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 |
|---|---|---|---|---|
| Injection into brain canal CPT 61055 | $421.43 | $1,139.00 | $136.82 – $158.06 | 2 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $131.02 – $134.53 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $897.83 – $1,066.32 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $146.85 – $152.08 | 2 |
| Injection jugular CPT 36299 | not published | not published | not published | 0 |
| Injection of sinus tract CPT 20500 | not published | not published | $92.47 – $104.38 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $17.91 | $48.40 | $5.46 – $5.46 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $92.00 – $102.41 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,007.33 | $2,722.50 | $43.87 – $45.27 | 2 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $543.53 | $1,469.00 | $367.25 – $367.25 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $744.81 | $2,013.00 | $75.56 – $82.54 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,110.37 | $3,001.00 | $50.36 – $82.90 | 2 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,285.20 | $3,473.50 | $123.80 – $124.57 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $67.80 – $67.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,985.61 | $5,366.50 | $118.45 – $118.45 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $349.28 | $944.00 | $58.41 – $58.41 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $992.80 | $2,683.25 | $100.81 – $100.81 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $660.73 | $1,785.75 | $123.44 – $123.44 | 1 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $660.73 | $1,785.75 | $112.63 – $112.63 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $416.07 | $1,124.50 | $44.27 – $48.57 | 2 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $263.90 | $713.25 | $41.98 – $42.38 | 2 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $319.77 | $864.25 | $46.70 – $48.21 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $75.11 | $203.00 | $23.12 – $26.59 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $75.48 | $204.00 | $15.56 – $15.56 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $84.55 | $228.50 | $59.10 – $61.03 | 2 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $61.14 | $165.25 | $24.21 – $26.70 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $131.64 – $141.61 | 2 |
| Injection treatment of eye CPT 66030 | $2,911.53 | $7,869.00 | $109.53 – $119.13 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $383.97 – $385.68 | 2 |
| Injection treatment of nerve CPT 64610 | not published | not published | $536.06 – $548.34 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $246.44 – $300.30 | 2 |
| Injection treatment of nose CPT 30200 | not published | not published | $64.55 – $65.83 | 2 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $81.94 – $93.42 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $80.29 – $86.12 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $82.54 – $88.80 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $90.04 – $98.05 | 2 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $516.89 | $1,397.00 | $114.44 – $114.44 | 1 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $520.31 | $1,406.25 | $98.47 – $98.47 | 1 |
| Inj for ext venography CPT 36005 | not published | not published | $54.98 – $60.76 | 2 |
| Inj for mammo ductogram CPT 19030 | $469.16 | $1,268.00 | $88.29 – $97.10 | 2 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $53.95 – $53.95 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $66.57 – $66.57 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $69.93 – $69.93 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $51.68 – $51.68 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $52.78 – $52.78 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $156.09 – $162.66 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $159.19 | $430.25 | $34.89 – $34.93 | 2 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $54.22 – $54.33 | 2 |
| Inj ivig privigen 500 mg HCPCS J1459 | $520.15 | $1,405.80 | $38.66 – $38.66 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $702.35 | $1,898.25 | $74.34 – $74.34 | 1 |
| Inj peritoneal venous shunt CPT 49427 | $47.55 | $128.50 | $52.15 – $57.34 | 2 |
| Inj proc ankle arthr CPT 27648 | $316.54 | $855.50 | $59.32 – $61.31 | 2 |
| Inj proc elbow arthro CPT 24220 | $302.66 | $818.00 | $77.53 – $83.70 | 2 |
| Inj proc for lymphang CPT 38790 | not published | not published | $92.58 – $94.59 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $191.02 – $197.24 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $446.68 | $1,207.25 | $98.44 – $105.52 | 2 |
| Inj proc sialogram CPT 42550 | $130.24 | $352.00 | $71.83 – $79.40 | 2 |
| Inj retro urethrocysto CPT 51610 | $111.28 | $300.75 | $71.95 – $79.19 | 2 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $112.34 – $114.88 | 2 |
| Inj scleros sol sgl vein CPT 36470 | $213.86 | $578.00 | $81.34 – $91.66 | 2 |
| Inj secretin synthetic human HCPCS J2850 | $610.89 | $1,651.05 | $20.31 – $20.31 | 1 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $42.05 – $71.24 | 2 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $412.52 – $412.52 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $303.29 – $303.29 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $481.86 – $481.86 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $414.74 – $414.74 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $50.64 – $52.59 | 2 |
| Insemination of oocytes CPT 89268 | not published | not published | not published | 0 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $809.49 – $835.59 | 2 |
| Insert and remove bone pin CPT 20650 | not published | not published | $173.59 – $173.94 | 2 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,112.49 – $1,112.49 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $509.24 – $563.77 | 2 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $156.73 – $178.17 | 2 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $2,016.78 | $5,450.75 | $140.20 – $185.85 | 2 |
| Insert cath pleura with image CPT 32557 | $1,600.99 | $4,327.00 | $174.35 – $174.35 | 1 |
| Insert cath pleura without image CPT 32556 | $4,113.48 | $11,117.50 | $140.13 – $140.13 | 1 |
| Insert drug delivery implant CPT 11981 | not published | not published | $93.17 – $98.03 | 2 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $908.09 – $967.32 | 2 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $873.72 – $918.31 | 2 |
| Insert eye socket implant CPT 67550 | not published | not published | $974.18 – $1,038.41 | 2 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $948.13 – $1,096.47 | 2 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $503.91 – $521.81 | 2 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $383.05 – $383.05 | 1 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $60.28 – $64.83 | 2 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $129.13 – $142.89 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | $103.14 | $278.75 | $29.03 – $34.18 | 2 |
| Insertion catheter bladder temporary simple CPT 51702 | $113.78 | $307.50 | $29.03 – $37.37 | 2 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,662.23 | $4,492.50 | $236.62 – $273.22 | 2 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $295.68 – $329.28 | 2 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $405.00 – $444.54 | 2 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $258.30 – $258.30 | 1 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,018.15 | $2,751.75 | $137.26 – $147.51 | 2 |
| Insertion of cannula CPT 36810 | not published | not published | $244.46 – $253.50 | 2 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,525.95 – $1,560.15 | 2 |
| Insertion of catheter vein CPT 36481 | not published | not published | $384.23 – $496.08 | 2 |
| Insertion of catheter vein CPT 36500 | not published | not published | $207.72 – $223.06 | 2 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $192.36 – $224.50 | 2 |
| Insertion of infusion pump CPT 36260 | not published | not published | $688.85 – $713.68 | 2 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $586.33 – $31,789.00 | 3 |
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.