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 |
|---|---|---|---|---|
| Hymenotomy CPT 56442 | not published | not published | $52.19 – $55.36 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,098.35 – $1,102.12 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.68 – $14.29 | 2 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $126.61 – $689.83 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $96.62 – $351.03 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $97.36 – $382.65 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $94.23 – $805.51 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $129.12 – $946.75 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,087.90 – $1,134.58 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,160.31 – $1,214.69 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $995.85 – $1,046.76 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $311.15 – $324.20 | 2 |
| Hysterosalpingography s&i CPT 74740 | $252.25 | $681.75 | $23.98 – $56.41 | 2 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $302.83 – $402.64 | 2 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $261.86 – $312.73 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $171.06 – $221.69 | 2 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $322.94 – $402.64 | 2 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $258.14 – $341.24 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $482.10 – $645.05 | 2 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $353.98 – $455.25 | 2 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $878.75 – $942.78 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $49.40 | $133.50 | $12.77 – $18.66 | 2 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $99.70 | $269.45 | $37.00 – $54.64 | 2 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.55 – $20.16 | 2 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $70.39 – $163.47 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $11.85 – $13.65 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.14 – $7.54 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.72 – $5.15 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $981.10 – $1,038.37 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,814.67 | $4,904.50 | $437.33 – $447.08 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $188.49 – $205.59 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | not published | 0 |
| Idet 1 or more levels CPT 22527 | not published | not published | $180.12 – $181.83 | 2 |
| Idet single level CPT 22526 | not published | not published | $377.91 – $394.82 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $542.12 – $564.53 | 2 |
| Idh1 common variants CPT 81120 | $130.61 | $353.00 | $219.34 – $219.34 | 1 |
| Idh2 common variants CPT 81121 | $196.01 | $529.75 | $335.72 – $335.72 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $1,262.35 | $3,411.75 | $435.21 – $479.63 | 2 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.92 – $142.83 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $177.77 – $183.17 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $235.52 – $238.30 | 2 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $341.50 – $357.61 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $189.11 – $190.43 | 2 |
| Ifnl3 gene CPT 81283 | not published | not published | $83.28 – $83.28 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $235.30 – $235.30 | 1 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $67.96 – $67.96 | 1 |
| Igh gene rearrange amp meth CPT 81261 | $209.51 | $566.25 | $308.25 – $308.25 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $326.71 | $883.00 | $458.54 – $458.54 | 1 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $232.48 – $232.48 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $59.85 | $161.75 | $62.52 – $62.52 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $105.45 | $285.00 | $134.02 – $134.02 | 1 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $339.66 | $918.00 | $51.10 – $71.14 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $44.62 – $44.62 | 1 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,145.57 – $1,174.44 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $215.40 – $215.40 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $994.84 – $1,027.43 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $14.73 – $14.73 | 1 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $13.65 – $13.65 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $52.60 | $142.15 | $137.03 – $137.03 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $446.65 – $1,106.21 | 2 |
| Immune complex assay CPT 86332 | $224.15 | $605.80 | $25.80 – $37.94 | 2 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $65.68 | $177.50 | $21.89 – $32.40 | 2 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $65.95 | $178.25 | $21.89 – $32.40 | 2 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $14.33 – $17.99 | 2 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $50.78 | $137.25 | $12.77 – $18.65 | 2 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.85 – $21.87 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $77.70 | $210.00 | $14.92 – $34.79 | 2 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $90.56 | $244.75 | $44.19 – $44.19 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $126.73 | $342.50 | $51.96 – $57.85 | 2 |
| Immunoglobulin assay CPT 86023 | not published | not published | $13.03 – $19.40 | 2 |
| Immunology procedure CPT 86849 | not published | not published | not published | 0 |
| Impedence cardiogram CPT 93701 | not published | not published | $11.05 – $24.80 | 2 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,493.24 – $1,823.34 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $1,346.33 – $105,792.00 | 3 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,185.56 | $24,825.85 | $8,026.41 – $8,026.41 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $862.65 – $924.47 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $63.58 – $93.54 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,618.20 – $1,690.08 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,395.91 – $2,575.62 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $909.73 – $14,517.00 | 3 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $167.78 – $176.71 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $168.68 – $173.93 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $340.60 – $491.55 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $842.91 – $935.48 | 2 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $303.08 – $304.21 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,346.06 – $1,494.66 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $908.51 – $954.56 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $429.56 – $465.94 | 2 |
| Implant spine infusion pump CPT 62362 | not published | not published | $426.94 – $455.05 | 2 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,489.13 – $1,489.13 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $2,342.17 | $6,330.20 | $367.19 – $367.19 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $2,446.55 | $6,612.30 | $2,558.43 – $2,558.43 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $459.53 – $7,541.00 | 3 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $241.86 – $241.86 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $434.45 – $443.79 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,179.36 – $1,186.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $97.71 – $99.73 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $422.36 – $422.36 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,739.79 – $1,745.51 | 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.