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 |
|---|---|---|---|---|
| Repair dental ellis ii fx CPT 41899 | not published | not published | $277.25 – $277.25 | 1 |
| Repair detached retina CPT 67107 | not published | not published | $1,226.05 – $1,231.74 | 2 |
| Repair detached retina CPT 67108 | not published | not published | $1,306.92 – $1,637.23 | 2 |
| Repair detached retina CPT 67110 | not published | not published | $774.07 – $877.57 | 2 |
| Repair detached retina crtx CPT 67101 | not published | not published | $306.94 – $671.56 | 2 |
| Repair detached retina pc CPT 67105 | not published | not published | $296.71 – $644.69 | 2 |
| Repair eardrum structures CPT 69631 | not published | not published | $947.02 – $956.88 | 2 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $710.73 – $724.13 | 2 |
| Repair elbow perc CPT 24357 | not published | not published | $460.76 – $473.48 | 2 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $560.88 – $570.75 | 2 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $436.27 – $462.32 | 2 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $542.96 – $574.87 | 2 |
| Repair esophagus opening CPT 43420 | not published | not published | $1,135.55 – $1,138.05 | 2 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $1,133.50 – $1,176.37 | 2 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $1,937.63 – $2,902.68 | 2 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,922.98 | $5,197.25 | $587.77 – $606.26 | 2 |
| Repair extra toe(s) CPT 28344 | not published | not published | $355.76 – $390.33 | 2 |
| Repair eyelid defect CPT 67901 | not published | not published | $584.12 – $625.06 | 2 |
| Repair eyelid defect CPT 67902 | not published | not published | $725.77 – $784.66 | 2 |
| Repair eyelid defect CPT 67903 | not published | not published | $504.53 – $524.95 | 2 |
| Repair eyelid defect CPT 67904 | not published | not published | $599.17 – $648.10 | 2 |
| Repair eyelid defect CPT 67906 | not published | not published | $523.93 – $551.75 | 2 |
| Repair eyelid defect CPT 67908 | not published | not published | $432.91 – $457.96 | 2 |
| Repair eyelid defect CPT 67914 | not published | not published | $293.05 – $352.01 | 2 |
| Repair eyelid defect CPT 67915 | not published | not published | $211.06 – $258.43 | 2 |
| Repair eyelid defect CPT 67916 | not published | not published | $436.17 – $466.41 | 2 |
| Repair eyelid defect CPT 67917 | not published | not published | $483.36 – $495.89 | 2 |
| Repair eyelid defect CPT 67921 | not published | not published | $273.75 – $333.03 | 2 |
| Repair eyelid defect CPT 67922 | not published | not published | $211.06 – $248.92 | 2 |
| Repair eyelid defect CPT 67923 | not published | not published | $465.67 – $471.45 | 2 |
| Repair eyelid defect CPT 67924 | not published | not published | $456.40 – $495.88 | 2 |
| Repair eyelid wound CPT 67930 | $1,154.86 | $3,121.25 | $254.23 – $263.14 | 2 |
| Repair eyelid wound CPT 67935 | $3,254.34 | $8,795.50 | $462.47 – $482.59 | 2 |
| Repair facial nerve CPT 69740 | not published | not published | $1,299.71 – $1,309.43 | 2 |
| Repair facial nerve CPT 69745 | not published | not published | $1,288.82 – $1,377.94 | 2 |
| Repair fibula nonunion CPT 27726 | not published | not published | $1,021.48 – $1,066.84 | 2 |
| Repair finger deformity CPT 26590 | not published | not published | $1,390.38 – $1,435.55 | 2 |
| Repair finger/hand tendon CPT 26350 | $1,492.40 | $4,033.50 | $740.77 – $751.74 | 2 |
| Repair finger/hand tendon CPT 26356 | $3,022.72 | $8,169.50 | $863.47 – $1,108.17 | 2 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $913.35 – $967.77 | 2 |
| Repair finger/hand tendon CPT 26370 | $1,627.63 | $4,399.00 | $804.09 – $806.30 | 2 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $887.13 – $891.14 | 2 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $546.41 – $607.63 | 2 |
| Repair finger tendon CPT 26433 | not published | not published | $553.35 – $558.90 | 2 |
| Repair foot dislocation CPT 28555 | not published | not published | $726.21 – $737.31 | 2 |
| Repair foot dislocation CPT 28585 | not published | not published | $753.81 – $818.56 | 2 |
