Tx contour defects >10.0 cc cost in Oklahoma

Tx contour defects >10.0 cc · CPT 11954

Hospital City Cash price Negotiated range Payers
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published $128.04 – $129.16 2
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $128.04 – $214.28 7
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $128.04 – $245.70 7
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $128.04 – $1,403.12 29
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $128.04 – $1,310.11 29
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa not published $128.04 – $2,329.08 30