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 |
|---|---|---|---|---|
| Contrast x-ray of brain CPT 70015 | not published | not published | $76.08 – $93.77 | 2 |
| Contrast x-ray of elbow CPT 73085 | $517.26 | $1,398.00 | $33.48 – $67.56 | 2 |
| Contrast x-ray of hip CPT 73525 | $497.28 | $1,344.00 | $34.17 – $73.66 | 2 |
| Contrast x-ray of knee joint CPT 73580 | $497.28 | $1,344.00 | $34.17 – $86.59 | 2 |
| Contrast x-ray of wrist CPT 73115 | $497.28 | $1,344.00 | $33.88 – $78.69 | 2 |
| Control nosebleed pack+caut 30905 CPT 30905 | $160.49 | $433.75 | $119.25 – $121.28 | 2 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $509.57 – $510.14 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $566.85 – $574.54 | 2 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $434.17 – $452.50 | 2 |
| Control of nosebleed ant comp 30903 CPT 30903 | $213.86 | $578.00 | $90.55 – $94.36 | 2 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $213.86 | $578.00 | $63.97 – $72.72 | 2 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $487.48 | $1,317.50 | $187.90 – $188.10 | 2 |
| Control throat bleeding CPT 42961 | not published | not published | $465.33 – $465.94 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $575.26 – $578.19 | 2 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $227.62 – $227.62 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $222.34 – $222.34 | 1 |
| Conv gtube to jtube CPT 44373 | $816.96 | $2,208.00 | $219.65 – $241.32 | 2 |
| Coombs direct CPT 86880 | $61.98 | $167.50 | $5.73 – $8.39 | 2 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $17.95 | $48.50 | $5.99 – $8.91 | 2 |
| Coombs indirect titer reference CPT 86886 | $86.49 | $233.75 | $5.47 – $8.06 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,183.07 – $1,183.07 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $644.57 – $807.46 | 2 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $572.97 – $620.03 | 2 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $550.51 – $594.14 | 2 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $8.27 – $8.27 | 1 |
| Corneal smear CPT 65430 | not published | not published | $107.65 – $112.76 | 2 |
| Corneal transplant CPT 65710 | not published | not published | $1,106.59 – $9,641.00 | 3 |
| Corneal transplant CPT 65730 | not published | not published | $1,233.00 – $9,641.00 | 3 |
| Corneal transplant CPT 65750 | not published | not published | $1,252.81 – $9,641.00 | 3 |
| Corneal transplant CPT 65755 | not published | not published | $1,245.36 – $9,641.00 | 3 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,204.19 – $9,641.00 | 3 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $785.76 – $785.76 | 1 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $715.70 – $715.70 | 1 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $832.10 – $832.10 | 1 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $703.11 – $703.11 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $600.36 – $600.36 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $335.96 | $908.00 | $70.48 – $143.45 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $536.37 – $673.13 | 2 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $331.82 – $354.86 | 2 |
| Correct finger deformity CPT 26567 | not published | not published | $718.61 – $722.17 | 2 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $612.38 – $631.28 | 2 |
| Correction claw finger other CPT 26499 | not published | not published | $874.50 – $877.95 | 2 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $501.60 – $530.78 | 2 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $595.73 – $595.73 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $401.33 – $438.62 | 2 |
| Correction of astigmatism CPT 65775 | not published | not published | $548.15 – $594.76 | 2 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $167.42 – $179.84 | 2 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $55.59 – $57.69 | 2 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $138.79 – $148.98 | 2 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,637.26 – $1,679.88 | 2 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $711.29 – $720.33 | 2 |
| Correct rectal prolapse CPT 45541 | not published | not published | $998.37 – $1,054.76 | 2 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,167.50 – $1,189.90 | 2 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $125.41 – $127.18 | 2 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $536.30 – $536.30 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $514.44 – $625.84 | 2 |
| Cortisol acth stimulation test - sendout CPT 80400 | $110.82 | $299.50 | $40.48 – $50.78 | 2 |
| Cortisol total am CPT 82533 | $61.70 | $166.75 | $17.20 – $25.38 | 2 |
| Costotransversectomy CPT 21610 | not published | not published | $1,181.39 – $1,308.44 | 2 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $16.47 – $24.95 | 2 |
| Counseling smoke cess interm >10mins CPT 99407 | $91.48 | $247.25 | $28.66 – $29.72 | 2 |
| Cover eye w/membrane CPT 65778 | not published | not published | $63.41 – $63.41 | 1 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $167.36 – $167.36 | 1 |
| #covid19rsv-rsv CPT 87634 | $77.92 | $210.60 | $79.68 – $79.68 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $32.91 | $88.95 | $13.81 – $20.28 | 2 |
| C-peptide CPT 84681 | $79.64 | $215.25 | $21.89 – $32.13 | 2 |
| Cptrized corneal topography CPT 92025 | not published | not published | $14.64 – $17.97 | 2 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $15.46 – $15.46 | 1 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,560.49 – $2,720.98 | 2 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,769.76 – $1,842.60 | 2 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $2,142.97 – $2,251.61 | 2 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,978.36 – $3,109.11 | 2 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $3,211.36 – $3,323.22 | 2 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $2,063.00 – $2,142.98 | 2 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,230.64 – $2,334.54 | 2 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $2,115.76 – $2,233.08 | 2 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,375.87 – $2,475.99 | 2 |
| Crbrospnl fld flw imag cistern CPT 78630 | $440.30 | $1,190.00 | $43.13 – $321.58 | 2 |
| C-reactive protein CPT 86140 | $36.17 | $97.75 | $5.47 – $8.06 | 2 |
| C-reactive protein high sensitivity CPT 86141 | $43.48 | $117.50 | $13.55 – $20.16 | 2 |
| C-reactive protein, quantitative CPT 86406 | $113.50 | $306.75 | $11.20 – $16.56 | 2 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $690.29 – $911.21 | 2 |
| Create eardrum opening CPT 69436 | not published | not published | $174.42 – $178.53 | 2 |
| Create passage to kidney CPT 52334 | not published | not published | $289.41 – $328.74 | 2 |
| Create tear duct drain CPT 68745 | not published | not published | $767.39 – $821.98 | 2 |
| Create tear duct drain CPT 68750 | not published | not published | $787.86 – $850.29 | 2 |
| Create tear sac drain CPT 68720 | not published | not published | $764.81 – $819.42 | 2 |
| Creatine isoforms CPT 82554 | not published | not published | $12.51 – $18.48 | 2 |
| Creatine kinase CPT 82550 | $44.22 | $119.50 | $6.78 – $10.14 | 2 |
| Creatine kinase isoenzymes CPT 82552 | $44.22 | $119.50 | $14.07 – $20.85 | 2 |
| Creatine kinase mb CPT 82553 | $42.55 | $115.00 | $12.25 – $17.98 | 2 |
| Creatine - sendout CPT 82540 | $53.10 | $143.50 | $4.95 – $7.22 | 2 |
| Creatinine CPT 82565 | $19.70 | $53.25 | $5.47 – $7.98 | 2 |
| Creatinine 24 hour urine CPT 82570 | $186.61 | $504.35 | $5.47 – $8.06 | 2 |
| Creatinine clearance urine CPT 82575 | $50.88 | $137.50 | $9.90 – $14.72 | 2 |
| #creutz-prot.,western blot CPT 84182 | $365.93 | $989.00 | $15.11 – $28.02 | 2 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $576.06 – $586.73 | 2 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,857.90 – $1,857.90 | 1 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $148.06 – $148.06 | 1 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $70.84 – $70.84 | 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.