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 |
|---|---|---|---|---|
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,798.62 – $1,873.82 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,487.35 – $1,532.48 | 2 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,494.48 – $1,565.79 | 2 |
| Excise lesion testis CPT 54512 | not published | not published | $606.12 – $669.66 | 2 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $247.74 – $264.57 | 2 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,447.51 – $1,465.46 | 2 |
| Excise mandible lesion CPT 21040 | not published | not published | $429.84 – $459.28 | 2 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $432.23 – $458.91 | 2 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,288.01 – $1,294.00 | 2 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $287.54 – $300.56 | 2 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $691.28 – $697.46 | 2 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,178.31 – $1,264.14 | 2 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,323.60 – $1,450.67 | 2 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $931.80 – $952.24 | 2 |
| Excise pharynx lesion CPT 42808 | not published | not published | $179.68 – $182.91 | 2 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $210.73 – $219.34 | 2 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,435.32 – $2,498.66 | 2 |
| Excise sublingual gland CPT 42450 | not published | not published | $394.24 – $395.49 | 2 |
| Excise submaxillary gland CPT 42440 | not published | not published | $456.63 – $524.05 | 2 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $363.64 – $363.64 | 1 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $564.72 – $588.26 | 2 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $409.76 – $414.25 | 2 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $182.42 – $182.72 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $135.07 – $136.20 | 2 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $135.92 – $142.24 | 2 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $940.45 | $2,541.75 | $141.45 – $148.02 | 2 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $463.33 | $1,252.25 | $118.22 – $124.62 | 2 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $253.01 – $272.15 | 2 |
| Excision breast lesion CPT 19125 | not published | not published | $476.37 – $507.21 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $234.56 – $243.05 | 2 |
| Excision graft extremity CPT 35903 | not published | not published | $639.84 – $683.28 | 2 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,030.61 – $2,151.60 | 2 |
| Excision gum each quadrant CPT 41820 | not published | not published | $269.10 – $269.10 | 1 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $731.48 – $767.39 | 2 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $194.03 – $198.49 | 2 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $376.02 – $384.57 | 2 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $141.18 – $141.26 | 2 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $141.64 – $149.57 | 2 |
| Excision of gum flap CPT 41821 | not published | not published | $60.70 – $60.70 | 1 |
| Excision of gum lesion CPT 41822 | not published | not published | $191.43 – $206.60 | 2 |
| Excision of gum lesion CPT 41823 | not published | not published | $341.44 – $369.95 | 2 |
| Excision of gum lesion CPT 41826 | not published | not published | $218.24 – $236.42 | 2 |
| Excision of gum lesion CPT 41827 | not published | not published | $324.99 – $343.64 | 2 |
| Excision of gum lesion CPT 41828 | not published | not published | $238.86 – $241.11 | 2 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $134.66 – $135.20 | 2 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $914.17 – $938.40 | 2 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $613.53 – $649.00 | 2 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $825.42 – $855.70 | 2 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $339.87 – $350.89 | 2 |
| Excision of neck cyst CPT 42815 | not published | not published | $610.39 – $615.07 | 2 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $309.12 – $315.88 | 2 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $144.77 – $156.23 | 2 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,079.35 – $1,143.35 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $402.96 – $427.96 | 2 |
| Excision of salivary cyst CPT 42408 | not published | not published | $362.41 – $363.87 | 2 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,088.19 – $2,225.50 | 2 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,068.89 – $1,100.93 | 2 |
| Excision of tongue lesion CPT 41112 | not published | not published | $267.63 – $279.79 | 2 |
| Excision of tongue lesion CPT 41114 | not published | not published | $699.00 – $707.70 | 2 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $298.54 – $310.43 | 2 |
| Excision of tonsil tags CPT 42860 | not published | not published | $204.44 – $206.03 | 2 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $627.40 – $656.29 | 2 |
| Excision of uvula CPT 42140 | not published | not published | $165.28 – $168.94 | 2 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $174.06 – $183.51 | 2 |
| Excision olecranon bursa CPT 24105 | not published | not published | $355.40 – $378.70 | 2 |
| Excision radial head CPT 24130 | not published | not published | $543.23 – $554.52 | 2 |
| Excision tongue lesion without closure 41110 CPT 41110 | $1,245.05 | $3,365.00 | $141.32 – $144.91 | 2 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $521.03 – $521.03 | 1 |
| Excis partial tal calc CPT 28120 | not published | not published | $448.88 – $549.57 | 2 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,344.44 – $1,398.06 | 2 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $759.01 – $759.01 | 1 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $516.87 – $651.48 | 2 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $148.74 – $160.09 | 2 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $186.46 – $199.26 | 2 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $411.99 – $444.41 | 2 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $134.33 – $140.34 | 2 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $129.41 – $137.19 | 2 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $513.38 | $1,387.50 | $199.81 – $203.66 | 2 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $312.85 – $316.69 | 2 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $441.14 – $441.41 | 2 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $123.03 – $132.74 | 2 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $158.49 – $165.44 | 2 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,006.31 | $2,719.75 | $226.27 – $235.18 | 2 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $121.26 – $131.23 | 2 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $156.82 – $164.30 | 2 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $172.58 – $180.37 | 2 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,394.16 | $3,768.00 | $205.92 – $216.86 | 2 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,394.16 | $3,768.00 | $226.69 – $239.09 | 2 |
| Exc mandible 21025 CPT 21025 | not published | not published | $815.62 – $831.21 | 2 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $449.67 – $584.70 | 2 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $812.19 – $812.19 | 1 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $518.50 – $547.23 | 2 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,189.61 – $1,224.76 | 2 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $895.78 – $930.06 | 2 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $444.89 – $462.12 | 2 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,379.93 | $6,432.25 | $193.99 – $203.97 | 2 |
| Exc prtl bn phlnx toe CPT 28124 | $1,633.64 | $4,415.25 | $365.99 – $384.74 | 2 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $900.61 – $900.61 | 1 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $663.94 – $663.94 | 1 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $893.45 – $929.94 | 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.