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 |
|---|---|---|---|---|
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $673.68 – $679.69 | 2 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $587.67 – $625.21 | 2 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,010.93 – $1,015.19 | 2 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $798.25 – $806.25 | 2 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $677.17 – $681.31 | 2 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $665.96 – $682.27 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $664.09 – $728.03 | 2 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $814.59 – $888.96 | 2 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $533.63 – $577.61 | 2 |
| Organic acids total quant ea spec CPT 83918 | $147.17 | $397.75 | $17.46 – $25.62 | 2 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $122.35 – $123.12 | 2 |
| Orthopantogram CPT 70355 | not published | not published | $9.70 – $12.46 | 2 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $813.61 | $2,198.95 | $697.01 – $697.01 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $110.08 | $297.50 | $33.43 – $33.43 | 1 |
| Osmolality blood CPT 83930 | $53.56 | $144.75 | $7.04 – $10.29 | 2 |
| Osmolality urine CPT 83935 | $39.22 | $106.00 | $7.30 – $10.61 | 2 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $362.52 – $389.66 | 2 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $604.65 – $626.24 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,522.53 – $1,548.25 | 2 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,070.15 – $1,085.13 | 2 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,316.98 – $1,335.41 | 2 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $51.64 – $53.15 | 2 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $61.03 – $66.58 | 2 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $70.82 – $80.72 | 2 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,085.00 – $1,085.71 | 2 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $901.08 – $903.42 | 2 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $741.78 – $788.01 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $74.56 | $201.50 | $85.24 – $85.24 | 1 |
| Ot evaluation low complexity patient/family CPT 97165 | $74.56 | $201.50 | $85.24 – $85.24 | 1 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $74.56 | $201.50 | $85.24 – $85.24 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $14.66 – $34.82 | 2 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $34.50 | $93.25 | $38.32 – $40.97 | 2 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $33.95 | $91.75 | $31.61 – $32.61 | 2 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $10.58 – $11.52 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $505.17 – $532.51 | 2 |
| Ot re-evaluation patient/family CPT 97168 | $38.30 | $103.50 | $56.10 – $56.10 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $34.50 | $93.25 | $35.67 – $37.69 | 2 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $33.02 | $89.25 | $34.04 – $35.23 | 2 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $31.17 | $84.25 | $34.94 – $36.67 | 2 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $42.55 | $115.00 | $35.74 – $37.75 | 2 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,782.61 – $1,873.17 | 2 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $826.40 – $839.95 | 2 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $767.83 – $767.83 | 1 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $342.03 – $342.03 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,633.27 | $4,414.25 | $906.88 – $906.88 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,408.62 – $3,488.07 | 2 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,704.81 – $1,758.91 | 2 |
| Parathormone (pth) intact CPT 83970 | $139.49 | $377.00 | $43.52 – $64.26 | 2 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,548.50 – $1,556.19 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $354.63 – $354.63 | 1 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $274.57 – $278.76 | 2 |
| Parathyroid planar imaging CPT 78070 | $402.84 | $1,088.75 | $51.98 – $275.23 | 2 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $315.47 – $315.47 | 1 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $904.35 – $967.84 | 2 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $956.77 – $1,000.20 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $182.78 | $494.00 | $18.23 – $26.81 | 2 |
| Parotid duct diversion CPT 42507 | not published | not published | $551.29 – $560.68 | 2 |
| Parotid duct diversion CPT 42509 | not published | not published | $924.28 – $932.58 | 2 |
| Parotid duct diversion CPT 42510 | not published | not published | $695.23 – $710.39 | 2 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $887.10 – $938.94 | 2 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $205.76 – $210.97 | 2 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,429.51 – $1,578.13 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $772.65 – $781.05 | 2 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $488.19 – $578.16 | 2 |
| Partial excision of lip CPT 40500 | not published | not published | $388.89 – $399.94 | 2 |
| Partial hip replacement CPT 27125 | not published | not published | $1,251.63 – $1,256.15 | 2 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,066.91 – $1,094.84 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,216.01 – $1,258.95 | 2 |
| Partial removal finger bone CPT 26235 | not published | not published | $530.53 – $537.46 | 2 |
| Partial removal finger bone CPT 26236 | $767.01 | $2,073.00 | $468.88 – $480.01 | 2 |
| Partial removal foot fascia CPT 28060 | not published | not published | $394.96 – $412.48 | 2 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $928.13 – $933.34 | 2 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,086.13 – $1,185.40 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,790.05 – $2,853.05 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,885.30 – $2,890.72 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $469.27 – $509.69 | 2 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $545.02 – $586.86 | 2 |
| Partial removal of fibula CPT 27641 | not published | not published | $737.93 – $766.94 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $473.09 – $478.03 | 2 |
| Partial removal of hand bone CPT 26230 | not published | not published | $540.45 – $545.70 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,510.65 – $2,266.47 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $444.39 – $445.06 | 2 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,665.76 – $1,753.51 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $830.91 – $848.96 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $709.49 – $787.97 | 2 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,522.94 – $1,595.00 | 2 |
| Partial removal of radius CPT 25151 | not published | not published | $637.93 – $690.12 | 2 |
| Partial removal of radius CPT 25230 | not published | not published | $468.46 – $471.32 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $599.81 – $610.52 | 2 |
| Partial removal of sternum CPT 21620 | not published | not published | $557.81 – $572.55 | 2 |
| Partial removal of thyroid CPT 60220 | not published | not published | $785.33 – $852.97 | 2 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,024.58 – $1,036.01 | 2 |
| Partial removal of tibia CPT 27640 | not published | not published | $922.34 – $956.86 | 2 |
| Partial removal of toe CPT 28160 | not published | not published | $296.98 – $312.06 | 2 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,119.01 – $1,181.06 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $538.32 – $544.58 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $617.83 – $626.65 | 2 |
| Partial removal of ulna CPT 25240 | not published | not published | $466.30 – $474.20 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $539.44 – $544.61 | 2 |
| Partial removal tear gland CPT 68505 | not published | not published | $981.02 – $1,048.98 | 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.