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 |
|---|---|---|---|
| Dominican Hospital | Santa Cruz, CA | not published | $96.98 – $152.88 |
| Mercy Medical Center Merced | Merced, CA | not published | $96.98 – $330.22 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | not published | $96.98 – $345.51 |
| Monmouth Medical Center | Long Branch, NJ | not published | $419.12 – $419.12 |
| Jersey City Medical Center | Jersey City, NJ | not published | $137.86 – $230.00 |
| Atrium Health Union | Monroe, NC | not published | $118.96 – $148.70 |
| marymount hospital | Garfield Heights, OH | not published | $1,131.53 – $1,310.19 |
| lodi hospital | Lodi, OH | not published | $1,956.51 – $2,265.43 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $118.96 – $148.70 |
| Atrium Health Cabarrus | Concord, NC | not published | $118.96 – $148.70 |
| Atrium Health Cleveland | Shelby, NC | not published | $118.96 – $129.93 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $118.96 – $128.65 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $141.63 – $3,886.00 |
| AdventHealth Porter | Denver, CO | not published | $230.95 – $4,012.00 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $1,032.00 – $4,150.00 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $1,187.00 – $1,187.00 |
| Adventhealth Redmond | Rome, GA | not published | $1,277.00 – $4,329.00 |
| Adventhealth Gordon | Calhoun, GA | not published | $1,266.00 – $2,535.00 |
| Adventhealth Central Texas | Killeen, TX | not published | $4,826.69 – $4,826.69 |
| AdventHealth Avista | Louisville, CO | not published | $230.95 – $4,012.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $753.68 – $753.68 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $133.73 – $757.73 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $852.86 – $870.82 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $132.96 – $1,000.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $132.96 – $1,000.00 |
| Glendale Memorial Hospital Health Center | Glendale, CA | not published | $151.52 – $764.40 |
| St Jude Medical Center | Fullerton, CA | not published | $1,266.00 – $13,012.00 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $1,311.00 – $4,751.00 |
| hillcrest hospital | Mayfield Heights, OH | not published | $1,254.10 – $1,452.11 |
| Atrium Health Stanly | Albermarle, NC | not published | $118.96 – $129.93 |
| lutheran hospital | Cleveland, OH | not published | $1,145.99 – $1,326.93 |
| fairview hospital | Cleveland, OH | not published | $1,203.73 – $1,393.79 |
| euclid hospital | Euclid, OH | not published | $1,281.31 – $1,483.63 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $2,041.84 – $2,364.24 |
| avon hospital | Avon, OH | not published | $1,250.63 – $1,274.46 |
| Atrium Health Pineville | Charlotte, NC | not published | $118.96 – $148.70 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $181.01 – $200.06 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $3,293.27 – $3,293.27 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $200.06 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $130.49 – $201.99 |
| Atrium Health Mercy | Charlotte, NC | not published | $118.96 – $148.70 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $202.06 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $202.06 |
| Covenant Children's Hospital | Lubbock, TX | not published | $2,300.00 – $11,141.85 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $8,222.00 – $36,398.00 |
| Healdsburg Hospital | Healdsburg, CA | not published | $3,572.00 – $5,330.31 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $141.63 – $3,886.00 |
| Chandler Regional Medical Center | Chandler, AZ | not published | $136.61 – $193.93 |
| Arizona General Hospital Mesa | Mesa, AZ | not published | $136.61 – $1,026.23 |
| St. Joseph's Medical Center Stockton | Stockton, CA | not published | $96.98 – $377.61 |