Impres&prep oral surg splint cost in Oklahoma

IMPRES&PREP ORAL SURG SPLINT · CPT 21085

Hospital City Cash price Negotiated range Payers
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published $634.96 – $637.39 2
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $634.96 – $1,159.83 7
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $634.96 – $1,329.94 7
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $236.58 – $1,329.94 29
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $220.89 – $1,345.40 29
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa not published $220.89 – $1,159.83 30