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 |
|---|---|---|---|---|
| Application of long arm cast 29065 CPT 29065 | not published | not published | $73.90 – $74.71 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $117.86 – $119.63 | 2 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $111.47 – $112.15 | 2 |
| Application of paste boot 29580 CPT 29580 | $255.30 | $690.00 | $39.34 – $41.40 | 2 |
| Application short leg cast 29405 CPT 29405 | $349.47 | $944.50 | $66.09 – $71.14 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,192.42 | $3,222.75 | $108.09 – $108.09 | 1 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $95.02 – $95.02 | 1 |
| Appl long leg cast brace CPT 29358 | not published | not published | $114.25 – $114.51 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,125.39 – $1,236.78 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $9.09 – $11.43 | 2 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $21.55 | $58.25 | $17.90 – $20.63 | 2 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $17.85 – $17.85 | 1 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $92.05 – $95.08 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $602.25 – $658.52 | 2 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $52.65 – $54.41 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $52.91 – $57.29 | 2 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $499.68 – $549.39 | 2 |
| Apply hand/wrist cast 29085 CPT 29085 | $168.17 | $454.50 | $72.01 – $74.35 | 2 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $281.33 – $375.51 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $270.19 – $292.88 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $210.03 – $228.18 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $176.68 – $197.27 | 2 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $36.63 – $36.83 | 2 |
| Apply rem fixation device CPT 20660 | $657.03 | $1,775.75 | $268.66 – $276.68 | 2 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $116.12 – $127.66 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $62.48 – $78.87 | 2 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $51.60 – $60.72 | 2 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,213.39 – $1,336.05 | 2 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,318.65 – $2,145.94 | 2 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $37.00 – $54.64 | 2 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $40.85 – $45.96 | 2 |
| Aquatic exercise - group charge CPT 97150 | $32.75 | $88.50 | $19.00 – $21.32 | 2 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,184.88 – $1,230.82 | 2 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,165.25 – $1,165.25 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,132.62 – $2,300.91 | 2 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,787.23 – $1,926.53 | 2 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,994.17 – $2,112.42 | 2 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,800.84 – $1,924.05 | 2 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,974.41 – $2,129.00 | 2 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,026.75 – $2,157.30 | 2 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,263.63 – $1,367.42 | 2 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,576.44 – $1,700.64 | 2 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,349.40 – $1,447.38 | 2 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,611.31 – $1,776.15 | 2 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,451.65 – $1,567.18 | 2 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,246.58 – $1,338.87 | 2 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,245.03 – $1,338.83 | 2 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,347.74 – $1,455.91 | 2 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,127.88 – $1,222.55 | 2 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,247.44 – $1,316.36 | 2 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,943.75 – $3,121.69 | 2 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,710.48 – $3,001.61 | 2 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,413.73 – $1,508.93 | 2 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,609.29 – $1,707.10 | 2 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,436.77 – $1,554.45 | 2 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,526.65 – $1,655.15 | 2 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.19 | $1,430.25 | $58.42 – $62.75 | 2 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,528.32 – $1,631.05 | 2 |
| Artery to vein shunt CPT 36835 | not published | not published | $542.57 – $551.18 | 2 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $906.15 – $990.26 | 2 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $762.58 – $793.17 | 2 |
| Artery xray each vessel 7577426 CPT 75774 | not published | not published | $23.05 – $69.70 | 2 |
| Artery xray of abdomen 75726-26 CPT 75726 | not published | not published | $72.46 – $94.85 | 2 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $75.94 – $115.70 | 2 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $88.29 – $123.61 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,500.35 | $4,055.00 | $72.65 – $107.08 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,674.84 | $9,932.00 | $83.41 – $123.98 | 2 |
| Artery x-rays chest CPT 75756 | not published | not published | $76.55 – $114.26 | 2 |
| Artery x-rays lung CPT 75741 | not published | not published | $83.51 – $88.03 | 2 |
| Artery x-rays lung CPT 75746 | not published | not published | $72.06 – $98.09 | 2 |
| Artery x-rays lungs CPT 75743 | not published | not published | $89.11 – $106.19 | 2 |
| Artery xrays of pelvis 75736 26 CPT 75736 | not published | not published | $73.15 – $106.00 | 2 |
| Artery x-rays spine CPT 75705 | not published | not published | $133.67 – $139.51 | 2 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $239.98 – $239.98 | 1 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,399.63 – $1,402.26 | 2 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,679.35 – $1,721.31 | 2 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,917.78 – $1,917.78 | 1 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,077.98 – $2,077.98 | 1 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,010.28 – $1,024.13 | 2 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,089.09 – $1,105.46 | 2 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,380.35 – $1,413.64 | 2 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,688.28 – $1,755.62 | 2 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $761.24 – $761.24 | 1 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $804.57 – $812.77 | 2 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $660.25 – $670.40 | 2 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $815.15 – $828.18 | 2 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $930.44 – $937.77 | 2 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $946.63 – $954.67 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $269.82 | $729.25 | $41.77 – $47.78 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $599.31 | $1,619.75 | $59.51 – $59.51 | 1 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $227.37 | $614.50 | $69.00 – $69.00 | 1 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $196.38 | $530.75 | $39.87 – $46.05 | 2 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $382.30 | $1,033.25 | $51.67 – $57.01 | 2 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $197.77 | $534.50 | $52.49 – $52.49 | 1 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $452.39 – $452.39 | 1 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $645.35 – $664.84 | 2 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $372.92 – $389.22 | 2 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $563.75 – $563.75 | 1 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $872.04 – $913.41 | 2 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $1,123.77 – $1,134.45 | 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.