Splt agrft f/s/n/h/f/g/m ea cost at US hospitals
SPLT AGRFT F/S/N/H/F/G/M EA · CPT 15121
$175.89
lowest cash price
$1,612.78
national median
$3,916.00
highest cash price
54
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $175.89–$3,916.00 — the variation is the story.
Cheapest published cash price
$175.89
Henry Ford Hospital — Detroit MI 48202 | 19401 Hubbard Dr., MIMost expensive published cash price
$3,916.00
SSM Health St. Anthony Hospital - Oklahoma City — Oklahoma City, OKMedian cash price over time
Jan 1, 2026 ($516.00) → Sep 1, 2026 ($2,538.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 9 | $1,794.87 | $1,794.87 | $1,794.87 |
| California | 40 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 7 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 49 | $520.00 | $520.00 | $2,066.35 |
| Georgia | 13 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 15 | $516.00 | $516.00 | $516.00 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 11 | $516.00 | $516.00 | $516.00 |
| Kansas | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 17 | $175.89 | $175.89 | $175.89 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 9 | not published by hospital | not published by hospital | not published by hospital |
| Nevada | 3 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 22 | $520.00 | $520.00 | $520.00 |
| Oklahoma | 9 | $3,916.00 | $3,916.00 | $3,916.00 |
| Oregon | 4 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 3 | $2,538.00 | $2,538.00 | $2,538.00 |
| South Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | $2,579.20 | $2,579.20 | $2,579.20 |
| Tennessee | 6 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 43 | $1,612.78 | $1,612.78 | $2,050.28 |
| Washington | 10 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 17 | $268.18 | $268.18 | $2,781.60 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $175.89 | $76.04 – $404.76 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $175.89 | $76.04 – $404.76 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $175.89 | $65.29 – $342.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $175.89 | $76.04 – $342.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $268.18 | $208.37 – $828.45 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $516.00 | $115.50 – $593.40 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $516.00 | $115.50 – $309.84 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $516.00 | $115.50 – $309.84 |
| cleveland clinic main campus | Cleveland, OH | $520.00 | $1.10 – $1,701.04 |
| akron general | Akron, OH | $520.00 | $1.10 – $1,350.24 |
| cleveland clinic florida weston hospital | Weston, FL | $520.00 | $78.19 – $1,492.50 |
| martin north hospital | Stuart, FL | $520.00 | $106.64 – $1,305.94 |
| indian river hospital | Vero Beach, FL | $520.00 | $78.19 – $1,368.13 |
| mercy hospital | Canton, OH | $520.00 | $1.10 – $1,317.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $1,612.78 | $456.95 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $1,612.78 | $430.07 – $2,284.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $1,612.78 | $430.07 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $1,612.78 | $403.19 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $1,612.78 | $295.68 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $1,612.78 | $295.68 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $1,612.78 | $456.95 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $1,612.78 | $752.63 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $1,612.78 | $322.56 – $2,284.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $1,612.78 | $295.68 – $2,284.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $1,612.78 | $345.13 – $2,284.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $1,612.78 | $403.19 – $2,284.77 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $1,612.78 | $215.04 – $2,284.77 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $1,794.87 | $636.64 – $2,598.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $2,050.28 | $71.00 – $3,075.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $2,050.28 | $71.00 – $2,562.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $2,050.28 | $85.00 – $3,075.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $2,050.28 | $1,059.31 – $3,075.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $2,050.28 | $71.00 – $2,904.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $2,050.28 | $71.00 – $3,075.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $2,050.28 | $71.00 – $3,075.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $2,050.28 | $71.00 – $2,733.71 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $2,050.28 | $71.00 – $3,075.43 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $2,066.35 | $638.98 – $2,861.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $2,066.35 | $553.15 – $2,861.10 |
| UPMC Hanover | Hanover, PA | $2,538.00 | $205.70 – $2,653.62 |
| UPMC Lititz | Lititz, PA | $2,538.00 | $117.19 – $2,653.62 |