Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % cost in Oklahoma
HC SPLIT ATOGRFT F/S/N/H/F/G/M/D GT 1ST 100SQCM/</1 % · CPT 15120
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $770.73 – $852.06 | 2 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $770.73 – $1,298.60 | 7 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $770.73 – $1,489.06 | 7 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $770.73 – $1,489.06 | 7 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $770.73 – $1,506.37 | 7 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $770.73 – $1,298.60 | 7 |