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 |
|---|---|---|---|---|
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $642.80 – $1,065.69 | 2 |
| Rapid desensitization CPT 95180 | $412.09 | $1,113.75 | $112.83 – $129.69 | 2 |
| Rapid Strep Test CPT 87880 | $48.56 | $131.25 | $12.77 – $18.66 | 2 |
| Rbc count only automated CPT 85041 | $13.41 | $36.25 | $3.13 – $4.70 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $55.99 – $63.39 | 2 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $14.59 – $14.59 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,351.72 – $2,403.95 | 2 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $768.91 – $790.68 | 2 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $988.26 – $1,015.17 | 2 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,110.31 – $1,195.20 | 2 |
| Realignment of knee CPT 27457 | not published | not published | $1,046.92 – $1,076.84 | 2 |
| Realignment of tendons CPT 26437 | not published | not published | $650.58 – $660.12 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,167.40 – $1,170.57 | 2 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,123.49 – $1,133.27 | 2 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,491.54 – $1,492.39 | 2 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,157.81 – $1,173.42 | 2 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,648.62 – $1,661.33 | 2 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,754.90 – $1,953.41 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,413.99 – $1,512.26 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,573.59 – $1,706.30 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,478.61 – $1,574.71 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,666.54 – $1,811.65 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,126.03 – $1,217.32 | 2 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,424.07 – $1,513.85 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,603.74 – $1,644.89 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,573.76 – $1,642.75 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,461.13 – $1,471.06 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,315.39 – $1,378.28 | 2 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,560.14 – $1,574.70 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,154.51 – $1,221.56 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,257.14 – $1,290.57 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,130.20 – $1,152.10 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,067.43 – $1,110.54 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,025.99 – $1,096.69 | 2 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $947.08 – $980.67 | 2 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,014.19 – $1,048.16 | 2 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,154.28 – $1,181.34 | 2 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $768.91 – $797.36 | 2 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $584.13 – $597.65 | 2 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $954.07 – $1,010.25 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $991.59 – $992.22 | 2 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,107.46 – $1,113.26 | 2 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,171.96 – $1,179.03 | 2 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,192.42 – $1,202.35 | 2 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,194.73 – $1,209.94 | 2 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,047.06 – $1,105.51 | 2 |
| Reconstruct finger joint CPT 26545 | not published | not published | $730.84 – $750.16 | 2 |
| Reconstruct finger joint CPT 26548 | not published | not published | $807.62 – $809.04 | 2 |
| Reconstruct head of radius CPT 24365 | not published | not published | $697.11 – $701.25 | 2 |
| Reconstruct head of radius CPT 24366 | not published | not published | $747.80 – $748.31 | 2 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,230.37 – $1,287.12 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $782.07 – $785.47 | 2 |
| Reconstruction knee CPT 27428 | not published | not published | $1,213.05 – $1,225.31 | 2 |
| Reconstruction knee CPT 27429 | not published | not published | $1,359.06 – $1,370.05 | 2 |
| Reconstruction of anus CPT 46753 | not published | not published | $622.04 – $642.93 | 2 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,714.79 – $1,771.36 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $744.97 – $786.26 | 2 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $966.46 – $1,013.03 | 2 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $962.66 – $1,010.37 | 2 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $702.78 – $743.18 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $977.36 – $1,005.14 | 2 |
| Reconstruction of jaw CPT 21246 | not published | not published | $943.78 – $981.12 | 2 |
| Reconstruction of jaw CPT 21248 | not published | not published | $966.30 – $1,006.97 | 2 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,376.69 – $1,427.24 | 2 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,221.22 – $1,244.33 | 2 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,117.39 – $1,143.99 | 2 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,838.26 – $1,900.06 | 2 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,133.75 – $1,169.99 | 2 |
| Reconstruction of mouth CPT 40840 | not published | not published | $698.91 – $699.44 | 2 |
| Reconstruction of mouth CPT 40842 | not published | not published | $685.89 – $723.78 | 2 |
| Reconstruction of mouth CPT 40843 | not published | not published | $896.80 – $956.20 | 2 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,175.08 – $1,247.39 | 2 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,370.96 – $1,400.40 | 2 |
| Reconstruction of nail bed CPT 11762 | $1,694.60 | $4,580.00 | $202.22 – $220.75 | 2 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,266.92 – $1,309.53 | 2 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,479.19 – $1,479.76 | 2 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,292.48 – $1,330.58 | 2 |
| Reconstruction of throat CPT 42950 | not published | not published | $853.31 – $894.62 | 2 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,101.00 – $1,232.64 | 2 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,274.20 – $1,423.85 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,088.32 – $1,187.29 | 2 |
| Reconstruction of urethra CPT 54308 | not published | not published | $803.57 – $905.62 | 2 |
| Reconstruction of urethra CPT 54312 | not published | not published | $959.30 – $1,046.91 | 2 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,171.40 – $1,268.99 | 2 |
| Reconstruction of urethra CPT 54318 | not published | not published | $798.34 – $912.34 | 2 |
| Reconstruction of urethra CPT 54322 | not published | not published | $870.27 – $991.67 | 2 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,089.54 – $1,233.53 | 2 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,064.71 – $1,162.36 | 2 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $270.92 – $284.12 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $692.84 – $722.91 | 2 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $610.32 – $610.95 | 2 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,526.88 – $1,567.61 | 2 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,991.47 – $2,281.15 | 2 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,331.60 – $1,358.53 | 2 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,617.69 – $1,685.51 | 2 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $959.93 – $976.61 | 2 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,238.72 – $1,340.68 | 2 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,301.32 – $1,455.50 | 2 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $947.18 – $1,014.36 | 2 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,055.62 – $1,187.75 | 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.