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 |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $3,181.00 – $6,291.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $30.88 – $181.31 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | not published | $208.88 – $2,453.36 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $3,293.27 – $3,293.27 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $212.11 – $212.11 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | not published | $141.63 – $3,886.00 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $1,687.00 – $14,372.00 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $875.39 – $893.82 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $162.62 – $3,886.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | not published | $141.63 – $3,886.00 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | not published | $1,087.00 – $4,376.00 |
| Mark Twain Medical Center | San Andreas, CA | not published | $96.98 – $96.98 |
| Arroyo Grande Hospital | Santa Maria, CA | not published | $96.98 – $152.88 |
| San Martin Hospital | Las Vegas, NV | not published | $125.68 – $125.68 |
| Arizona General Hospital Laveen | Phoenix, AZ | not published | $136.61 – $1,026.23 |
| Siena Hospital | Henderson, NV | not published | $125.68 – $125.68 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $2,553.45 – $2,553.45 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $30.88 – $181.31 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $20.84 – $181.31 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | not published | $141.63 – $3,886.00 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $852.86 – $870.82 |