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 |
|---|---|---|---|---|
| Mayo renin CPT 84244 | $80.38 | $217.25 | $23.19 – $34.24 | 2 |
| Mayo repu protein electrophoresis urine CPT 84166 | $75.11 | $203.00 | $14.66 – $27.76 | 2 |
| Mayo selenium CPT 84255 | $103.60 | $280.00 | $26.84 – $39.75 | 2 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $16.42 – $24.13 | 2 |
| Mayo serotonin CPT 84260 | $181.30 | $490.00 | $25.28 – $31.71 | 2 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $79.25 | $214.20 | $20.33 – $30.13 | 2 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $94.72 | $256.00 | $14.59 – $21.38 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $25.62 | $69.25 | $4.43 – $6.65 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $325.27 – $325.27 | 1 |
| Mayo tgrp testosterone free CPT 84402 | $83.81 | $226.50 | $26.84 – $39.66 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $93.70 | $253.25 | $27.36 – $40.19 | 2 |
| Mayo thyroglobulin CPT 84432 | $77.24 | $208.75 | $16.94 – $25.00 | 2 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $42.46 | $114.75 | $10.68 – $14.29 | 2 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $64.84 | $175.25 | $13.03 – $19.28 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $82.34 – $82.34 | 1 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $26.46 | $71.50 | $10.94 – $16.20 | 2 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $35.80 | $96.75 | $21.09 – $21.09 | 1 |
| Mayo vasoactive intestinal peptide CPT 84586 | $130.15 | $351.75 | $37.26 – $55.01 | 2 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $102.58 | $277.25 | $21.37 – $31.51 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | $61.98 | $167.50 | $12.25 – $18.00 | 2 |
| Mayo vitamin k CPT 84597 | $148.93 | $402.50 | $14.33 – $21.36 | 2 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $66.05 | $178.50 | $20.63 – $20.63 | 1 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $949.80 – $1,001.45 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $44.62 – $44.62 | 1 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $462.19 – $494.84 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $543.61 – $575.98 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $536.66 – $582.06 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $22.47 – $22.47 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $131.97 – $148.04 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | $95.92 | $259.25 | $19.77 – $23.08 | 2 |
| Measure ureter pressure CPT 50686 | not published | not published | $100.44 – $113.09 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $170.25 – $170.25 | 1 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $599.13 – $599.13 | 1 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $136.20 – $136.20 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $568.35 – $618.95 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $459.32 – $459.32 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $351.15 – $351.15 | 1 |
| Medical testimony CPT 99075 | not published | not published | not published | 0 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $846.07 – $846.07 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $250.05 – $250.05 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $502.13 – $502.13 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,831.16 – $1,879.04 | 2 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $286.50 – $315.77 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $31.73 | $85.75 | $8.86 – $13.17 | 2 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $40.79 | $110.25 | $11.20 – $16.45 | 2 |
| Metabolic panel ionized ca CPT 80047 | $76.78 | $207.50 | $8.86 – $13.17 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $101.75 | $275.00 | $43.78 – $43.78 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | $118.96 | $321.50 | $94.97 – $94.97 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.95 – $7.13 | 2 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $10.04 – $12.60 | 2 |
| Microdissection laser CPT 88380 | $463.98 | $1,254.00 | $81.21 – $95.13 | 2 |
| Microdissection manual CPT 88381 | $42.74 | $115.50 | $47.23 – $97.02 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $25.72 – $25.72 | 1 |
| Microsatellite instability CPT 81301 | $422.36 | $1,141.50 | $450.82 – $450.82 | 1 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $246.58 – $248.64 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $50.39 – $127.55 | 2 |
| Middle cerebral artery echo CPT 76821 | $220.98 | $597.25 | $42.87 – $58.21 | 2 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $246.05 | $665.00 | $18.09 – $18.09 | 1 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,170.49 – $3,299.00 | 2 |
| Mlh1 gene CPT 81288 | $118.96 | $321.50 | $182.46 – $182.46 | 1 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $217.60 – $217.60 | 1 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $737.50 – $737.50 | 1 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $295.64 – $295.64 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,159.47 – $1,168.52 | 2 |
| Mnl appl strs jt radiography CPT 77071 | $45.70 | $123.50 | $45.70 – $51.25 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,854.53 | $5,012.25 | $211.73 – $214.99 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $410.52 – $446.80 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $261.63 – $283.24 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $137.90 – $138.29 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $28.99 – $42.76 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,540.40 – $1,617.75 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $653.96 – $678.94 | 2 |
| Mopath procedure level 1 CPT 81400 | $212.47 | $574.25 | $72.59 – $72.59 | 1 |
| Mopath procedure level 3 CPT 81402 | $212.01 | $573.00 | $170.62 – $170.62 | 1 |
| Mopath procedure level 5 CPT 81404 | $966.72 | $2,612.75 | $311.93 – $311.93 | 1 |
| Mopath procedure level 6 CPT 81405 | $1,126.65 | $3,045.00 | $342.03 – $342.03 | 1 |
| Mopath procedure level 7 CPT 81406 | $906.32 | $2,449.50 | $321.07 – $321.07 | 1 |
| Mopath procedure level 8 CPT 81407 | $710.68 | $1,920.75 | $960.52 – $960.52 | 1 |
| Mopath procedure level 9 CPT 81408 | $1,144.13 | $3,092.25 | $2,270.00 – $2,270.00 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $281.94 | $762.00 | $297.48 – $297.48 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $71.42 – $95.93 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $153.18 | $414.00 | $66.49 – $84.80 | 2 |
| Motion analysis video/3d CPT 96000 | not published | not published | $106.10 – $107.16 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $126.86 – $135.27 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $69.70 – $69.70 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $324.46 – $338.17 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $51.37 – $51.37 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,293.52 | $3,496.00 | $226.42 – $226.42 | 1 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $75.09 – $75.09 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $60.01 – $107.93 | 2 |
| Mpl gene analysis common variants CPT 81338 | $174.83 | $472.50 | $170.62 – $170.62 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $113.45 – $317.26 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $114.72 – $312.22 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $114.79 – $314.74 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $113.45 – $315.45 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $112.44 – $329.47 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $107.97 – $326.60 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,191.96 | $3,221.50 | $805.38 – $805.38 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | $1,120.55 | $3,028.50 | $757.13 – $757.13 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,907.17 | $5,154.50 | $1,288.63 – $1,288.63 | 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.