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 |
|---|---|---|---|---|
| Arthrodesis pantalar CPT 28705 | not published | not published | $1,390.08 – $1,486.14 | 2 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $365.14 – $368.92 | 2 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,133.87 – $2,133.87 | 1 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,369.64 – $1,435.49 | 2 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $444.41 – $454.04 | 2 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $859.66 – $903.55 | 2 |
| Arthrodesis triple CPT 28715 | not published | not published | $1,036.91 – $1,096.45 | 2 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $431.58 – $461.00 | 2 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $731.07 – $732.26 | 2 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $317.33 – $342.85 | 2 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $509.43 – $522.28 | 2 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $526.54 – $545.21 | 2 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $692.77 – $698.34 | 2 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $514.22 – $526.17 | 2 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $889.53 – $909.01 | 2 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $844.38 – $852.26 | 2 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $1,030.41 – $1,035.99 | 2 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $880.61 – $885.89 | 2 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $1,297.26 – $1,306.31 | 2 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $900.28 – $901.86 | 2 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $788.93 – $793.64 | 2 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $812.83 – $822.95 | 2 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $484.29 – $488.94 | 2 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $621.11 – $623.23 | 2 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $667.52 – $676.04 | 2 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $775.32 – $782.16 | 2 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $534.92 – $543.86 | 2 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $433.84 – $451.53 | 2 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $784.70 – $788.37 | 2 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $720.28 – $726.16 | 2 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $1,075.46 – $1,085.12 | 2 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $616.20 – $620.36 | 2 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $198.08 – $735.71 | 2 |
| Artificial insemination CPT 58321 | not published | not published | $54.45 – $58.43 | 2 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $65.38 – $69.35 | 2 |
| Art pressure waveform analys CPT 93050 | not published | not published | $8.99 – $8.99 | 1 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,136.74 – $1,260.49 | 2 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $3,668.34 – $3,867.89 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,865.35 – $1,922.48 | 2 |
| Aspa gene CPT 81200 | not published | not published | $53.63 – $53.63 | 1 |
| Asp core fat pad CPT 17999 | not published | not published | not published | 0 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $175.89 – $178.49 | 2 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,063.32 | $8,279.25 | $163.36 – $189.82 | 2 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $277.59 | $750.25 | $46.55 – $49.31 | 2 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,523.29 | $4,117.00 | $101.93 – $101.93 | 1 |
| Aspiration orbital contents CPT 67415 | $1,115.00 | $3,013.50 | $112.67 – $115.97 | 2 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $181.50 – $181.50 | 1 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $386.65 | $1,045.00 | $56.48 – $60.69 | 2 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $743.05 | $2,008.25 | $291.48 – $311.73 | 2 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.82 – $11.50 | 2 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $7.82 – $11.36 | 2 |
| Assay blood catecholamines CPT 82383 | not published | not published | $26.32 – $39.01 | 2 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $21.89 – $32.15 | 2 |
| Assay dir meas fr estradiol CPT 82681 | $67.62 | $182.75 | $31.71 – $31.71 | 1 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.82 – $11.70 | 2 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $23.97 – $35.26 | 2 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.82 – $11.47 | 2 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $13.55 – $52.85 | 2 |
| Assay of adp & amp CPT 82030 | not published | not published | $27.10 – $40.17 | 2 |
| Assay of androsterone CPT 82160 | not published | not published | $26.32 – $37.66 | 2 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.25 – $18.11 | 2 |
| Assay of bradykinin CPT 82286 | not published | not published | $7.30 – $10.73 | 2 |
| Assay of breath ethanol CPT 82075 | not published | not published | $12.77 – $18.76 | 2 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $21.89 – $32.40 | 2 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $13.29 – $19.73 | 2 |
| Assay of corticosterone CPT 82528 | not published | not published | $23.71 – $35.06 | 2 |
| Assay of digoxin free CPT 80163 | not published | not published | $20.67 – $20.67 | 1 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $55.24 – $81.48 | 2 |
| Assay of estrogen CPT 84233 | not published | not published | $68.01 – $100.29 | 2 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $24.76 – $36.72 | 2 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $8.08 – $11.84 | 2 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $26.84 – $39.66 | 2 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $13.29 – $19.43 | 2 |
| Assay of fluoride CPT 82735 | not published | not published | $19.54 – $28.86 | 2 |
| Assay of galactose CPT 82760 | $49.21 | $133.00 | $11.73 – $17.43 | 2 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $8.08 – $12.03 | 2 |
| Assay of glucosidase CPT 82963 | not published | not published | $22.67 – $33.45 | 2 |
| Assay of glutathione CPT 82978 | not published | not published | $15.11 – $22.19 | 2 |
| Assay of haptoglobins CPT 83012 | not published | not published | $18.24 – $26.76 | 2 |
| Assay of idh enzyme CPT 83570 | not published | not published | $9.38 – $13.78 | 2 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $16.68 – $24.77 | 2 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.64 – $14.27 | 2 |
| Assay of leflunomide CPT 80193 | not published | not published | $43.78 – $43.78 | 1 |
| Assay of lrh hormone CPT 83727 | not published | not published | $18.24 – $26.76 | 2 |
| Assay of methemalbumin CPT 83857 | not published | not published | $11.20 – $16.72 | 2 |
| Assay of neonatal thyroxine CPT 84437 | $19.06 | $51.50 | $5.09 – $6.41 | 2 |
| Assay of osteocalcin CPT 83937 | $54.58 | $147.50 | $31.53 – $44.02 | 2 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.91 – $5.70 | 2 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.06 – $29.79 | 2 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.06 – $29.48 | 2 |
| Assay of procainamide w/metab CPT 80192 | $42.64 | $115.25 | $17.72 – $26.08 | 2 |
| Assay of progesterone CPT 84234 | not published | not published | $68.53 – $101.02 | 2 |
| Assay of prostaglandin CPT 84150 | $462.96 | $1,251.25 | $26.32 – $38.85 | 2 |
| Assay of PSA complexed CPT 84152 | not published | not published | $19.28 – $28.64 | 2 |
| Assay of quinine CPT 84228 | not published | not published | $12.25 – $18.11 | 2 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.04 – $10.50 | 2 |
| Assay of salicylate CPT 80179 | not published | not published | $21.16 – $21.16 | 1 |
| Assay of semen fructose CPT 82757 | not published | not published | $18.24 – $26.99 | 2 |
| Assay of sialic acid CPT 84275 | not published | not published | $14.07 – $20.92 | 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.