Opn tx orbit periorbt w/grft cost in Oklahoma
Opn tx orbit periorbt w/grft · CPT 21395
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $1,067.37 – $1,119.16 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $1,067.37 – $1,836.67 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $1,067.37 – $2,106.05 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $1,067.37 – $2,106.05 | 7 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $1,067.37 – $2,130.54 | 7 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $1,067.37 – $1,836.68 | 7 |