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 |
|---|---|---|---|---|
| Remove femur lesion/graft CPT 27357 | not published | not published | $893.14 – $895.25 | 2 |
| Remove finger bone CPT 26185 | not published | not published | $559.26 – $591.10 | 2 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $565.22 – $610.94 | 2 |
| Remove foreign body from eye CPT 65235 | $1,206.57 | $3,261.00 | $699.92 – $766.30 | 2 |
| Remove foreign body from eye CPT 65260 | not published | not published | $961.64 – $1,038.87 | 2 |
| Remove foreign body from eye CPT 65265 | not published | not published | $1,083.96 – $1,170.49 | 2 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $334.55 – $360.32 | 2 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $649.82 – $653.27 | 2 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $595.27 – $611.19 | 2 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $628.39 – $664.36 | 2 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $442.72 – $509.29 | 2 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $389.27 – $440.69 | 2 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $644.20 – $694.02 | 2 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $645.20 – $701.48 | 2 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $1,126.49 – $1,130.87 | 2 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $826.53 – $837.88 | 2 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $841.44 – $863.74 | 2 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $603.81 – $609.93 | 2 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $529.28 – $533.40 | 2 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $928.56 – $943.55 | 2 |
| Remove hand bone lesion CPT 26200 | not published | not published | $481.84 – $489.57 | 2 |
| Remove hip bone les deep CPT 27066 | not published | not published | $885.93 – $895.06 | 2 |
| Remove hip bone les super CPT 27065 | not published | not published | $542.07 – $564.90 | 2 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $160.13 – $175.12 | 2 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $398.90 – $566.52 | 2 |
| Remove humerus lesion CPT 23174 | not published | not published | $819.16 – $832.66 | 2 |
| Remove humerus lesion CPT 23184 | not published | not published | $804.91 – $811.61 | 2 |
| Remove implant of eye CPT 65920 | not published | not published | $782.38 – $850.80 | 2 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $489.17 – $525.90 | 2 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $429.40 – $464.32 | 2 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $547.96 – $579.41 | 2 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $571.05 – $612.48 | 2 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $469.87 – $512.28 | 2 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $1,448.00 – $1,454.91 | 2 |
| Remove inner ear CPT 69905 | not published | not published | $997.31 – $1,000.78 | 2 |
| Remove inner ear lesion CPT 69970 | not published | not published | $2,365.11 – $2,416.69 | 2 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $1,121.02 – $1,128.44 | 2 |
| Remove intact mammary implant CPT 19328 | not published | not published | $526.14 – $542.87 | 2 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $367.41 – $391.02 | 2 |
| Remove iris and lesion CPT 66600 | not published | not published | $814.71 – $896.34 | 2 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $864.95 – $885.44 | 2 |
| Remove knee cyst CPT 27347 | not published | not published | $554.13 – $577.99 | 2 |
| Remove knee joint lining CPT 27334 | not published | not published | $740.26 – $750.38 | 2 |
| Remove knee joint lining CPT 27335 | not published | not published | $838.65 – $838.98 | 2 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $1,287.47 – $1,331.31 | 2 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $503.20 – $508.82 | 2 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $643.59 – $650.90 | 2 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $1,982.36 – $2,989.95 | 2 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,450.48 – $1,587.93 | 2 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,762.47 – $1,857.44 | 2 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $1,183.15 – $1,232.63 | 2 |
| Remove mastoid air cells CPT 69670 | not published | not published | $1,025.30 – $1,033.42 | 2 |
| Remove mastoid structures CPT 69505 | not published | not published | $1,295.94 – $1,300.22 | 2 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $1,200.36 – $1,265.29 | 2 |
| Remove middle ear nerve CPT 69676 | not published | not published | $899.42 – $900.51 | 2 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $821.07 – $916.88 | 2 |
| Remove nasal foreign body CPT 30310 | $2,232.95 | $6,035.00 | $215.11 – $220.04 | 2 |
| Remove nasal foreign body CPT 30320 | not published | not published | $475.95 – $482.66 | 2 |
| Remove nerve lesion CPT 64784 | not published | not published | $791.86 – $806.18 | 2 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $864.70 – $883.82 | 2 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $889.31 – $1,012.81 | 2 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,107.47 – $1,157.23 | 2 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $909.10 – $966.84 | 2 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $582.36 – $629.68 | 2 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $448.80 – $477.91 | 2 |
| Remove prostate regrowth CPT 52630 | not published | not published | $446.97 – $553.81 | 2 |
| Remove renal tube w/fluoro CPT 50389 | not published | not published | $61.77 – $70.77 | 2 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $937.41 – $941.55 | 2 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $965.91 – $1,083.16 | 2 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $908.34 – $1,018.97 | 2 |
| Remove/revise male sling CPT 53442 | not published | not published | $877.53 – $965.26 | 2 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $969.11 – $984.19 | 2 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,131.60 – $1,139.44 | 2 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,192.42 – $1,202.92 | 2 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $591.66 – $656.07 | 2 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $590.06 – $607.80 | 2 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $494.87 – $494.87 | 1 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,234.14 | $3,335.50 | $160.09 – $168.54 | 2 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $447.63 – $456.54 | 2 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $419.08 – $438.05 | 2 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $937.11 – $992.49 | 2 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $405.52 – $420.98 | 2 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $294.96 – $324.51 | 2 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $939.02 – $999.91 | 2 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $239.84 – $242.45 | 2 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $358.02 – $358.02 | 1 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $929.67 – $929.67 | 1 |
| Remove spine fixation device CPT 22850 | not published | not published | $783.56 – $802.99 | 2 |
| Remove spine fixation device CPT 22852 | not published | not published | $748.89 – $768.36 | 2 |
| Remove spine infusion device CPT 62365 | not published | not published | $328.55 – $358.13 | 2 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $1,592.71 – $1,661.42 | 2 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,327.16 – $1,390.90 | 2 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,264.32 – $1,320.74 | 2 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $1,197.92 – $1,219.19 | 2 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $1,335.27 – $1,389.58 | 2 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $1,333.77 – $1,405.30 | 2 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $1,641.19 – $1,710.93 | 2 |
| Remove stent via transureth CPT 50386 | not published | not published | $185.56 – $227.56 | 2 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,008.23 – $1,031.44 | 2 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $743.53 – $758.74 | 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.