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 |
|---|---|---|---|---|
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $447.15 | $1,208.50 | $149.79 – $173.00 | 2 |
| Largsc w/ther injection CPT 31573 | not published | not published | $166.43 – $166.43 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $45.67 – $47.60 | 2 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,100.91 – $1,270.79 | 2 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,510.86 – $1,666.67 | 2 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,569.13 – $1,569.13 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,580.39 – $1,580.39 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,721.40 – $1,721.40 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,806.91 – $1,806.91 | 1 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,298.41 – $1,355.42 | 2 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,138.96 – $1,138.96 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $256.83 – $265.82 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $74.79 – $80.65 | 2 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $351.17 – $368.21 | 2 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $279.97 – $292.92 | 2 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $161.45 – $166.92 | 2 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $180.59 – $188.32 | 2 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,256.91 | $6,099.75 | $178.55 – $184.48 | 2 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $217.62 – $224.33 | 2 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $132.82 – $161.87 | 2 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $211.69 – $220.77 | 2 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $235.88 – $246.71 | 2 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $271.02 – $283.78 | 2 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $237.10 – $248.51 | 2 |
| Laryngoscopy w/fb removal CPT 31530 | $2,423.50 | $6,550.00 | $221.75 – $231.17 | 2 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $132.50 – $141.92 | 2 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $135.18 – $138.56 | 2 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $116.20 – $126.77 | 2 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $384.74 – $403.66 | 2 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $295.61 – $310.48 | 2 |
| Laser surgery eye strands CPT 67031 | not published | not published | $351.46 – $384.95 | 2 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $146.82 – $149.79 | 2 |
| Laser surgery of prostate CPT 52647 | not published | not published | $726.71 – $806.08 | 2 |
| Laser surgery of prostate CPT 52648 | not published | not published | $775.05 – $860.85 | 2 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $104.75 – $111.14 | 2 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,047.48 – $1,246.86 | 2 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,133.55 – $1,440.73 | 2 |
| Lateral canthopexy CPT 21282 | not published | not published | $372.91 – $411.41 | 2 |
| Lat retinacular release open CPT 27425 | not published | not published | $472.09 – $487.65 | 2 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $111.70 – $114.03 | 2 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,259.80 – $1,315.82 | 2 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $788.35 – $812.36 | 2 |
| Lead capillary CPT 83655 | $41.16 | $111.25 | $12.77 – $18.85 | 2 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,487.39 – $1,506.28 | 2 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,474.94 – $1,594.20 | 2 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,873.81 – $1,885.38 | 2 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,528.63 – $1,624.22 | 2 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,872.63 – $1,929.34 | 2 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,088.73 – $1,178.45 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $407.46 | $1,101.25 | $42.81 – $164.92 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $11.38 – $14.29 | 2 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $655.11 – $656.77 | 2 |
| Lengthening of palate CPT 42227 | not published | not published | $935.02 – $978.97 | 2 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $992.00 – $1,007.98 | 2 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $548.32 – $557.89 | 2 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $698.85 – $711.23 | 2 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $966.35 – $968.54 | 2 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,163.92 – $1,187.03 | 2 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $947.07 – $958.80 | 2 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,099.71 – $1,159.46 | 2 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,239.94 – $1,325.17 | 2 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,026.49 | $5,477.00 | $198.61 – $198.61 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $269.71 | $728.95 | $198.61 – $198.61 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $33.88 – $33.88 | 1 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.34 – $12.43 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $8,124.05 | $21,956.90 | $214.57 – $214.57 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $70.39 | $190.25 | $20.63 – $20.63 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $59.29 | $160.25 | $15.37 – $22.87 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $620.58 – $620.58 | 1 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $696.71 – $737.64 | 2 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $85.77 – $91.61 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $540.00 – $561.95 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $484.52 – $489.59 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $398.92 – $415.31 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,044.33 | $2,822.50 | $227.50 – $230.31 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $278.76 – $292.31 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $803.28 – $836.44 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $897.34 – $958.63 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $817.14 – $826.31 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,044.42 | $2,822.75 | $430.20 – $437.76 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $548.94 – $567.23 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $622.50 – $623.97 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,518.64 – $1,537.24 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $527.21 – $599.76 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,873.07 – $1,873.07 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $585.65 – $621.56 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $226.50 – $228.85 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $901.35 – $907.64 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,071.93 | $8,302.50 | $293.67 – $302.14 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $424.85 – $443.54 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $666.43 – $748.82 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $40.42 – $58.93 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $17.97 – $22.35 | 2 |
| Lipase CPT 83690 | $44.68 | $120.75 | $7.30 – $10.73 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $388.09 – $394.13 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $26.06 – $38.65 | 2 |
| Lipoprotein blood quant CPT 83704 | $40.05 | $108.25 | $33.35 – $49.12 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $36.72 | $99.25 | $8.60 – $12.76 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $29.79 | $80.50 | $10.16 – $14.86 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $38.81 – $38.81 | 1 |
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.