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 |
|---|---|---|---|---|
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $87.01 – $87.01 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $38.86 – $38.86 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $67.15 – $67.15 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $174.61 – $177.72 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $175.37 – $182.87 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $131.05 – $148.18 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $24.27 – $24.99 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $105.77 – $110.93 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $69.56 – $71.00 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $613.35 – $622.12 | 2 |
| Ear irrigation 69209 CPT 69209 | $99.16 | $268.00 | $12.94 – $12.94 | 1 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.23 – $42.05 | 2 |
| Ecg 12 lead tracing only CPT 93005 | $68.82 | $186.00 | $8.63 – $12.94 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.91 – $9.79 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $29.14 | $78.75 | $5.75 – $5.87 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | $176.86 | $478.00 | $171.74 – $237.24 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $121.18 | $327.50 | $26.96 – $38.62 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $196.10 | $530.00 | $38.45 – $59.51 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $856.37 | $2,314.50 | $88.03 – $166.72 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $250.21 | $676.25 | $4.77 – $22.63 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $375.46 | $1,014.75 | $35.80 – $100.61 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $87.04 | $235.25 | $10.12 – $20.12 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $33.98 – $48.15 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $34.38 – $53.90 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $36.08 – $47.43 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.88 – $5.39 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $102.28 – $198.69 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $50.16 – $125.03 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $35.35 – $47.79 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $25.88 – $27.46 | 2 |
| Echo exam uterus 76831- CPT 76831 | $242.07 | $654.25 | $43.81 – $84.80 | 2 |
| Echograp trans r pros study CPT 76873 | not published | not published | $94.85 – $97.64 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.44 – $84.65 | 2 |
| Echo guide for amniocentesis CPT 76946 | $264.92 | $716.00 | $13.30 – $23.19 | 2 |
| Echo guide for artery repair CPT 76936 | $699.76 | $1,891.25 | $126.22 – $177.85 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $44.76 – $44.76 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $62.13 – $62.13 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $41.06 – $41.06 | 1 |
| Echo stress CPT 93350 | $640.10 | $1,730.00 | $98.62 – $171.75 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $30.59 – $56.37 | 2 |
| Echo tee guidance CPT 93355 | not published | not published | $255.08 – $255.08 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $847.95 | $2,291.75 | $138.33 – $142.96 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $13.12 – $51.89 | 2 |
| Echo transesophageal CPT 93314 | not published | not published | $80.91 – $146.96 | 2 |
| Echo transesophageal CPT 93315 | $855.35 | $2,311.75 | $162.00 – $162.00 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $123.07 – $123.07 | 1 |
| Echo transthoracic CPT 93303 | $890.41 | $2,406.50 | $84.85 – $175.33 | 2 |
| Echo transthoracic CPT 93304 | $314.69 | $850.50 | $48.11 – $120.37 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $535.39 | $1,447.00 | $61.15 – $85.87 | 2 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $267.01 – $267.01 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $272.63 – $272.63 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $390.70 – $390.70 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $351.97 – $351.97 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $954.40 – $954.40 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $951.80 – $951.80 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $544.80 – $544.80 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $487.63 – $487.63 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $545.41 – $545.41 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $488.16 – $488.16 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $590.30 – $590.30 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $596.95 – $596.95 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $314.85 – $314.85 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $212.30 – $212.30 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $327.16 – $327.16 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $270.65 – $270.65 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $552.10 – $552.10 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $538.51 – $538.51 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $269.11 – $269.11 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $212.30 – $212.30 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $269.39 – $269.39 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $207.67 – $207.67 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.77 – $18.66 | 2 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $629.69 – $693.12 | 2 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $26.20 – $28.40 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $461.85 | $1,248.25 | $66.35 – $269.82 | 2 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $45.44 – $45.44 | 1 |
| Eeg during surgery CPT 95955 | $744.81 | $2,013.00 | $61.18 – $162.40 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $182.76 – $358.59 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $141.01 – $331.65 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $245.31 | $663.00 | $66.35 – $307.91 | 2 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $660.27 | $1,784.50 | $105.68 – $325.17 | 2 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $245.31 | $663.00 | $66.35 – $321.57 | 2 |
| Eeg recording awake and asleep CPT 95819 | $245.31 | $663.00 | $66.35 – $362.53 | 2 |
| E equine encephalitis igg CPT 86652 | $48.38 | $130.75 | $13.81 – $20.53 | 2 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $260.33 – $260.33 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $229.78 – $332.66 | 2 |
| Egd dilate stricture CPT 43245 | not published | not published | $200.52 – $219.71 | 2 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $309.86 – $309.86 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $249.90 – $249.90 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $491.98 – $491.98 | 1 |
| Egd guide wire insertion CPT 43248 | not published | not published | $189.59 – $221.81 | 2 |
| Egd injection varices CPT 43243 | not published | not published | $271.34 – $314.37 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $162.76 – $182.21 | 2 |
| Egd lesion ablation CPT 43270 | not published | not published | $257.13 – $257.13 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $192.37 – $192.37 | 1 |
| Egd remove foreign body CPT 43247 | $871.07 | $2,354.25 | $202.09 – $234.96 | 2 |
| Egd remove lesion snare CPT 43251 | not published | not published | $223.96 – $255.66 | 2 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $194.24 – $219.85 | 2 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $258.71 – $357.25 | 2 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $266.49 – $348.44 | 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.