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 |
|---|---|---|---|---|
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $71.59 – $80.58 | 2 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.71 – $257.13 | 2 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $147.90 – $157.33 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.47 – $206.83 | 2 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,039.17 – $1,171.13 | 2 |
| Obstetrics panel CPT 80055 | $76.04 | $205.50 | $42.47 – $74.43 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $62.52 – $71.14 | 2 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $30.54 – $37.59 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $273.34 – $284.82 | 2 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $234.84 | 2 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,641.00 | 3 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,641.00 | 3 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,641.00 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $19.22 – $19.22 | 1 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $1,631.30 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $406.00 | 2 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $581.61 – $581.61 | 1 |
| Oncology gynecologic CPT 81535 | not published | not published | $662.30 – $662.30 | 1 |
| Oncology gynecologic CPT 81536 | not published | not published | $202.94 – $202.94 | 1 |
| Oncology prostate prob score CPT 81539 | not published | not published | $683.38 – $683.38 | 1 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $1,018.10 – $1,018.10 | 1 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $295.67 – $295.67 | 1 |
| Oncoprotein dcp CPT 83951 | not published | not published | $68.01 – $100.29 | 2 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $68.01 – $100.29 | 2 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Oocyte identification CPT 89254 | not published | not published | not published | 0 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $1,308.11 | 2 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $1,620.93 | 2 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $2,252.54 | 2 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $2,391.08 | 2 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $857.13 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $284.67 | 2 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $916.01 | 2 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $809.50 | 2 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $753.72 | 2 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $2,347.17 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $338.00 | 2 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $703.94 | 2 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $618.06 | 2 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $793.02 | 2 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $685.18 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $822.31 | 1 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,084.95 | 1 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $620.47 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $904.40 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $59.29 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $12.86 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $73.79 – $81.92 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $41.10 – $60.36 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $49.23 – $52.27 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $723.27 – $723.27 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $325.45 – $333.08 | 2 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $317.68 – $353.16 | 2 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $747.33 – $956.95 | 2 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,216.30 – $1,234.37 | 2 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,262.68 – $1,353.76 | 2 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,241.21 – $1,327.37 | 2 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $402.47 – $414.31 | 2 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,190.97 – $1,243.30 | 2 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $991.09 – $1,025.63 | 2 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $780.77 – $810.28 | 2 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $727.92 – $765.36 | 2 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $746.13 – $775.75 | 2 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $961.99 – $986.17 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $697.27 – $711.42 | 2 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $587.38 – $626.87 | 2 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $842.40 – $875.99 | 2 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,067.37 – $1,119.16 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $716.26 – $719.08 | 2 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $614.85 – $621.40 | 2 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $629.84 – $637.18 | 2 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $776.30 – $790.77 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $765.82 – $791.30 | 2 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,305.43 – $1,338.11 | 2 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $611.56 – $617.60 | 2 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $818.21 – $857.07 | 2 |
| Optx lunate dislocation CPT 25695 | not published | not published | $686.92 – $694.60 | 2 |
| Optx medial ankle fx CPT 27766 | not published | not published | $663.42 – $667.04 | 2 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $998.31 – $1,039.39 | 2 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $966.59 – $1,019.47 | 2 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $598.21 – $634.12 | 2 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $649.66 – $678.26 | 2 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $725.79 – $743.57 | 2 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,198.45 – $1,209.48 | 2 |
| Optx post ankle fx CPT 27769 | not published | not published | $764.16 – $796.40 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $953.45 – $974.15 | 2 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,375.68 – $1,428.72 | 2 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $725.64 – $732.63 | 2 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $683.50 – $688.05 | 2 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $660.47 – $664.05 | 2 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $861.65 – $877.22 | 2 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,046.96 – $1,077.24 | 2 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $973.93 – $990.63 | 2 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $713.67 – $738.40 | 2 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,046.11 – $1,083.21 | 2 |
| Optx sho dislc fx CPT 23670 | not published | not published | $921.89 – $964.69 | 2 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $998.36 – $1,021.47 | 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.