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 |
|---|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $1,937.00 – $5,809.00 |
| Wellstar Cobb Hospital | Austell, GA | not published | $1,937.00 – $5,809.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | not published | $403.00 – $5,162.62 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | not published | $1,609.00 – $1,609.00 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $4,826.69 – $4,826.69 |
| St. John's Camarillo Hospital | Camarillo, CA | not published | $119.29 – $208.50 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | not published | $1,906.25 – $1,906.25 |
| Mercy Gilbert Medical Center | Gilbert, AZ | not published | $136.61 – $1,215.84 |
| Providence St Peter Hospital | Olympia, WA | not published | $9,095.84 – $9,095.84 |
| Providence Holy Family Hospital | Spokane, WA | not published | $12,776.00 – $12,776.00 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $852.86 – $870.82 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $841.47 – $859.19 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $1,032.00 – $4,150.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $138.35 – $3,886.00 |
| AdventHealth Parker | Parker, CO | not published | $230.95 – $4,012.00 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $132.96 – $1,000.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $10,334.00 – $10,334.00 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $852.86 – $870.82 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $132.96 – $1,000.00 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $139.60 – $1,510.07 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $132.96 – $1,000.00 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | not published | $133.73 – $757.73 |
| Providence St Vincent Medical Center | Portland, OR | not published | $4,103.00 – $8,150.00 |
| Jacobi Medical Center | Bronx, NY | not published | $153.47 – $221.00 |
| Providence Centralia Hospital | Centralia, WA | not published | $23,717.40 – $23,717.40 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $147.13 – $211.87 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $923.60 – $943.04 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $20.84 – $181.31 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $875.39 – $893.82 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $841.47 – $885.76 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $840.14 – $857.83 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $1,351.00 – $2,277.00 |
| Adventhealth South Overland Park | Overland Park, KS | not published | $1,087.00 – $4,376.00 |
| Adventhealth Murray | Po Box 1406, GA | not published | $2,522.00 – $2,535.00 |
| St. Mary Medical Center | Long Beach, CA | not published | $96.98 – $764.40 |
| California Hospital Medical Center | Los Angeles, CA | not published | $96.98 – $764.40 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $20.84 – $181.31 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $112.80 – $192.95 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $133.73 – $757.73 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $201.89 – $201.89 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $132.96 – $1,000.00 |
| Providence Portland Medical Center | Portland, OR | not published | $4,103.00 – $8,150.00 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $249.38 – $1,316.64 |
| Sequoia Hospital | Redwood City, CA | not published | $96.98 – $265.03 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $801.32 – $843.50 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $208.88 – $375.98 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $270.35 – $270.35 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $943.04 – $943.04 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $30.88 – $181.31 |