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 |
|---|---|---|---|---|
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $213.03 | $575.75 | $116.07 – $116.07 | 1 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $62.72 | $169.50 | $26.98 – $27.16 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $49.03 | $132.50 | $15.11 – $22.40 | 2 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $44.41 – $49.20 | 2 |
| Ghs bladder cath - complex-foley CPT 51703 | $190.55 | $515.00 | $86.94 – $102.95 | 2 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.69 – $7.03 | 2 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,147.19 | $3,100.50 | $104.82 – $107.79 | 2 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,030.45 | $2,785.00 | $122.11 – $155.59 | 2 |
| Ghs chemo >8 hrs CPT 96416 | $187.13 | $505.75 | $142.25 – $178.39 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | $156.60 | $423.25 | $186.65 – $189.66 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $76.87 | $207.75 | $64.22 – $71.32 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $164.84 | $445.50 | $37.00 – $54.64 | 2 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $144.21 | $389.75 | $250.32 – $275.21 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $239.02 | $646.00 | $375.42 – $400.34 | 2 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,628.48 | $7,104.00 | $456.82 – $459.53 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $420.53 – $445.95 | 2 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,856.96 | $7,721.50 | $529.67 – $539.75 | 2 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,433.40 | $6,576.75 | $886.96 – $888.65 | 2 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $264.37 | $714.50 | $304.06 – $326.58 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,066.01 | $8,286.50 | $466.35 – $468.58 | 2 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,347.95 | $9,048.50 | $539.50 – $540.70 | 2 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $239.02 | $646.00 | $483.87 – $512.38 | 2 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $217.38 | $587.50 | $300.82 – $328.89 | 2 |
| Ghs community re-entry 15 minutes CPT 97537 | $42.55 | $115.00 | $32.55 – $33.07 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $696.71 | $1,883.00 | $56.50 – $58.33 | 2 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $187.41 | $506.50 | $46.92 – $48.35 | 2 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $265.66 | $718.00 | $46.32 – $46.94 | 2 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $221.82 | $599.50 | $57.25 – $61.92 | 2 |
| Ghs cricothyroidotomy CPT 31605 | $1,183.26 | $3,198.00 | $208.76 – $217.40 | 2 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $45.40 – $46.56 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $59.38 – $61.02 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $16.16 – $23.68 | 2 |
| Ghs dislocation elbow closed treatment CPT 24600 | $285.27 | $771.00 | $344.90 – $362.45 | 2 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $965.15 | $2,608.50 | $123.10 – $123.10 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $120.07 | $324.50 | $37.66 – $39.84 | 2 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $8.63 – $8.63 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $17.88 – $89.11 | 2 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $1.09 – $6.11 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $82.91 – $83.39 | 2 |
| Ghs excision ingrown nail CPT 11765 | $314.32 | $849.50 | $72.31 – $102.57 | 2 |
| Ghs eye exam CPT 92002 | not published | not published | $53.12 – $53.80 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $435.86 | $1,178.00 | $115.28 – $125.26 | 2 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.91 – $5.74 | 2 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,006.86 | $2,721.25 | $347.37 – $367.75 | 2 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,354.50 | $6,363.50 | $273.22 – $273.29 | 2 |
| Ghs fb removal - incisional CPT 10121 | $923.34 | $2,495.50 | $203.72 – $204.23 | 2 |
| Ghs fb removal - non-incisional CPT 20520 | $1,376.49 | $3,720.25 | $154.83 – $160.23 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.33 – $6.70 | 2 |
| Ghs fish cytogen CPT 88271 | $176.93 | $478.19 | $22.67 – $33.35 | 2 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $249.47 | $674.25 | $42.47 – $62.53 | 2 |
| Ghs flow volume loop CPT 94375 | $269.36 | $728.00 | $18.02 – $25.15 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $186.20 | $503.25 | $24.85 – $24.85 | 1 |
| Ghs hcv amplificaiton CPT 87521 | $145.23 | $392.50 | $37.00 – $54.64 | 2 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $18.24 – $26.80 | 2 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $16.42 – $24.12 | 2 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.86 – $13.18 | 2 |
| Ghs histoplasma antigen CPT 87385 | $214.69 | $580.25 | $12.77 – $18.66 | 2 |
| Ghs HIV antibody CPT 86703 | $44.96 | $121.50 | $14.59 – $21.34 | 2 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $68.01 – $100.24 | 2 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,313.50 | $3,550.00 | $238.67 – $261.98 | 2 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,301.57 | $3,517.75 | $420.68 – $455.60 | 2 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,468.35 | $3,968.50 | $181.85 – $186.51 | 2 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $183.71 | $496.50 | $102.87 – $111.63 | 2 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $14.92 – $34.90 | 2 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $186.48 | $504.00 | $113.63 – $117.44 | 2 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $238.65 | $645.00 | $144.62 – $149.50 | 2 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $103.21 – $127.64 | 2 |
| Ghs inhibitor screen CPT 85335 | $122.66 | $331.50 | $13.55 – $20.04 | 2 |
| Ghs init tx 1st degree burn CPT 16000 | $86.58 | $234.00 | $51.78 – $53.65 | 2 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $188.60 – $190.46 | 2 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,323.16 | $8,981.50 | $101.55 – $199.45 | 2 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $47.50 – $49.47 | 2 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $71.24 – $92.68 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,285.20 | $3,473.50 | $140.95 – $147.32 | 2 |
| Ghs insertion of needle - bone CPT 36680 | $160.86 | $434.75 | $66.61 – $72.25 | 2 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $375.09 | $1,013.75 | $258.84 – $265.52 | 2 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $368.61 | $996.25 | $299.39 – $309.39 | 2 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,550.02 | $4,189.25 | $348.43 – $364.97 | 2 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $10.58 – $11.52 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $224.59 | $607.00 | $151.25 – $169.87 | 2 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $366.43 – $366.43 | 1 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $132.00 | $356.75 | $154.37 – $169.85 | 2 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $216.27 | $584.50 | $168.28 – $170.91 | 2 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $203.87 | $551.00 | $166.24 – $183.40 | 2 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $176.95 | $478.25 | $188.93 – $195.96 | 2 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $176.95 | $478.25 | $225.72 – $229.21 | 2 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $215.62 | $582.75 | $214.11 – $221.73 | 2 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $159.93 | $432.25 | $234.49 – $241.21 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $292.58 | $790.75 | $220.52 – $229.47 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $262.79 | $710.25 | $231.82 – $238.08 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $138.38 | $374.00 | $247.51 – $250.03 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $312.65 | $845.00 | $269.27 – $297.26 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $236.25 | $638.50 | $306.29 – $337.93 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $317.24 – $341.14 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $203.41 | $549.75 | $373.10 – $379.86 | 2 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $347.13 – $406.63 | 2 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $426.70 – $435.00 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $57.81 | $156.25 | $9.12 – $13.39 | 2 |
| Ghs low level laser therapy CPT 97039 | not published | not published | not published | 0 |
| Ghs mbp CPT 83873 | $74.19 | $200.50 | $18.24 – $26.79 | 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.