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 |
|---|---|---|---|---|
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,829.10 – $1,859.29 | 2 |
| Extensive hand surgery CPT 26250 | not published | not published | $628.18 – $1,189.13 | 2 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,333.52 – $1,334.10 | 2 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,809.26 – $1,816.51 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,057.11 – $1,118.50 | 2 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,490.77 – $1,543.45 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $844.53 – $921.63 | 2 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,866.62 – $1,895.34 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,468.47 – $1,536.93 | 2 |
| External cannula declotting CPT 36860 | not published | not published | $124.58 – $124.76 | 2 |
| External chromosome analysis 20-25 cells CPT 88264 | $272.41 | $736.25 | $131.59 – $194.06 | 2 |
| External ocular photography CPT 92285 | not published | not published | $12.86 – $17.97 | 2 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $16.65 | $45.00 | $16.42 – $16.42 | 1 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,908.21 – $3,908.21 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $280.09 | $757.00 | $133.16 – $196.65 | 2 |
| Extnd color vision xm CPT 92283 | not published | not published | $10.66 – $47.07 | 2 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $76.50 | $206.75 | $19.02 – $27.92 | 2 |
| Extraction of lens CPT 66930 | not published | not published | $863.22 – $927.28 | 2 |
| Extraction of lens CPT 66940 | not published | not published | $782.59 – $846.89 | 2 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $759.09 – $817.35 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $25.30 – $35.93 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $681.00 – $681.00 | 1 |
| Face bone graft CPT 21210 | not published | not published | $902.71 – $959.42 | 2 |
| Facial bones <3 CPT 70140 | $60.03 | $162.25 | $11.59 – $19.41 | 2 |
| Facial nerve function test CPT 92516 | not published | not published | $25.45 – $27.23 | 2 |
| Factor ix CPT 85250 | $104.16 | $281.50 | $20.06 – $29.65 | 2 |
| Factor viii CPT 85240 | $117.57 | $317.75 | $18.76 – $27.88 | 2 |
| Fallopian tube recnl CPT 58345 | not published | not published | $306.45 – $320.29 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $106.51 – $114.35 | 2 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $118.79 – $127.81 | 2 |
| Fancc gene CPT 81242 | not published | not published | $41.56 – $41.56 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $50.04 | $135.25 | $5.47 – $7.93 | 2 |
| Fatty acids nonesterified CPT 82725 | $43.85 | $118.50 | $14.07 – $20.73 | 2 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.69 – $7.09 | 2 |
| #fecal-sodium CPT 84302 | $101.84 | $275.25 | $5.21 – $7.57 | 2 |
| Feeding tube reposition CPT 74355 | not published | not published | $48.07 – $48.07 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $112.24 – $119.00 | 2 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $50.69 | $137.00 | $21.16 – $21.16 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $272.43 – $296.89 | 2 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $602.30 – $602.30 | 1 |
| Feno poc CPT 95012 | not published | not published | $19.41 – $21.42 | 2 |
| Ferritin CPT 82728 | $44.40 | $120.00 | $14.33 – $21.22 | 2 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $64.25 – $70.79 | 2 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $910.64 – $910.64 | 1 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $34.03 – $34.49 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $228.79 – $236.81 | 2 |
| Fetal fibronectin CPT 82731 | $214.97 | $581.00 | $68.01 – $100.29 | 2 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $335.22 – $339.50 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $46.99 | $127.00 | $8.08 – $12.04 | 2 |
| Fetal hemoglobin rosette CPT 85461 | $45.79 | $123.75 | $7.04 – $10.33 | 2 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $62.90 | $170.00 | $20.06 – $29.44 | 2 |
| Fetal non stress test CPT 59025 | not published | not published | $16.93 – $18.69 | 2 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $113.50 – $132.23 | 2 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $529.06 – $546.97 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $58.28 | $157.50 | $10.68 – $15.84 | 2 |
| Fibrin degradation products CPT 85362 | not published | not published | $7.30 – $9.58 | 2 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.56 – $11.11 | 2 |
| Fibrinogen activity CPT 85384 | $31.17 | $84.25 | $8.86 – $13.22 | 2 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $5.47 – $8.06 | 2 |
| Fibrinolytic antiplasmin CPT 85410 | $93.24 | $252.00 | $8.08 – $12.00 | 2 |
| Fibrinolytic plasminogen CPT 85415 | $112.02 | $302.75 | $18.24 – $26.76 | 2 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $47.08 | $127.25 | $6.78 – $10.17 | 2 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $762.45 – $822.89 | 2 |
| Filtered speech hearing test CPT 92571 | not published | not published | $17.52 – $27.67 | 2 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $891.95 – $946.20 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $191.94 | $518.75 | $78.09 – $79.62 | 2 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $7,356.19 | $19,881.60 | $562.15 – $562.15 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $916.28 – $929.32 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,225.72 – $1,233.05 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $703.89 – $726.94 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $20.84 – $22.82 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $28.30 – $30.81 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $13.65 – $100.98 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $21.20 – $58.48 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $54.39 – $57.06 | 2 |
| Fixation of ankle joint CPT 27860 | not published | not published | $189.97 – $196.25 | 2 |
| Fixation of knee joint CPT 27570 | $1,188.07 | $3,211.00 | $158.29 – $164.44 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,043.67 – $1,077.22 | 2 |
| Fix g/colon tube w/device CPT 49460 | $714.47 | $1,931.00 | $54.63 – $60.43 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $710.94 – $723.78 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | $39.31 | $106.25 | $21.16 – $21.16 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $219.78 | $594.00 | $35.36 – $39.52 | 2 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $63.05 – $71.28 | 2 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $782.59 – $787.50 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $855.42 – $866.58 | 2 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.95 – $100.25 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $82.89 – $100.92 | 2 |
| Flow cytometry marker each additional CPT 88185 | $58.92 | $159.25 | $33.48 – $37.73 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $174.83 | $472.50 | $56.41 – $61.80 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | $82.90 | $224.05 | $64.77 – $81.25 | 2 |
| Flt3 gene CPT 81245 | $209.88 | $567.25 | $189.36 – $189.36 | 1 |
| Flt3 gene analysis CPT 81246 | not published | not published | $94.91 – $94.91 | 1 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $20.22 – $24.89 | 2 |
| Fluid pressure muscle 20950 CPT 20950 | $579.70 | $1,566.75 | $100.35 – $100.82 | 2 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $36.32 – $37.09 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $42.76 – $51.72 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $173.53 – $173.53 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $183.15 | $495.00 | $12.77 – $18.76 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $45.79 | $123.75 | $33.54 – $65.04 | 2 |
| Fluoroguide needle placement CPT 77002 | $46.81 | $126.50 | $33.08 – $65.75 | 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.