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 |
|---|---|---|---|---|
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | not published | not published | $540.00 – $31,789.00 | 3 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $533.29 – $31,789.00 | 3 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $166.17 – $166.37 | 2 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,159.86 | $3,134.75 | $104.07 – $118.42 | 2 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | not published | not published | $1,030.25 – $87,973.00 | 3 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $2,494.54 | $6,742.00 | $187.96 – $222.99 | 2 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | not published | not published | $413.46 – $461.14 | 2 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,720.69 | $4,650.50 | $382.44 – $410.93 | 2 |
| Insertion ureth cath CPT 51045 | not published | not published | $544.94 – $575.44 | 2 |
| Insert lens prosthesis CPT 66985 | not published | not published | $762.90 – $832.42 | 2 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $2,124.05 – $2,242.96 | 2 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $909.86 – $1,018.66 | 2 |
| Insert nasal septal button CPT 30220 | not published | not published | $135.26 – $135.35 | 2 |
| Insert ocular implant CPT 65130 | not published | not published | $722.50 – $784.25 | 2 |
| Insert ocular implant CPT 65135 | not published | not published | $736.01 – $796.62 | 2 |
| Insert pelv fixation device CPT 22848 | not published | not published | $407.91 – $421.86 | 2 |
| Insert pessary/other device CPT 57160 | $177.42 | $479.50 | $52.49 – $56.23 | 2 |
| Insert picvad cath CPT 36570 | not published | not published | $354.36 – $378.25 | 2 |
| Insert pm/icd lead dual CPT 33217 | not published | not published | $405.75 – $457.43 | 2 |
| Insert prost urethral stent CPT 53855 | not published | not published | $93.88 – $93.88 | 1 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $660.73 – $87,973.00 | 2 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $730.04 – $811.38 | 2 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $593.79 – $667.80 | 2 |
| Insert spine fixation device CPT 22843 | not published | not published | $926.50 – $945.78 | 2 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $312.30 – $341.95 | 2 |
| Insert sq defib electrode CPT 33271 | not published | not published | $552.10 – $87,973.00 | 2 |
| Insert swan-ganz cath CPT 93503 | $1,373.35 | $3,711.75 | $146.74 – $172.21 | 2 |
| Insert tandem cuff CPT 53444 | not published | not published | $891.72 – $999.31 | 2 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $979.57 – $1,036.05 | 2 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $377.25 – $405.35 | 2 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $384.40 – $425.05 | 2 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $413.86 – $427.05 | 2 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $844.60 – $1,101.33 | 2 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $311.78 – $484.04 | 2 |
| Insert vad art access left hrt arterial access CPT 33990 | not published | not published | $485.16 – $485.16 | 1 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $710.62 – $710.62 | 1 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $450.81 – $87,973.00 | 2 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $409.33 – $87,973.00 | 3 |
| Insitu hybridization auto CPT 88367 | not published | not published | $71.14 – $76.67 | 2 |
| Insitu hybridization (fish) CPT 88366 | $254.01 | $686.50 | $195.45 – $195.45 | 1 |
| Insitu hybridization manual CPT 88368 | not published | not published | $76.17 – $80.96 | 2 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $181.69 | $491.05 | $96.66 – $96.66 | 1 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $240.83 | $650.90 | $71.49 – $133.66 | 2 |
| Insj biomechanical device CPT 22859 | not published | not published | $383.05 – $383.05 | 1 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $295.91 – $295.91 | 1 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $1,093.74 – $1,093.74 | 1 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $599.28 – $599.28 | 1 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $895.58 – $895.58 | 1 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $584.60 – $31,789.00 | 3 |
| Ins mark abd/pel for right perq CPT 49411 | $1,549.19 | $4,187.00 | $209.60 – $209.60 | 1 |
| Ins mark thor for right perq CPT 32553 | $833.70 | $2,253.25 | $205.91 – $205.91 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | $1,161.15 | $3,138.25 | $347.80 – $368.55 | 2 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $429.00 – $87,973.00 | 2 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $403.41 – $31,789.00 | 2 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $233.11 – $233.11 | 1 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $404.43 – $48,801.00 | 3 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $375.12 – $31,789.00 | 3 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $358.32 – $31,789.00 | 3 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $505.44 – $31,789.00 | 3 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $178.34 – $199.95 | 2 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $569.28 – $666.09 | 2 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $135.87 – $137.64 | 2 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $658.23 – $753.53 | 2 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $77.93 – $77.93 | 1 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $70.03 – $70.03 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $481.56 | $1,301.50 | $71.07 – $105.13 | 2 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $111.23 – $127.50 | 2 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $420.26 – $434.38 | 2 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $350.52 – $358.37 | 2 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $296.64 – $342.31 | 2 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $260.56 – $424.51 | 2 |
| Inst via cath agent pleurds CPT 32560 | $524.57 | $1,417.75 | $88.78 – $135.35 | 2 |
| Insulin total CPT 83525 | $48.66 | $131.50 | $11.99 – $17.80 | 2 |
| Ins vag brachytx device CPT 57156 | not published | not published | $164.33 – $164.33 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $665.34 – $727.96 | 2 |
| Interdental wirg oth/thn fx CPT 21497 | $810.12 | $2,189.50 | $580.83 – $659.12 | 2 |
| Interdiscal perq aspir dx CPT 62267 | $633.07 | $1,711.00 | $179.89 – $193.25 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | $473.03 | $1,278.45 | $12.64 – $12.64 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $26.96 – $27.30 | 2 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $207.59 – $212.86 | 2 |
| Interrogate subq defib CPT 93261 | not published | not published | $21.57 – $21.57 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $51.91 – $51.91 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $9.70 – $11.54 | 2 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $15.10 – $18.42 | 2 |
| Interrog device eval heart CPT 93289 | not published | not published | $20.12 – $24.79 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $16.17 – $20.70 | 2 |
| Interstitial brachy inter CPT 77799 | not published | not published | not published | 0 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,180.36 – $1,208.29 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $217.84 – $244.44 | 2 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $232.66 – $245.80 | 2 |
| Intra-atrial pacing CPT 93610 | not published | not published | $61.34 – $8,949.00 | 2 |
| Intra-atrial recording CPT 93602 | not published | not published | $50.39 – $8,949.00 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $857.66 | $2,318.00 | $55.86 – $55.86 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,622.39 – $1,627.02 | 2 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,485.13 – $1,517.74 | 2 |
| Intracranial complete study CPT 93886 | $336.61 | $909.75 | $58.19 – $226.35 | 2 |
| Intracranial limited study CPT 93888 | $238.37 | $644.25 | $39.31 – $112.82 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $75.03 – $77.22 | 2 |
| Intranasal reconstruction CPT 30620 | not published | not published | $649.07 – $666.20 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $148.26 – $8,949.00 | 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.