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 |
|---|---|---|---|---|
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $244.48 | $660.75 | $22.65 – $22.65 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,382.85 – $1,424.44 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,065.06 – $1,260.72 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,229.48 – $1,278.92 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,424.41 | $3,849.75 | $367.01 – $612.86 | 2 |
| Cholesterol CPT 82465 | $18.32 | $49.50 | $4.69 – $6.78 | 2 |
| Cholesterol body fluid CPT 84999 | not published | not published | $252.72 – $252.72 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $66.42 | $179.50 | $16.63 – $20.85 | 2 |
| Cholinesterase CPT 82480 | $30.90 | $83.50 | $8.34 – $12.26 | 2 |
| Cholinesterase challenge CPT 95857 | not published | not published | $33.01 – $33.12 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $149.31 – $153.91 | 2 |
| Chrom analysis CPT 88273 | $108.80 | $294.05 | $33.88 – $50.02 | 2 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $8.68 – $10.90 | 2 |
| Chromatography CPT 83021 | not published | not published | $19.02 – $28.11 | 2 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $12.51 – $18.51 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | $180.75 | $488.50 | $64.74 – $64.74 | 1 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $175.37 – $258.96 | 2 |
| Chromosome analysis 100 CPT 88249 | $181.95 | $491.75 | $182.67 – $269.62 | 2 |
| Chromosome analysis 15-20 cell count CPT 88262 | $311.36 | $841.50 | $131.59 – $194.06 | 2 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $157.13 – $231.77 | 2 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $158.43 – $233.99 | 2 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $186.32 – $275.18 | 2 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $182.67 – $269.62 | 2 |
| Chromosome analys placenta CPT 88267 | not published | not published | $189.70 – $279.90 | 2 |
| Chromosome banding study CPT 88283 | not published | not published | $72.44 – $106.80 | 2 |
| Chromosome count additional CPT 88285 | not published | not published | $20.06 – $29.58 | 2 |
| Chromosome karyotype study CPT 88280 | not published | not published | $26.58 – $39.07 | 2 |
| Chromosome study additional CPT 88289 | $144.12 | $389.50 | $36.22 – $53.61 | 2 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $13.03 – $19.40 | 2 |
| Chylomicron screen, bf - sendout CPT 82664 | $59.57 | $161.00 | $36.22 – $53.48 | 2 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $394.65 – $425.21 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $23.59 – $60.01 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $17.74 – $17.74 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $220.30 – $245.51 | 2 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $161.83 – $181.39 | 2 |
| Circumcision (newborn) CPT 54150 | $149.02 | $402.75 | $110.98 – $123.68 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $365.76 | $988.53 | $376.62 – $376.62 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $620.65 – $638.72 | 2 |
| Claviculectomy total CPT 23125 | not published | not published | $764.52 – $767.78 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $147.24 – $147.42 | 2 |
| Clearance of airways CPT 31720 | $80.94 | $218.75 | $59.07 – $63.32 | 2 |
| Clearance of tear duct CPT 68530 | $535.39 | $1,447.00 | $269.43 – $280.98 | 2 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $52.58 – $56.48 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $24.81 – $26.97 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $37.06 – $42.43 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $25.54 – $26.57 | 2 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,323.59 – $1,396.86 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,129.14 – $3,152.12 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $230.88 | $624.00 | $340.96 – $369.91 | 2 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,628.48 | $7,104.00 | $392.68 – $423.98 | 2 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,505.99 | $4,070.25 | $831.41 – $863.61 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $394.98 | $1,067.50 | $560.95 – $575.23 | 2 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,388.46 | $9,158.00 | $446.02 – $459.38 | 2 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $264.37 | $714.50 | $299.44 – $329.20 | 2 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,628.48 | $7,104.00 | $473.18 – $488.67 | 2 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $258.82 | $699.50 | $123.19 – $123.59 | 2 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $712.79 – $714.33 | 2 |
| Closed tx orbit without manipulj CPT 21400 | $920.38 | $2,487.50 | $152.03 – $168.34 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $316.05 – $332.49 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,569.28 | $6,944.00 | $630.29 – $637.80 | 2 |
| Closed tx septal&nose fx CPT 21337 | $1,861.19 | $5,030.25 | $303.76 – $320.99 | 2 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $108.56 – $110.67 | 2 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $376.11 | $1,016.50 | $210.28 – $226.48 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $817.03 – $849.83 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $315.52 | $852.75 | $169.55 – $183.19 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $751.85 – $753.92 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $765.90 – $808.84 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $146.07 – $157.39 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $118.28 – $127.91 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $598.83 – $681.96 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.77 – $18.66 | 2 |
| Clos txnose fx without stablz 21315 CPT 21315 | $916.49 | $2,477.00 | $158.91 – $164.92 | 2 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $941.59 – $975.53 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,779.12 – $1,809.22 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,116.59 – $1,144.75 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,550.99 – $1,581.35 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $730.75 | $1,975.00 | $238.42 – $249.04 | 2 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $100.82 – $106.09 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $380.27 – $392.35 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $359.09 – $361.81 | 2 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | not published | 0 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $20.06 – $29.48 | 2 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $21.63 – $31.79 | 2 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $20.06 – $29.48 | 2 |
| Clot factor xii hageman CPT 85280 | $95.74 | $258.75 | $20.33 – $30.12 | 2 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $9.38 – $13.85 | 2 |
| Clot factor xiii fibrin stab CPT 85290 | $84.27 | $227.75 | $17.20 – $25.44 | 2 |
| Clotting assay whole blood CPT 85396 | $59.39 | $160.50 | $15.24 – $23.00 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $283.05 | $765.00 | $280.11 – $311.97 | 2 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $394.79 | $1,067.00 | $297.42 – $322.14 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $450.48 | $1,217.50 | $305.19 – $333.57 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,628.48 | $7,104.00 | $225.20 – $248.81 | 2 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $235.32 | $636.00 | $219.05 – $244.08 | 2 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,321.64 | $3,572.00 | $340.75 – $357.72 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $258.82 | $699.50 | $214.70 – $237.60 | 2 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $188.05 | $508.25 | $183.19 – $202.77 | 2 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $115.07 | $311.00 | $174.93 – $196.75 | 2 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $278.06 | $751.50 | $407.44 – $416.66 | 2 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $266.40 | $720.00 | $304.75 – $328.55 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $292.49 | $790.50 | $92.21 – $94.15 | 2 |
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.