Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.)
1000 W Boise Cir Broken Arrow OK 74012|3029 West Main St, Jenks, OK · Ascension · · NPI 1497988596
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Catheter declot mechanical CPT 36596 | not published | not published | $50.02 – $54.97 | 2 |
| Catheter insert artery CPT 36625 | not published | not published | $118.89 – $128.89 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $31.08 | $84.00 | $3.40 – $3.40 | 1 |
| Catheter stripping venous CPT 36595 | not published | not published | $208.67 – $234.68 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $63.55 – $69.19 | 2 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $591.02 – $591.02 | 1 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $237.35 – $237.35 | 1 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $172.53 – $193.81 | 2 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $43.18 | $116.70 | $56.26 – $56.26 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $179.63 – $198.20 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $184.51 – $207.41 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $967.54 – $967.54 | 1 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $750.18 – $750.18 | 1 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $852.21 – $852.21 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $601.07 – $601.07 | 1 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $140.97 – $160.57 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $139.31 | $376.50 | $63.95 – $67.82 | 2 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $196.07 – $224.15 | 2 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $30.74 – $155.57 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $195.27 | $527.75 | $39.95 – $40.54 | 2 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $127.51 – $133.71 | 2 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $19.02 – $28.02 | 2 |
| Ccnd1/igh translocation alys CPT 81168 | $230.14 | $622.00 | $235.30 – $235.30 | 1 |
| Cdna analysis for variants CPT 81403 | $632.05 | $1,708.25 | $210.20 – $210.20 | 1 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $31.20 – $74.38 | 2 |
| Cebpa gene full sequence CPT 81218 | $271.58 | $734.00 | $376.62 – $376.62 | 1 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $142.94 – $142.94 | 1 |
| #celiac hla-dq8 CPT 81383 | $288.69 | $780.25 | $169.91 – $169.91 | 1 |
| Cell count body fluid CPT 89050 | not published | not published | $4.95 – $7.35 | 2 |
| Cell count w differential body fluid CPT 89051 | $40.98 | $110.75 | $5.73 – $8.57 | 2 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $10.68 – $14.29 | 2 |
| Cell enumeration & id CPT 86152 | not published | not published | $382.54 – $382.54 | 1 |
| Cell function assay w/stim CPT 86352 | $247.35 | $668.50 | $211.53 – $211.53 | 1 |
| Cell marker study CPT 88182 | $141.03 | $381.15 | $28.87 – $82.65 | 2 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,040.84 – $1,051.41 | 2 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $273.21 – $280.00 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $341.44 – $344.22 | 2 |
| Cerebrospinal fld flw imag CPT 78645 | $350.02 | $946.00 | $36.08 – $312.59 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,465.34 – $1,498.95 | 2 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,035.38 – $1,062.81 | 2 |
| #cf-97variants CPT 81220 | $723.91 | $1,956.50 | $631.74 – $631.74 | 1 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $493.80 – $493.80 | 1 |
| Cftr gene intron poly t CPT 81224 | $137.73 | $372.25 | $191.53 – $191.53 | 1 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $110.34 – $110.34 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | $571.10 | $1,543.50 | $89.59 – $117.80 | 2 |
| Change cystostomy tube simple CPT 51705 | $126.17 | $341.00 | $58.29 – $82.63 | 2 |
| Change gastric port open CPT 43888 | not published | not published | $474.46 – $507.72 | 2 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $171.19 – $211.50 | 2 |
| Change nephroureteral cath CPT 50387 | not published | not published | $96.91 – $128.79 | 2 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $88.12 – $97.64 | 2 |
| Change of windpipe airway 31502 CPT 31502 | $152.16 | $411.25 | $39.46 – $41.51 | 2 |
| Change stent via transureth CPT 50385 | not published | not published | $248.94 – $301.80 | 2 |
| Change ureter stent percut CPT 50382 | not published | not published | $294.32 – $355.15 | 2 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $55.02 – $73.99 | 2 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $108.85 – $109.53 | 2 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $247.09 – $262.83 | 2 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $375.19 – $399.22 | 2 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $268.78 – $273.59 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | $248.18 | $670.75 | $90.07 – $107.06 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $131.98 – $131.98 | 1 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $81.13 – $81.13 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $93.86 – $93.86 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $132.65 – $132.65 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $121.39 – $121.39 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $239.74 – $262.53 | 2 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $127.35 – $150.27 | 2 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $218.05 – $237.50 | 2 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $56.76 – $60.45 | 2 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $45.34 – $47.30 | 2 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $139.41 – $139.41 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $121.98 – $121.98 | 1 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $111.95 – $111.95 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $130.05 – $130.05 | 1 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $153.92 – $153.92 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $77.02 – $86.67 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | $161.88 | $437.50 | $188.43 – $192.45 | 2 |
| Chemo ia push tecnique CPT 96420 | $110.35 | $298.25 | $108.65 – $119.52 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $51.30 – $51.54 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $33.41 – $35.23 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $16.94 – $24.89 | 2 |
| Chemotherapy injection 96542 CPT 96542 | $132.65 | $358.50 | $46.76 – $54.76 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $31.44 – $31.44 | 1 |
| Chest 2 vws w oblique CPT 71048 | $119.33 | $322.50 | $30.67 – $30.67 | 1 |
| Chest apical lordotic proj CPT 71047 | $130.80 | $353.50 | $29.62 – $29.62 | 1 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,043.49 | $2,820.25 | $86.79 – $208.02 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $1,108.34 | $2,995.50 | $77.94 – $168.87 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $952.66 | $2,574.75 | $73.00 – $112.82 | 2 |
| Chest X-ray CPT 71046 | $118.40 | $320.00 | $23.34 – $23.34 | 1 |
| Chest X-ray (single view) CPT 71045 | $86.03 | $232.50 | $17.06 – $17.06 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $81.25 – $81.25 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $323.00 – $323.00 | 1 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $406.02 – $406.02 | 1 |
| Chlamydia culture CPT 87110 | $238.37 | $644.25 | $20.59 – $30.51 | 2 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $12.77 – $18.66 | 2 |
| Chlamydia type CPT 87140 | $67.80 | $183.25 | $5.99 – $8.67 | 2 |
| Chlnggrphy intraop addl s&i CPT 74301 | $107.30 | $290.00 | $13.33 – $13.33 | 1 |
| Chloride CPT 82435 | $21.74 | $58.75 | $4.95 – $6.41 | 2 |
| Chloride 24 hour urine CPT 82436 | $22.85 | $61.75 | $5.21 – $7.83 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $359.27 | $971.00 | $139.53 – $161.15 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $2,915.42 | $7,879.50 | $244.56 – $244.56 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.