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 |
|---|---|---|---|---|
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $300.89 – $499.33 | 2 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $300.89 – $300.89 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $280.96 – $348.41 | 2 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $265.76 – $368.09 | 2 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $450.00 – $468.36 | 2 |
| Egfr gene com variants CPT 81235 | $144.71 | $391.10 | $376.62 – $376.62 | 1 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $18.08 – $24.00 | 2 |
| Elbow arthroscopy CPT 29830 | not published | not published | $491.94 – $500.46 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $534.28 – $536.18 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $549.67 – $550.61 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $627.95 – $633.39 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $573.84 – $577.84 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $645.38 – $646.03 | 2 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $39.55 – $44.10 | 2 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $28.17 – $28.57 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $39.92 – $39.92 | 1 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $52.63 – $55.54 | 2 |
| Electrical stimulation/unattended 97014 CPT 97014 | $33.58 | $90.75 | $15.91 – $17.04 | 2 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $24.31 – $53.89 | 2 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $44.43 – $44.43 | 1 |
| Electrocochleography CPT 92584 | not published | not published | $71.93 – $74.74 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $106.86 – $124.18 | 2 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $384.91 – $1,599.87 | 2 |
| Electrode stimulation brain CPT 95961 | $398.77 | $1,077.75 | $76.98 – $145.16 | 2 |
| Electroejaculation CPT 55870 | not published | not published | $160.64 – $181.86 | 2 |
| Electrogastrography CPT 91132 | not published | not published | $16.53 – $121.80 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $21.21 – $138.69 | 2 |
| Electrolyte panel CPT 80051 | $27.75 | $75.00 | $7.30 – $10.92 | 2 |
| Electron microscopy diagnostic CPT 88348 | $578.13 | $1,562.50 | $91.69 – $272.00 | 2 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $45.62 – $51.38 | 2 |
| Electrophysiologic study CPT 93624 | not published | not published | $84.14 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $343.32 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $238.38 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $43.61 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $62.93 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $322.91 – $8,949.00 | 2 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $83.00 – $8,949.00 | 3 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $58.93 – $8,949.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $134.67 – $8,949.00 | 3 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $198.52 – $207.19 | 2 |
| Embolization s&i CPT 75894 | $1,331.26 | $3,598.00 | $83.30 – $83.30 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $552.84 – $552.84 | 1 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $768.38 – $768.38 | 1 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $652.93 – $652.93 | 1 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $507.65 – $507.65 | 1 |
| Embryo hatching CPT 89253 | not published | not published | not published | 0 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $165.34 – $165.34 | 1 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,181.92 – $1,209.94 | 2 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,093.37 – $1,180.85 | 2 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $45.80 – $48.71 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $459.54 | $1,242.00 | $97.31 – $102.14 | 2 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $280.92 | $759.25 | $42.02 – $91.98 | 2 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $157.25 | $425.00 | $49.59 – $119.64 | 2 |
| Emg cranial nerve bilateral CPT 95868 | $164.74 | $445.25 | $40.13 – $71.86 | 2 |
| Emg needle test 1-extremity CPT 95860 | $148.65 | $401.75 | $34.46 – $71.50 | 2 |
| Emg needle test 4-extremities CPT 95864 | $310.52 | $839.25 | $64.90 – $139.76 | 2 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $93.61 | $253.00 | $23.12 – $72.58 | 2 |
| Encephalitis, california igg/igm CPT 86651 | $41.44 | $112.00 | $13.81 – $20.53 | 2 |
| Encephalitis, st louis igg/igm CPT 86653 | $45.23 | $122.25 | $13.81 – $20.53 | 2 |
| Encephalitis, western equine igg/igm CPT 86654 | $53.10 | $143.50 | $13.81 – $20.53 | 2 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $317.60 – $417.22 | 2 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $319.43 – $413.63 | 2 |
| Endo cath bile duct s&i CPT 74328 | $421.80 | $1,140.00 | $44.46 – $44.46 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $44.46 – $44.46 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $115.04 – $121.11 | 2 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $100.32 – $101.55 | 2 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $387.95 – $430.18 | 2 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $409.44 – $505.37 | 2 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $181.91 – $181.91 | 1 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $178.54 – $178.54 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $122.03 – $122.03 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $98.37 – $98.37 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $241.09 – $253.36 | 2 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $384.17 – $408.39 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $225.54 – $251.96 | 2 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $137.44 – $152.77 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $223.58 – $280.95 | 2 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $18.43 – $19.70 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $101.13 – $145.53 | 2 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $736.01 – $819.89 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $352.99 – $374.12 | 2 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $81.70 – $124.02 | 2 |
| Endoscopy of ureter CPT 50951 | not published | not published | $347.54 – $394.60 | 2 |
| Endoscopy of ureter CPT 50953 | not published | not published | $369.24 – $433.07 | 2 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $76.22 – $80.65 | 2 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,516.93 | $6,802.50 | $186.98 – $228.14 | 2 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,102.01 – $1,176.18 | 2 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $646.84 – $656.80 | 2 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $238.95 – $257.94 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $156.47 – $204.02 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $197.23 – $197.23 | 1 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $98.79 – $98.79 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $155.78 – $202.82 | 2 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $12.77 – $18.66 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $275.01 – $276.24 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,333.49 – $1,377.55 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,396.69 – $1,477.32 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,518.90 – $1,593.81 | 2 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,739.67 – $1,829.29 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $914.20 – $943.98 | 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.