Suprv interfac trnsport addl cost in Oklahoma
SUPRV INTERFAC TRNSPORT ADDL · CPT 99486
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $97.37 – $103.38 | 2 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $94.26 – $97.37 | 2 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $73.85 – $73.85 | 1 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $73.85 – $112.26 | 6 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $73.85 – $112.26 | 6 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $73.85 – $112.26 | 6 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $73.85 – $127.23 | 6 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $73.85 – $128.72 | 6 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $94.26 – $97.37 | 2 |