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 |
|---|---|---|---|---|
| Place cath intracranial art CPT 36228 | not published | not published | $269.80 – $269.80 | 1 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $131.84 – $131.84 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $236.34 – $261.95 | 2 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $275.06 – $316.66 | 2 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,156.41 – $1,165.13 | 2 |
| Place gastrostomy tube perc CPT 49440 | $804.47 | $2,174.25 | $235.80 – $286.51 | 2 |
| Placement bile duct support CPT 47801 | not published | not published | $1,128.63 – $1,203.92 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $541.31 | $1,463.00 | $115.01 – $115.01 | 1 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $98.24 | $265.50 | $57.68 – $57.68 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $515.23 | $1,392.50 | $98.47 – $98.47 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,236.50 | $11,450.00 | $235.76 – $235.76 | 1 |
| Placement of seton CPT 46020 | not published | not published | $234.64 – $257.35 | 2 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $507.39 – $507.39 | 1 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $367.07 – $386.82 | 2 |
| Place needles h&n for right CPT 41019 | not published | not published | $533.03 – $572.51 | 2 |
| Place needles pelvic for right CPT 55920 | not published | not published | $504.68 – $542.98 | 2 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $230.68 – $230.68 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $21.37 – $31.48 | 2 |
| Place po breast cath for rad CPT 19296 | not published | not published | $233.39 – $236.86 | 2 |
| Place right device/marker pros CPT 55876 | $1,549.84 | $4,188.75 | $113.00 – $133.18 | 2 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $401.95 – $401.95 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $321.56 – $321.56 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $354.79 – $354.79 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $353.38 – $353.38 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $396.86 – $396.86 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $14.20 – $88.76 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $11.99 – $94.87 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $66.88 | $180.75 | $14.92 – $33.45 | 2 |
| Platelet automated CPT 85049 | $24.33 | $65.75 | $4.69 – $6.97 | 2 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $14.11 – $16.33 | 2 |
| Platelet survival CPT 78191 | not published | not published | $38.25 – $144.81 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,915.42 | $7,879.50 | $307.19 – $307.19 | 1 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $212.74 – $212.74 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $233.41 – $233.41 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $392.39 – $392.39 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $711.33 | $1,922.50 | $100.67 – $100.67 | 1 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $711.33 | $1,922.50 | $50.16 – $50.16 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $98.24 | $265.50 | $73.41 – $73.41 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $98.24 | $265.50 | $58.43 – $58.43 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $98.24 | $265.50 | $49.42 – $49.42 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $104.16 | $281.50 | $40.96 – $40.96 | 1 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,025.88 – $1,060.93 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $383.20 – $383.20 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $428.27 – $428.27 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $294.42 – $294.42 | 1 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $305.81 – $305.81 | 1 |
| Pm device progr eval dual CPT 93280 | not published | not published | $20.12 – $24.79 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $23.72 – $29.07 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $492.32 – $492.32 | 1 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $860.74 – $860.74 | 1 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $873.47 – $873.47 | 1 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $52.89 – $52.89 | 1 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $20.77 – $38.45 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $252.97 – $252.97 | 1 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $891.63 – $891.63 | 1 |
| Pms2 known familial variants CPT 81318 | not published | not published | $210.68 – $210.68 | 1 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $105.24 – $119.67 | 2 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $52.57 – $62.87 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $83.34 | $225.25 | $20.33 – $30.12 | 2 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,031.60 – $1,031.60 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $159.16 – $559.44 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $225.64 – $534.66 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $1,393.84 – $1,478.02 | 2 |
| Positional nystagmus test CPT 92532 | not published | not published | $30.14 – $30.14 | 1 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $862.61 – $886.24 | 2 |
| Postpartum Care Only CPT 59430 | not published | not published | $146.05 – $157.07 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $866.06 – $888.14 | 2 |
| Potassium 24 hour urine CPT 84133 | $25.16 | $68.00 | $4.43 – $6.71 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.79 | $67.00 | $4.95 – $7.16 | 2 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $55.99 – $55.99 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $391.18 | $1,057.25 | $45.80 – $71.86 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $544.64 – $544.64 | 1 |
| Pq thr inj ext pse CPT 36002 | $843.97 | $2,281.00 | $120.64 – $133.96 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,035.91 | $2,799.75 | $237.73 – $237.73 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,318.70 | $6,266.75 | $492.41 – $492.41 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,318.70 | $6,266.75 | $461.62 – $461.62 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,301.20 | $3,516.75 | $646.27 – $690.93 | 2 |
| Pr application of long arm splint CPT 29105 | $225.33 | $609.00 | $65.44 – $65.72 | 2 |
| Pr application splint static short arm CPT 29125 | $222.37 | $601.00 | $43.05 – $46.46 | 2 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $5.75 – $5.75 | 1 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $668.75 – $697.30 | 2 |
| Pr correction hammertoe CPT 28285 | not published | not published | $368.48 – $418.28 | 2 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $91.48 | $247.25 | $13.74 – $14.34 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $175.82 – $198.64 | 2 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $125.71 | $339.75 | $26.17 – $39.03 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $79.86 – $81.81 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $118.44 – $119.04 | 2 |
| Prealbumin CPT 84134 | $68.45 | $185.00 | $15.37 – $22.71 | 2 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $9.44 – $11.05 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $29.82 – $34.93 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,105.28 | $2,987.25 | $228.77 – $294.64 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $64.47 | $174.25 | $15.90 – $23.44 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $566.29 | $1,530.50 | $61.14 – $94.14 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $488.77 | $1,321.00 | $61.54 – $75.09 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $94.62 – $113.53 | 2 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $397.68 – $401.82 | 2 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $703.77 – $709.38 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $115.79 – $123.89 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | not published | 0 |
| Prepare penis study CPT 54230 | not published | not published | $89.19 – $100.15 | 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.