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 |
|---|---|---|---|---|
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,752.08 – $1,862.12 | 2 |
| Rectal sensation test CPT 91120 | not published | not published | $60.29 – $380.11 | 2 |
| Red cell mass multiple CPT 78121 | not published | not published | $20.08 – $93.07 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $14.66 – $86.61 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $38.65 – $113.91 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $38.65 – $144.81 | 2 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $414.40 – $414.40 | 1 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,019.32 – $1,049.77 | 2 |
| Reduce testis torsion CPT 54600 | not published | not published | $509.44 – $563.00 | 2 |
| Reduction of facial bones CPT 21209 | not published | not published | $679.34 – $687.54 | 2 |
| Reduction of procidentia 45900 CPT 45900 | $657.12 | $1,776.00 | $212.96 – $224.98 | 2 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $977.67 – $1,001.15 | 2 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,418.04 – $1,439.24 | 2 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $44.34 – $45.04 | 2 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $116.76 – $120.01 | 2 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $170.48 – $186.99 | 2 |
| Reinforce clavicle CPT 23490 | not published | not published | $924.57 – $927.24 | 2 |
| Reinforce eye wall CPT 67250 | not published | not published | $786.55 – $841.05 | 2 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $736.64 – $839.87 | 2 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,117.12 – $1,127.19 | 2 |
| Reinforce thigh CPT 27495 | not published | not published | $1,246.30 – $1,262.18 | 2 |
| Reinforce tibia CPT 27745 | not published | not published | $832.60 – $833.67 | 2 |
| Reinnervate larynx CPT 31590 | not published | not published | $935.07 – $937.60 | 2 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,444.45 – $1,452.33 | 2 |
| Reinsert ocular implant CPT 65155 | not published | not published | $847.71 – $908.11 | 2 |
| Release encircling material CPT 67115 | not published | not published | $489.04 – $538.80 | 2 |
| Release eye tissue CPT 67343 | not published | not published | $652.24 – $707.26 | 2 |
| Release facial nerve CPT 69720 | not published | not published | $1,280.37 – $1,324.73 | 2 |
| Release facial nerve CPT 69725 | not published | not published | $2,070.43 – $2,113.02 | 2 |
| Release facial nerve CPT 69955 | not published | not published | $2,174.24 – $2,229.54 | 2 |
| Release finger contracture CPT 26525 | not published | not published | $680.25 – $685.71 | 2 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $757.01 – $802.40 | 2 |
| Release inner ear canal CPT 69960 | not published | not published | $2,126.60 – $2,166.62 | 2 |
| Release knuckle contracture CPT 26520 | not published | not published | $677.35 – $685.21 | 2 |
| Release middle ear bone CPT 69650 | not published | not published | $862.79 – $877.38 | 2 |
| Release muscles of hand CPT 26593 | not published | not published | $620.31 – $635.04 | 2 |
| Release of eye fluid CPT 67015 | not published | not published | $578.92 – $625.34 | 2 |
| Release of foot tendon CPT 28220 | not published | not published | $336.02 – $355.84 | 2 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $288.61 – $294.21 | 2 |
| Release of foot tendons CPT 28222 | not published | not published | $389.44 – $425.22 | 2 |
| Release of foot tendons CPT 28226 | not published | not published | $350.34 – $366.89 | 2 |
| Release of lower leg tendon CPT 27680 | not published | not published | $471.94 – $477.76 | 2 |
| Release of lower leg tendons CPT 27681 | not published | not published | $569.63 – $599.00 | 2 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,778.01 – $1,848.97 | 2 |
| Release of midfoot joint CPT 28260 | not published | not published | $572.49 – $598.47 | 2 |
| Release of midfoot joint CPT 28264 | not published | not published | $748.14 – $800.83 | 2 |
| Release of shoulder ligament CPT 23415 | not published | not published | $760.57 – $765.36 | 2 |
| Release palm contracture CPT 26040 | not published | not published | $322.71 – $337.20 | 2 |
| Release palm contracture CPT 26121 | not published | not published | $642.28 – $652.92 | 2 |
| Release palm contracture CPT 26123 | not published | not published | $880.00 – $913.49 | 2 |
| Release palm contracture CPT 26125 | not published | not published | $307.27 – $320.75 | 2 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $495.69 – $509.77 | 2 |
| Release palm & finger tendon CPT 26442 | not published | not published | $993.22 – $1,028.25 | 2 |
| Release palm/finger tendon CPT 26440 | not published | not published | $647.54 – $651.68 | 2 |
| Release thumb contracture CPT 26508 | not published | not published | $658.94 – $668.92 | 2 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $572.83 – $622.28 | 2 |
| Relieve bladder contracture CPT 52640 | not published | not published | $349.99 – $375.48 | 2 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $2,197.06 – $2,294.70 | 2 |
| Relocation of testis(es) CPT 54680 | not published | not published | $901.83 – $983.60 | 2 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $456.00 – $508.82 | 2 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $374.05 – $418.22 | 2 |
| Rem/biv cast full arm/leg CPT 29705 | $471.57 | $1,274.50 | $52.61 – $54.60 | 2 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $92.87 – $93.82 | 2 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $403.47 – $403.47 | 1 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $29.46 – $31.74 | 2 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $29.83 – $36.13 | 2 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $26.59 – $40.15 | 2 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $729.73 – $729.73 | 1 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $780.18 – $784.00 | 2 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $93.74 – $99.99 | 2 |
| Removal biliary drg cath CPT 47537 | not published | not published | $110.28 – $110.28 | 1 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $871.17 | $2,354.50 | $153.83 – $165.70 | 2 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,296.20 | $3,503.25 | $213.99 – $235.55 | 2 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $150.40 – $154.42 | 2 |
| Removal cerclage without anes CPT 59899 | not published | not published | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $113.96 | $308.00 | $36.75 – $37.64 | 2 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $680.64 – $724.45 | 2 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,086.67 – $1,164.96 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $40.63 – $40.63 | 1 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $185.25 – $185.25 | 1 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $838.33 | $2,265.75 | $125.30 – $135.64 | 2 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,036.83 | $2,802.25 | $109.82 – $110.13 | 2 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $410.64 – $438.80 | 2 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,433.57 | $3,874.50 | $148.12 – $153.50 | 2 |
| Removal foreign body gum 41805 CPT 41805 | $1,079.48 | $2,917.50 | $170.64 – $185.53 | 2 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $271.19 – $286.44 | 2 |
| Removal foreign body mouth CPT 40805 | not published | not published | $245.01 – $258.42 | 2 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,510.80 | $4,083.25 | $363.65 – $376.28 | 2 |
| Removal implant superficial separate procedure CPT 20670 | $1,108.06 | $2,994.75 | $160.42 – $161.69 | 2 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $678.31 – $696.38 | 2 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $522.19 – $558.85 | 2 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,091.57 – $1,131.80 | 2 |
| Removal of adenoids CPT 42830 | not published | not published | $226.62 – $227.50 | 2 |
| Removal of adenoids CPT 42831 | not published | not published | $244.21 – $245.53 | 2 |
| Removal of adenoids CPT 42836 | not published | not published | $265.35 – $267.75 | 2 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $199.94 – $204.29 | 2 |
| Removal of anal fissure CPT 46200 | not published | not published | $314.52 – $354.74 | 2 |
| Removal of anal tags CPT 46230 | not published | not published | $184.06 – $191.86 | 2 |
| Removal of ankle bone CPT 28130 | not published | not published | $711.29 – $718.19 | 2 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $455.40 – $460.48 | 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.