| Repair foot dislocation CPT 28615 | not published | not published | $853.06 – $883.36 | 2 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $821.39 – $870.48 | 2 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $604.68 – $660.44 | 2 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $725.64 – $785.50 | 2 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $682.20 – $729.90 | 2 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $728.24 – $734.40 | 2 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $759.53 – $824.03 | 2 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $938.17 – $1,010.57 | 2 |
| Repair/graft finger tendon CPT 26420 | $1,492.40 | $4,033.50 | $748.63 – $749.57 | 2 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $786.57 – $787.46 | 2 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $668.40 – $685.94 | 2 |
| Repair/graft hand tendon CPT 26352 | $1,561.12 | $4,219.25 | $848.13 – $850.32 | 2 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $966.25 – $1,067.27 | 2 |
| Repair/graft hand tendon CPT 26372 | $5,703.55 | $15,415.00 | $918.26 – $939.01 | 2 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,029.01 – $1,038.17 | 2 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $718.94 – $733.40 | 2 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $875.40 – $876.72 | 2 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $473.08 – $515.29 | 2 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $460.79 – $480.58 | 2 |
| Repair/graft of thigh CPT 27472 | not published | not published | $1,399.34 – $1,420.34 | 2 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $907.52 – $908.70 | 2 |
| Repair/graft of tibia CPT 27722 | not published | not published | $971.31 – $982.49 | 2 |
| Repair/graft of tibia CPT 27724 | not published | not published | $1,404.40 – $1,438.44 | 2 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $1,144.83 – $1,216.84 | 2 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $1,062.80 – $1,171.22 | 2 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $1,285.38 – $1,362.72 | 2 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $1,210.86 – $1,240.61 | 2 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $846.02 – $852.70 | 2 |
| Repair hand joint CPT 26540 | not published | not published | $693.28 – $698.31 | 2 |
| Repair hand joint with graft CPT 26541 | not published | not published | $852.78 – $856.19 | 2 |
| Repair hand joint with graft CPT 26542 | not published | not published | $717.74 – $721.59 | 2 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $2,086.02 – $2,185.09 | 2 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $2,005.11 – $2,069.20 | 2 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $1,869.08 – $1,954.30 | 2 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $4,621.85 – $4,660.13 | 2 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,169.82 – $1,186.13 | 2 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $615.55 – $639.40 | 2 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $509.74 – $558.47 | 2 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $616.95 – $684.46 | 2 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $202.44 – $202.94 | 2 |
| Repair leg fascia defect CPT 27656 | not published | not published | $383.96 – $425.72 | 2 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $605.41 | $1,636.25 | $379.24 – $389.33 | 2 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $890.87 | $2,407.75 | $461.12 – $470.33 | 2 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,489.18 – $1,535.65 | 2 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $2,030.76 – $2,083.46 | 2 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $662.55 – $721.00 | 2 |
| Repair lower leg tendons CPT 27675 | not published | not published | $541.53 – $567.37 | 2 |
| Repair lower leg tendons CPT 27676 | not published | not published | $669.18 – $687.47 | 2 |
| Repair lumbar hernia CPT 49540 | not published | not published | $729.39 – $752.97 | 2 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $1,061.03 – $1,083.58 | 2 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,567.83 – $1,643.08 | 2 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | not published | $1,199.09 – $1,253.87 | 2 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,286.41 – $1,325.94 | 2 |
| Repair middle ear structures CPT 69666 | not published | not published | $875.27 – $883.19 | 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.