - 12041 cost in Oklahoma
GHS LAYER CLOSURE 2.5 CM OR LESS - 12041 · CPT 12041
$203.87
lowest in Oklahoma
$382.20
state median
$4,989.00
highest in Oklahoma
$574.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $203.87 | $166.24 – $1,520.16 | 30 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $203.87 | $166.24 – $855.09 | 29 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $203.87 | $166.24 – $915.79 | 29 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $203.87 | $166.24 – $333.06 | 7 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $203.87 | $166.24 – $290.46 | 7 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $203.87 | $166.24 – $183.40 | 2 |
| Mercy Hospital Tishomingo | Tishomingo | $382.20 | $120.07 – $830.64 | 51 |
| Mercy Hospital Healdton | Healdton | $449.80 | $120.07 – $830.64 | 54 |
| Mercy Hospital Kingfisher | Kingfisher | $453.70 | $120.07 – $830.64 | 50 |
| Mercy Hospital Logan County | Guthrie | $453.70 | $120.07 – $830.64 | 48 |
| Mercy Hospital Watonga | Watonga | $453.70 | $120.07 – $830.64 | 51 |
| Love County Health Center | Marietta | $589.00 | $120.07 – $226.72 | 28 |
| Mercy Hospital Oklahoma City | Oklahoma City | $4,989.00 | $48.18 – $3,436.08 | 56 |