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 |
|---|---|---|---|---|
| Removal of omentum 49255 CPT 49255 | not published | not published | $853.46 – $884.74 | 2 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $572.86 – $580.90 | 2 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $817.29 – $823.26 | 2 |
| Removal of palm tendon each CPT 26170 | not published | not published | $428.01 – $441.33 | 2 |
| Removal of rib CPT 21615 | not published | not published | $698.31 – $747.22 | 2 |
| Removal of salivary stone CPT 42340 | not published | not published | $373.47 – $374.57 | 2 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $283.56 – $284.41 | 2 |
| Removal of scrotum CPT 55150 | not published | not published | $550.00 – $602.05 | 2 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $401.29 – $434.78 | 2 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $361.74 – $376.66 | 2 |
| Removal of shunt CPT 49429 | not published | not published | $506.54 – $515.27 | 2 |
| Removal of skin tags each add'l 10 CPT 11201 | not published | not published | $18.67 – $18.97 | 2 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $2,810.85 – $2,810.85 | 1 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,293.71 – $1,328.96 | 2 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $478.68 – $503.04 | 2 |
| Removal of spinal shunt CPT 63746 | not published | not published | $596.93 – $669.77 | 2 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $297.57 – $299.30 | 2 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,477.82 – $2,560.78 | 2 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,591.27 – $1,632.04 | 2 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $2,175.36 – $2,291.76 | 2 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $225.91 – $249.59 | 2 |
| Removal of tail bone CPT 27080 | not published | not published | $537.47 – $562.01 | 2 |
| Removal of tear gland CPT 68500 | not published | not published | $976.01 – $1,058.74 | 2 |
| Removal of tear sac CPT 68520 | not published | not published | $689.35 – $742.20 | 2 |
| Removal of tendon for graft CPT 20924 | not published | not published | $551.58 – $556.47 | 2 |
| Removal of tendon lesion CPT 27630 | not published | not published | $400.09 – $406.18 | 2 |
| Removal of testis CPT 54520 | not published | not published | $364.39 – $403.93 | 2 |
| Removal of testis CPT 54530 | not published | not published | $565.18 – $630.90 | 2 |
| Removal of thyroid CPT 60240 | not published | not published | $1,025.80 – $1,089.49 | 2 |
| Removal of thyroid CPT 60252 | not published | not published | $1,470.91 – $1,477.03 | 2 |
| Removal of thyroid CPT 60271 | not published | not published | $1,182.16 – $1,185.89 | 2 |
| Removal of toe lesions CPT 28092 | not published | not published | $297.22 – $309.77 | 2 |
| Removal of toe lesions CPT 28108 | not published | not published | $319.14 – $332.93 | 2 |
| Removal of ureter stone CPT 51060 | not published | not published | $648.92 – $722.96 | 2 |
| Removal of urethra CPT 53210 | not published | not published | $874.45 – $963.45 | 2 |
| Removal of urethra CPT 53215 | not published | not published | $1,046.30 – $1,171.78 | 2 |
| Removal of urethra gland CPT 53250 | not published | not published | $455.84 – $493.56 | 2 |
| Removal of urethra gland CPT 53270 | not published | not published | $206.13 – $225.18 | 2 |
| Removal of urethra lesion CPT 53230 | not published | not published | $679.40 – $748.37 | 2 |
| Removal of urethra lesion CPT 53235 | not published | not published | $711.58 – $795.38 | 2 |
| Removal of vein clot CPT 34421 | not published | not published | $829.20 – $893.07 | 2 |
| Removal of vein clot CPT 34471 | not published | not published | $1,249.84 – $1,298.68 | 2 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $693.80 – $740.13 | 2 |
| Removal of wrist bone CPT 25210 | not published | not published | $529.24 – $531.37 | 2 |
| Removal of wrist bones CPT 25215 | not published | not published | $676.47 – $684.01 | 2 |
| Removal of wrist lesion CPT 25130 | not published | not published | $481.79 – $484.87 | 2 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $564.74 – $579.64 | 2 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $775.20 – $790.22 | 2 |
