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 |
|---|---|---|---|---|
| Hemoglobin CPT 85018 | $19.61 | $53.00 | $2.61 – $3.69 | 2 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.61 – $3.68 | 2 |
| Hemoglobin fetal qualitative CPT 83033 | $26.36 | $71.25 | $6.25 – $9.28 | 2 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.60 – $12.87 | 2 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $43.01 | $116.25 | $7.82 – $11.41 | 2 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.42 – $15.55 | 2 |
| Hemoglobin plasma CPT 83051 | $46.81 | $126.50 | $7.82 – $11.38 | 2 |
| Hemoglobin urine CPT 83069 | not published | not published | $4.17 – $6.15 | 2 |
| Hemolysin acid CPT 85475 | not published | not published | $9.38 – $13.81 | 2 |
| Hemolysins/agglutinins auto CPT 86940 | $27.75 | $75.00 | $8.60 – $12.77 | 2 |
| Hemolysins and agglutinins incubated CPT 86941 | $61.79 | $167.00 | $12.77 – $18.85 | 2 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $16.68 – $24.66 | 2 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $192.39 – $208.50 | 2 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $401.41 – $423.56 | 2 |
| Heparin assay CPT 85520 | $77.24 | $208.75 | $13.81 – $20.38 | 2 |
| Heparin neutralization CPT 85525 | $49.21 | $133.00 | $12.51 – $18.43 | 2 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,547.76 – $2,620.42 | 2 |
| Hepatitis a antibody igm CPT 86709 | $69.38 | $187.50 | $11.99 – $17.52 | 2 |
| Hepatitis b core antibody igm CPT 86705 | $50.97 | $137.75 | $12.51 – $18.33 | 2 |
| Hepatitis b core antibody total CPT 86704 | $46.25 | $125.00 | $12.77 – $18.76 | 2 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $113.34 – $113.34 | 1 |
| Hepatitis b surface antibody CPT 86706 | $41.26 | $111.50 | $11.20 – $16.72 | 2 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $107.06 – $107.06 | 1 |
| Hepatitis c antibody CPT 86803 | $53.10 | $143.50 | $15.11 – $22.21 | 2 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $21.11 – $31.22 | 2 |
| Hepatobiliary system imaging CPT 78226 | $528.18 | $1,427.50 | $310.43 – $310.43 | 1 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $910.64 – $910.64 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $556.37 – $579.97 | 2 |
| Herpes simplex 1 ag if CPT 87274 | $50.97 | $137.75 | $12.77 – $18.66 | 2 |
| Herpes simplex 2 ag if CPT 87273 | $47.45 | $128.25 | $12.77 – $18.66 | 2 |
| Herpes simplex type 1 antibody igg CPT 86695 | $60.68 | $164.00 | $13.81 – $20.53 | 2 |
| Herpes simplex type 2 antibody igg CPT 86696 | $77.52 | $209.50 | $20.33 – $30.13 | 2 |
| Herpes simplex virus isolation CPT 87255 | $59.44 | $160.65 | $35.70 – $52.72 | 2 |
| Heterophile antibodies screening CPT 86308 | $24.14 | $65.25 | $5.47 – $8.06 | 2 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.78 – $10.07 | 2 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.82 – $11.47 | 2 |
| Hexa gene CPT 81255 | not published | not published | $58.40 – $58.40 | 1 |
| Hhv-6 dna quant CPT 87533 | $184.63 | $499.00 | $19.90 – $24.97 | 2 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $249.97 – $255.68 | 2 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $881.60 – $887.85 | 2 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $872.53 – $887.52 | 2 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,120.11 – $1,120.11 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $711.58 – $726.82 | 2 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $790.65 – $794.98 | 2 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,099.49 – $1,099.49 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,121.19 – $1,121.19 | 1 |
| Hip X-ray CPT 73502 | $122.10 | $330.00 | $30.54 – $30.54 | 1 |
| Histamine CPT 83088 | $162.62 | $439.50 | $31.27 – $45.98 | 2 |
| Histochemical stains add-on CPT 88314 | $57.07 | $154.25 | $27.66 – $56.06 | 2 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $4.81 – $6.12 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $18.50 – $27.47 | 2 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.11 – $31.22 | 2 |
| Hla class i high defin qual CPT 86832 | $264.18 | $714.00 | $197.54 – $197.54 | 1 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $179.58 – $179.58 | 1 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $61.62 – $61.62 | 1 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $46.21 – $46.21 | 1 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $107.75 – $107.75 | 1 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $502.83 – $502.83 | 1 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $125.70 – $125.70 | 1 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $556.69 – $556.69 | 1 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $374.74 – $374.74 | 1 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $538.02 – $538.02 | 1 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $626.08 – $626.08 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | $658.39 | $1,779.42 | $192.56 – $192.56 | 1 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $343.68 – $343.68 | 1 |
| Hla i low res one antigen equiv ea CPT 81374 | $100.73 | $272.25 | $113.26 – $113.26 | 1 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $275.96 – $275.96 | 1 |
| Hla i typing complete hr CPT 81379 | not published | not published | $522.17 – $522.17 | 1 |
| Hla i typing complete lr CPT 81372 | $2,871.02 | $7,759.50 | $343.93 – $343.93 | 1 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $153.00 | $413.50 | $147.25 – $147.25 | 1 |
| Hla i typing low res one locus ea CPT 81373 | $978.84 | $2,645.50 | $173.38 – $173.38 | 1 |
| Hla typing a b or c CPT 86813 | $100.73 | $272.25 | $40.55 – $50.86 | 2 |
| Hla typing dr/dq CPT 86816 | not published | not published | $29.45 – $43.37 | 2 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $41.69 – $41.69 | 1 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $125.04 – $125.04 | 1 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $93.08 – $98.02 | 2 |
| Homocysteine CPT 83090 | $142.54 | $385.25 | $17.72 – $26.26 | 2 |
| Homogenization tissue CPT 87176 | $15.45 | $41.75 | $6.25 – $9.16 | 2 |
| Homovanillic acid (hva) CPT 83150 | $76.87 | $207.75 | $20.33 – $30.12 | 2 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $138.72 – $138.72 | 1 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $138.72 – $138.72 | 1 |
| Hpv low-risk types CPT 87623 | not published | not published | $54.64 – $54.64 | 1 |
| Hpv types 16 & 18 only CPT 87625 | $140.32 | $379.25 | $54.64 – $54.64 | 1 |
| H pylori ag ia CPT 87339 | not published | not published | $12.77 – $18.66 | 2 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $71.14 – $101.40 | 2 |
| H pylori (c-13) breath CPT 83013 | $74.77 | $202.08 | $71.14 – $101.40 | 2 |
| H pylori drug admin CPT 83014 | not published | not published | $8.34 – $12.24 | 2 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $910.64 – $910.64 | 1 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $663.86 – $663.86 | 1 |
| Htt gene detc abnor alleles CPT 81271 | $152.07 | $411.00 | $155.50 – $155.50 | 1 |
| Human epididymis protein 4 (he4) CPT 86305 | $98.51 | $266.25 | $32.40 – $32.40 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $67.06 | $181.25 | $15.89 – $18.55 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $144.67 | $391.00 | $59.41 – $63.03 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $18.50 – $27.29 | 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.