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 |
|---|---|---|---|---|
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,749.93 – $1,766.65 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | not published | 0 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,570.15 – $1,570.43 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,608.10 – $1,608.66 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,733.45 – $1,733.62 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $634.96 – $637.39 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,357.94 – $2,370.92 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,488.50 – $1,497.43 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,377.83 – $1,393.41 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,577.90 – $1,615.11 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $931.14 – $938.95 | 2 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $637.82 – $695.66 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $535.67 – $552.86 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,615.94 – $1,656.12 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $471.92 – $488.40 | 2 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $111.57 – $119.35 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $349.72 – $371.53 | 2 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $404.25 – $416.47 | 2 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $533.10 – $595.41 | 2 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $628.62 – $690.67 | 2 |
| Incise inner ear CPT 69801 | not published | not published | $140.17 – $807.37 | 2 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,721.32 – $1,746.87 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $262.68 – $275.76 | 2 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $474.87 – $509.47 | 2 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $587.88 – $637.70 | 2 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $624.07 – $679.62 | 2 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $658.71 – $716.06 | 2 |
| Incise inner eye strands CPT 67030 | not published | not published | $514.91 – $571.48 | 2 |
| Incise nerve back of head CPT 64744 | not published | not published | $451.58 – $538.93 | 2 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $275.98 – $281.64 | 2 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,261.76 – $1,433.70 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,644.09 – $1,838.31 | 2 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $471.49 – $528.33 | 2 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $95.10 – $105.41 | 2 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $848.76 – $864.84 | 2 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $506.53 – $524.91 | 2 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $475.54 – $561.83 | 2 |
| Incision anal septum infant CPT 46070 | not published | not published | $241.48 – $248.29 | 2 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,272.52 | $3,439.25 | $129.17 – $129.27 | 2 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $986.84 – $1,054.07 | 2 |
| Incision of achilles tendon CPT 27605 | not published | not published | $205.39 – $223.68 | 2 |
| Incision of achilles tendon CPT 27606 | not published | not published | $311.60 – $328.45 | 2 |
| Incision of anal sphincter CPT 46080 | not published | not published | $171.87 – $178.12 | 2 |
| Incision of ankle bone CPT 28302 | not published | not published | $743.47 – $788.02 | 2 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,458.57 – $1,504.37 | 2 |
| Incision of breast lesion CPT 19020 | $3,863.36 | $10,441.50 | $306.55 – $334.47 | 2 |
| Incision of brow nerve CPT 64732 | not published | not published | $412.12 – $414.94 | 2 |
| Incision of burn scab initi CPT 16035 | not published | not published | $219.53 – $243.08 | 2 |
| Incision of cheek nerve CPT 64734 | not published | not published | $449.48 – $551.45 | 2 |
| Incision of chin nerve CPT 64736 | not published | not published | $423.60 – $427.07 | 2 |
| Incision of eardrum CPT 69420 | not published | not published | $129.10 – $130.37 | 2 |
| Incision of eardrum CPT 69421 | not published | not published | $161.43 – $163.78 | 2 |
| Incision of esophagus CPT 43020 | not published | not published | $593.75 – $596.17 | 2 |
| Incision of eye CPT 65850 | not published | not published | $856.34 – $910.05 | 2 |
| Incision of eye CPT 66172 | not published | not published | $1,284.30 – $1,483.68 | 2 |
| Incision of eyelid CPT 67710 | not published | not published | $95.27 – $104.00 | 2 |
| Incision of facial nerve CPT 64742 | not published | not published | $502.84 – $514.89 | 2 |
| Incision of fibula CPT 27707 | not published | not published | $425.82 – $435.70 | 2 |
| Incision of finger tendon CPT 26455 | not published | not published | $416.36 – $426.69 | 2 |
| Incision of foot fascia CPT 28008 | not published | not published | $325.93 – $346.91 | 2 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $289.94 – $298.10 | 2 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $920.33 – $977.05 | 2 |
| Incision of heel bone CPT 28300 | not published | not published | $720.77 – $750.12 | 2 |
| Incision of hip bones CPT 27151 | not published | not published | $1,719.79 – $1,770.36 | 2 |
| Incision of hip tendon CPT 27000 | not published | not published | $447.85 – $483.49 | 2 |
| Incision of hip tendon CPT 27001 | not published | not published | $587.79 – $594.01 | 2 |
| Incision of hip tendon CPT 27003 | not published | not published | $631.48 – $640.73 | 2 |
| Incision of hip tendons CPT 27006 | not published | not published | $807.68 – $807.71 | 2 |
| Incision of iris CPT 66500 | not published | not published | $348.10 – $378.97 | 2 |
| Incision of iris CPT 66505 | not published | not published | $381.25 – $417.91 | 2 |
| Incision of jaw joint CPT 21010 | not published | not published | $803.94 – $836.84 | 2 |
| Incision of jaw nerve CPT 64738 | not published | not published | $503.01 – $506.66 | 2 |
| Incision of knee joint CPT 27435 | not published | not published | $869.16 – $885.91 | 2 |
| Incision of lymph channels CPT 38308 | not published | not published | $486.00 – $496.96 | 2 |
| Incision of metatarsal CPT 28306 | not published | not published | $447.22 – $462.01 | 2 |
| Incision of metatarsal CPT 28307 | not published | not published | $487.75 – $518.95 | 2 |
| Incision of metatarsal CPT 28308 | not published | not published | $417.29 – $422.94 | 2 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,000.80 – $1,018.89 | 2 |
| Incision of midfoot bones CPT 28304 | not published | not published | $674.87 – $686.13 | 2 |
| Incision of palm tendon CPT 26450 | not published | not published | $419.26 – $429.36 | 2 |
| Incision of prostate CPT 52450 | not published | not published | $525.20 – $580.46 | 2 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $768.04 – $770.78 | 2 |
| Incision of rectal abscess CPT 46060 | not published | not published | $478.46 – $524.79 | 2 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $940.23 – $969.22 | 2 |
| Incision of sperm duct CPT 55200 | not published | not published | $306.06 – $342.24 | 2 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $620.07 – $621.58 | 2 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $684.62 – $689.76 | 2 |
| Incision of tendon sheath CPT 25000 | not published | not published | $362.81 – $366.36 | 2 |
| Incision of thigh tendon CPT 27306 | not published | not published | $385.40 – $408.07 | 2 |
| Incision of thigh tendon CPT 27390 | not published | not published | $473.01 – $481.89 | 2 |
| Incision of thigh tendons CPT 27307 | not published | not published | $468.87 – $504.18 | 2 |
| Incision of thigh tendons CPT 27391 | not published | not published | $618.91 – $626.59 | 2 |
| Incision of thigh tendons CPT 27392 | not published | not published | $766.24 – $769.80 | 2 |
| Incision of tibia CPT 27705 | not published | not published | $836.51 – $850.49 | 2 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,250.60 – $1,299.03 | 2 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $316.90 – $337.35 | 2 |
| Incision of tongue fold CPT 41010 | not published | not published | $115.66 – $117.19 | 2 |
| Incision of tongue nerve CPT 64740 | not published | not published | $496.86 – $500.12 | 2 |
| Incision of urethra CPT 53000 | not published | not published | $164.44 – $183.48 | 2 |
| Incision of urethra CPT 53010 | not published | not published | $327.14 – $358.47 | 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.