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 |
|---|---|---|---|
| UPMC Carlisle | Carlisle, PA | $2,538.00 | $205.70 – $3,595.50 |
| Sanford USD Medical Center | Sioux Falls, SD | $2,579.20 | $1.00 – $2,901.60 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $2,781.60 | $115.93 – $487.20 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $3,916.00 | $197.89 – $1,459.00 |
| Adventhealth North Pinellas | Tarpon Springs, FL | not published | $578.00 – $578.00 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $230.95 – $4,012.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $753.68 – $753.68 |
| Kadlec Regional Medical Center | Richland, WA | not published | $228.91 – $228.91 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $132.96 – $1,000.00 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $16,398.00 – $16,398.00 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $4,103.00 – $8,150.00 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $852.86 – $870.82 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $852.86 – $870.82 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $859.19 – $859.19 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $852.86 – $870.82 |
| Adventhealth Carrollwood | Tampa, FL | not published | $614.00 – $614.00 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $132.96 – $1,000.00 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $2,443.00 – $2,443.00 |
| Covenant Hospital Levelland | Levelland, TX | not published | $2,300.00 – $5,619.00 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $1,487.00 – $9,891.00 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $841.47 – $885.76 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $1,887.00 – $5,512.00 |
| Mercy General Hospital | Sacramento, CA | not published | $96.98 – $521.25 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $30.88 – $181.31 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $916.04 – $935.32 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $2,181.00 – $9,837.00 |
| St. Bernardine Medical Center | San Bernardino, CA | not published | $96.98 – $764.40 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $522.62 – $522.62 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $20.84 – $181.31 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $1,394.00 – $11,456.00 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $841.47 – $885.76 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $781.62 – $822.76 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $793.59 – $810.30 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $197.89 – $1,459.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | not published | $1,609.00 – $1,609.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | not published | $1,609.00 – $1,609.00 |
| Mercy Medical Center Redding | Redding, CA | not published | $192.74 – $521.25 |
| Mercy San Juan Medical Center | Carmichael, CA | not published | $96.98 – $521.25 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $118.96 – $148.70 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $208.88 – $2,453.36 |
| Atrium Health University City | Charlotte, NC | not published | $118.96 – $148.70 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $30.88 – $181.31 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $118.96 – $128.65 |
| south pointe hospital | Warrensville Heights, OH | not published | $1,335.08 – $1,545.89 |
| medina hospital | Medina, OH | not published | $1,173.68 – $1,359.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $1,200.00 – $8,912.00 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $1,716.00 – $19,505.00 |
| Baylor St Luke's Medical Center | Houston, TX | not published | $1,609.00 – $1,609.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | not published | $164.86 – $521.25 |
| Northridge Hospital Medical Center | Northridge, CA | not published | $96.98 – $764.40 |