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 |
|---|---|---|---|---|
| Cyp2c9 gene com variants CPT 81227 | $318.85 | $861.75 | $199.79 – $199.79 | 1 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $515.37 – $515.37 | 1 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $198.41 – $198.41 | 1 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $198.41 – $198.41 | 1 |
| Cystatin c CPT 82610 | $71.23 | $192.50 | $14.33 – $21.17 | 2 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $566.37 – $566.37 | 1 |
| Cystine urine quantitative CPT 82131 | $94.26 | $254.75 | $17.72 – $26.26 | 2 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $538.99 – $612.94 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $265.85 | $718.50 | $20.37 – $21.93 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $206.96 – $206.96 | 1 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,006.89 – $1,099.41 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $835.81 – $886.73 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $187.22 – $211.03 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $270.92 – $309.60 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $200.70 – $275.18 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $216.26 – $232.13 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $278.74 – $315.59 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $326.95 – $370.15 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $444.43 – $648.52 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $237.91 – $267.28 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $183.23 – $201.30 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $299.96 – $340.30 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $366.39 – $416.14 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $227.69 – $255.86 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $221.31 – $247.77 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $276.03 – $313.02 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $317.64 – $359.70 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $328.67 – $377.81 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $316.21 – $357.71 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $171.46 – $193.43 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $311.04 – $352.33 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $279.81 – $316.48 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $299.07 – $338.88 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | $605.78 | $1,637.25 | $113.10 – $157.69 | 2 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $191.69 – $191.69 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $187.22 – $205.16 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $381.54 – $429.61 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $298.01 – $338.24 | 2 |
| Cystoscopy removal of clots CPT 52001 | $1,528.84 | $4,132.00 | $325.51 – $367.76 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $205.75 – $232.35 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $281.60 – $318.87 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $364.19 – $412.08 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | $1,757.59 | $4,750.25 | $150.26 – $168.33 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $976.15 | $2,638.25 | $321.94 – $358.30 | 2 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $524.04 – $576.32 | 2 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $878.12 – $974.31 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $343.19 – $401.92 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $418.88 – $489.40 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $473.10 – $502.04 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $530.44 – $598.98 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $471.66 – $471.66 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $444.43 – $543.41 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $506.11 – $589.58 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $401.25 – $472.02 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $447.19 – $522.09 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $303.48 – $346.13 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $999.19 | $2,700.50 | $171.88 – $196.54 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $159.97 – $179.04 | 2 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $68.74 – $68.74 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $257.68 – $257.68 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $389.85 – $451.62 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $350.51 – $405.78 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | $2,708.31 | $7,319.75 | $321.84 – $373.08 | 2 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $36.74 – $54.20 | 2 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $28.14 – $41.69 | 2 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,316.60 – $1,316.60 | 1 |
| Cytogenom microarray copy nmbr var CPT 81228 | $629.65 | $1,701.75 | $1,021.50 – $1,021.50 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $49.03 | $132.50 | $15.11 – $22.40 | 2 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $49.40 | $133.50 | $17.72 – $26.23 | 2 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.77 – $18.66 | 2 |
| Cyto/molecular report CPT 88291 | $235.90 | $637.57 | $22.84 – $35.57 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $18.11 – $22.72 | 2 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.25 – $9.33 | 2 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.24 – $44.56 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $47.64 | $128.75 | $32.18 – $39.88 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $22.83 – $28.66 | 2 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $18.74 – $23.51 | 2 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $48.56 | $131.25 | $22.24 – $39.88 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $40.70 | $110.00 | $22.24 – $45.28 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $27.29 | $73.75 | $7.55 – $7.55 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $26.92 | $72.75 | $16.02 – $20.12 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $73.26 | $198.00 | $45.73 – $81.57 | 2 |
| Cytopath smear other source CPT 88160 | $41.07 | $111.00 | $19.15 – $46.35 | 2 |
| Cytopath smear other source CPT 88162 | $55.50 | $150.00 | $28.53 – $60.37 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $32.75 | $88.50 | $19.62 – $40.25 | 2 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $11.20 – $16.45 | 2 |
| Cytotoxic antibody screening CPT 86807 | $184.63 | $499.00 | $41.69 – $61.62 | 2 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $31.27 – $46.21 | 2 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $502.27 – $502.27 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $130.13 | $351.70 | $15.24 – $15.24 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $193.77 – $205.00 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $241.79 – $247.19 | 2 |
| Dch glucoscan CPT 82948 | not published | not published | $3.39 – $4.94 | 2 |
| Dch pulmonary stress test CPT 94621 | $246.61 | $666.50 | $87.07 – $94.86 | 2 |
| Dch validity tests CPT 81002 | $18.59 | $50.25 | $2.61 – $3.64 | 2 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $620.72 – $637.04 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,755.28 – $1,980.16 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $302.10 – $322.47 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $124.10 – $128.56 | 2 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $798.10 – $824.81 | 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.