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 |
|---|---|---|---|
| North Central Bronx | Bronx, NY | not published | $153.47 – $221.00 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $1,937.00 – $5,809.00 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $2,118.00 – $2,225.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $1,869.19 – $2,225.50 |
| Corewell Health Wayne | Wayne, MI | not published | $264.91 – $2,550.74 |
| Corewell Health Troy | Troy, MI | not published | $300.17 – $2,550.74 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $2,118.00 – $2,225.50 |
| Corewell Health Trenton | Trenton, MI | not published | $265.91 – $2,550.74 |
| Henry Ford Warren Hospital | Warren, MI | not published | $385.94 – $1,738.00 |
| Corewell Health Taylor | Taylor, MI | not published | $267.40 – $2,550.74 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $385.94 – $1,738.00 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $266.19 – $2,550.74 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $2,118.00 – $2,225.50 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $148.22 – $192.36 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $148.22 – $245.56 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $148.22 – $281.58 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $148.22 – $281.58 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $148.22 – $284.86 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $2,118.00 – $2,225.50 |
| Henry Ford River District Hospital | China Township, MI | not published | $385.94 – $1,738.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $148.22 – $245.57 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $20.84 – $181.31 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $30.88 – $181.31 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $1,126.82 – $5,098.00 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $170.77 – $1,432.26 |
| Covenant Medical Center | Lubbock, TX | not published | $1,126.82 – $10,027.66 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $1,420.57 – $1,524.22 |
| South Brooklyn Health | Brooklyn, NY | not published | $153.47 – $221.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $923.60 – $943.04 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $852.86 – $870.82 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $852.86 – $870.82 |
| Henry Ford St John Hospital | Detroit, MI | not published | $385.94 – $1,738.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $916.04 – $935.32 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $882.12 – $900.69 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $246.62 – $246.62 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $30.88 – $181.31 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $123.03 – $398.33 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $398.44 – $398.44 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $4,103.00 – $8,150.00 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $852.86 – $870.82 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $852.86 – $870.82 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $1,704.00 – $1,704.00 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $782.70 – $823.90 |
| Franklin Memorial Hospital | Farmington, ME | not published | $127.24 – $398.33 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $1,676.00 – $1,676.00 |
| Wellstar MCG Health | Augusta, GA | not published | $693.00 – $5,809.00 |