| Removal prosth radial head CPT 24164 | not published | not published | $535.18 – $803.67 | 2 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $395.35 – $31,789.00 | 2 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $155.49 | $420.25 | $72.89 – $79.82 | 2 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $51.27 – $52.45 | 2 |
| Removal tunnled intprtnl cath CPT 49422 | $2,103.36 | $5,684.75 | $426.46 – $428.30 | 2 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | not published | not published | $197.98 – $218.88 | 2 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $1,153.81 – $1,217.65 | 2 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $302.72 – $305.01 | 2 |
| Remove anal fist complex CPT 46280 | not published | not published | $475.26 – $517.29 | 2 |
| Remove anal fist inter CPT 46275 | not published | not published | $413.71 – $455.03 | 2 |
| Remove anal fist subq CPT 46270 | not published | not published | $384.91 – $429.64 | 2 |
| Remove ankle joint lining CPT 27625 | not published | not published | $639.57 – $657.63 | 2 |
| Remove ankle joint lining CPT 27626 | not published | not published | $669.11 – $710.05 | 2 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $941.46 – $980.17 | 2 |
| Remove bladder stone CPT 52317 | not published | not published | $394.22 – $447.88 | 2 |
| Remove bladder stone CPT 52318 | not published | not published | $537.42 – $610.54 | 2 |
| Remove blood clot from eye CPT 65930 | not published | not published | $645.51 – $689.61 | 2 |
| Remove brain canal fluid CPT 61050 | not published | not published | $96.47 – $121.86 | 2 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $616.81 – $666.71 | 2 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $2,768.85 – $2,876.29 | 2 |
| Remove cartilage for graft CPT 20910 | not published | not published | $469.41 – $493.60 | 2 |
| Remove cartilage for graft CPT 20912 | not published | not published | $523.63 – $528.54 | 2 |
| Remove collar bone lesion CPT 23170 | not published | not published | $576.25 – $613.81 | 2 |
| Remove coronoid process CPT 21070 | not published | not published | $671.40 – $701.30 | 2 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $94.23 – $120.00 | 2 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $24.45 – $53.90 | 2 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $428.09 – $430.61 | 2 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $264.33 – $269.06 | 2 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $922.87 – $937.81 | 2 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $879.28 – $917.72 | 2 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $1,543.53 – $1,614.95 | 2 |
| Remove epididymis lesion CPT 54830 | not published | not published | $415.97 – $456.54 | 2 |
| Remove epididymis lesion CPT 54840 | not published | not published | $358.81 – $401.09 | 2 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $76.39 – $76.39 | 1 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $304.70 – $320.05 | 2 |
| Remove ext hem groups 2+ CPT 46250 | $2,503.42 | $6,766.00 | $322.02 – $347.26 | 2 |
| Remove eye/attach implant CPT 65105 | not published | not published | $842.17 – $911.22 | 2 |
| Remove eye implant material CPT 67120 | not published | not published | $552.57 – $602.88 | 2 |
| Remove eye implant material CPT 67121 | not published | not published | $912.59 – $984.65 | 2 |
| Remove eye/insert implant CPT 65103 | not published | not published | $762.31 – $826.18 | 2 |
| Remove eye lesion CPT 65900 | not published | not published | $968.52 – $1,041.60 | 2 |
| Remove eye lesion CPT 66130 | not published | not published | $583.30 – $618.28 | 2 |
| Remove eyelid lesion CPT 67800 | $286.29 | $773.75 | $105.89 – $112.48 | 2 |
| Remove eyelid lesion CPT 67840 | not published | not published | $161.30 – $171.48 | 2 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $363.82 – $397.47 | 2 |
| Remove eyelid lesions CPT 67801 | not published | not published | $137.89 – $145.09 | 2 |
| Remove eyelid lesions CPT 67805 | not published | not published | $168.84 – $178.82 | 2 |
| Remove eye/revise socket CPT 65112 | not published | not published | $1,457.33 – $1,537.26 | 2 |
| Remove eye/revise socket CPT 65114 | not published | not published | $1,516.90 – $1,602.71 | 2 |
| Remove femur lesion CPT 27355 | not published | not published | $654.64 – $661.14 | 2 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $485.21 – $498.06 | 2 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $805.30 – $807.98 | 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.