Unlisted all/immlg svc/px cost in Oklahoma

UNLISTED ALL/IMMLG SVC/PX · CPT 95199

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $27.82 – $59.53 9
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $355.54 – $355.54 5
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $485.04 – $485.04 5
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $24.95 – $485.04 27
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $23.30 – $376.64 27
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa not published $23.30 – $450.75 28
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $27.82 – $54.24 7
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published not published 0
SSM Health St. Anthony Hospital - Midwest Midwest City not published $27.82 – $59.53 7