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 |
|---|---|---|---|---|
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $555.65 | $1,501.75 | $32.38 – $37.36 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $12.30 – $52.13 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,036.00 | $2,800.00 | $259.11 – $350.81 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $63.29 – $63.29 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $112.38 – $112.38 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $406.35 | $1,098.25 | $53.29 – $68.53 | 2 |
| Debride nail1-5 11720 CPT 11720 | $110.35 | $298.25 | $16.64 – $19.77 | 2 |
| Debride nail6 or more 11721 CPT 11721 | $64.84 | $175.25 | $28.14 – $33.75 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $567.77 | $1,534.50 | $335.25 – $341.45 | 2 |
| Debride skin bone at fx site CPT 11012 | $2,379.93 | $6,432.25 | $475.94 – $493.31 | 2 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $655.52 – $667.95 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $872.44 – $885.25 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $29.40 – $29.40 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $57.25 – $68.87 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $847.49 | $2,290.50 | $315.09 – $315.36 | 2 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $16.20 – $18.83 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $381.66 | $1,031.50 | $174.22 – $255.16 | 2 |
| Decalcification CPT 88311 | $7.31 | $19.75 | $6.67 – $9.35 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $165.58 | $447.50 | $31.98 – $39.17 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $545.80 – $575.96 | 2 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $608.94 – $619.89 | 2 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,299.86 – $1,354.27 | 2 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $614.68 – $619.78 | 2 |
| Decompress fingers/hand CPT 26035 | not published | not published | $890.74 – $939.43 | 2 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,187.66 – $1,200.43 | 2 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $837.22 – $853.12 | 2 |
| Decompression fasct forearm CPT 24495 | not published | not published | $591.52 – $711.59 | 2 |
| Decompression of leg CPT 27892 | not published | not published | $603.44 – $613.74 | 2 |
| Decompression of leg CPT 27893 | not published | not published | $609.93 – $664.63 | 2 |
| Decompression of leg CPT 27894 | not published | not published | $939.70 – $950.21 | 2 |
| Decompression of lower leg CPT 27600 | not published | not published | $451.65 – $467.19 | 2 |
| Decompression of lower leg CPT 27601 | not published | not published | $482.56 – $491.27 | 2 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $545.82 – $587.25 | 2 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $596.49 – $634.66 | 2 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $651.28 – $713.68 | 2 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $721.64 – $759.69 | 2 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $393.11 – $409.83 | 2 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $365.48 – $398.53 | 2 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,514.46 – $2,684.30 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,167.68 – $1,258.35 | 2 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,769.70 – $1,829.11 | 2 |
| Decompress small bowel CPT 44021 | not published | not published | $1,069.81 – $1,094.59 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,634.63 – $1,662.41 | 2 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,938.32 – $1,991.73 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $363.04 – $371.29 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $166.11 – $173.79 | 2 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $997.75 – $1,015.04 | 2 |
| Delay flap arms/legs CPT 15610 | not published | not published | $251.57 – $262.12 | 2 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $366.57 – $377.56 | 2 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $335.45 – $353.30 | 2 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $211.75 – $222.61 | 2 |
| Delivery of placenta 59414 CPT 59414 | $1,017.13 | $2,749.00 | $103.98 – $106.98 | 2 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,058.73 – $1,166.68 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,354.86 – $1,448.66 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $85.56 | $231.25 | $15.92 – $17.62 | 2 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,181.88 – $1,223.66 | 2 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $105.64 | $285.50 | $135.58 – $161.08 | 2 |
| Dermabrasion other than face CPT 15782 | not published | not published | $435.61 – $481.81 | 2 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $455.82 – $470.96 | 2 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $395.37 – $403.23 | 2 |
| Dermabrasion total face CPT 15780 | not published | not published | $699.20 – $711.09 | 2 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $710.00 – $733.57 | 2 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $811.11 – $836.23 | 2 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $605.50 – $614.97 | 2 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,058.03 – $2,188.49 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $149.62 – $161.95 | 2 |
| Design mlc device for imrt CPT 77338 | not published | not published | $291.41 – $291.41 | 1 |
| Desoxycorticosterone CPT 82633 | not published | not published | $32.57 – $48.24 | 2 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $473.67 – $504.21 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,767.33 – $1,877.94 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,280.69 – $1,369.39 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $96.72 – $100.13 | 2 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $135.45 – $138.04 | 2 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $157.52 – $159.00 | 2 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $106.54 – $110.20 | 2 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $119.99 – $122.17 | 2 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $139.39 – $140.79 | 2 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $73.08 – $77.29 | 2 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $98.31 – $100.48 | 2 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $126.20 – $128.36 | 2 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $139.93 – $142.33 | 2 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,998.30 | $8,103.50 | $251.13 – $251.13 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $76.84 – $76.84 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $693.94 | $1,875.50 | $159.51 – $161.14 | 2 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $79.64 | $215.25 | $57.60 – $57.85 | 2 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $221.71 – $223.50 | 2 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $125.58 – $127.38 | 2 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $89.78 – $93.14 | 2 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $380.63 – $401.35 | 2 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $303.49 – $304.10 | 2 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $524.17 – $583.28 | 2 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.71 – $5.17 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $141.56 – $147.73 | 2 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $198.57 – $203.90 | 2 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $147.56 – $151.30 | 2 |
| Destruction benign lesions < 14 lesions CPT 17110 | $104.90 | $283.50 | $71.54 – $75.28 | 2 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $212.59 – $217.41 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $67.08 – $67.08 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,998.30 | $8,103.50 | $247.60 – $247.60 | 1 |
| Destruction ciliary body CPT 66700 | not published | not published | $395.75 – $425.57 | 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.