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 |
|---|---|---|---|---|
| Assay of silica CPT 84285 | not published | not published | $24.76 – $36.65 | 2 |
| Assay of somatostatin CPT 84307 | $131.91 | $356.50 | $19.28 – $28.45 | 2 |
| Assay of thiocyanate CPT 84430 | $62.72 | $169.50 | $12.25 – $18.11 | 2 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.08 – $11.99 | 2 |
| Assay of tyrosine CPT 84510 | $67.53 | $182.50 | $10.94 – $16.20 | 2 |
| Assay of urine sulfate CPT 84392 | $19.52 | $52.75 | $4.95 – $7.39 | 2 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $7.56 – $11.04 | 2 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.21 – $7.83 | 2 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $17.46 – $25.72 | 2 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.94 – $16.07 | 2 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.30 – $10.73 | 2 |
| Assay toxin or antitoxin CPT 87230 | $57.54 | $155.50 | $20.85 – $30.74 | 2 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $79.42 – $117.68 | 2 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $43.58 – $49.56 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $22.94 | $62.00 | $4.43 – $6.65 | 2 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $69.52 – $70.34 | 2 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $217.38 – $225.12 | 2 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $39.28 – $40.82 | 2 |
| Assist oocyte fertilization CPT 89280 | not published | not published | not published | 0 |
| Assist oocyte fertilization CPT 89281 | not published | not published | not published | 0 |
| Ast/sgot CPT 84450 | $37.93 | $102.50 | $5.47 – $8.06 | 2 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $697.13 – $697.13 | 1 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $815.41 – $815.41 | 1 |
| Atomic absorption CPT 82190 | $45.42 | $122.75 | $15.63 – $23.21 | 2 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $878.25 – $946.31 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $735.67 – $796.37 | 2 |
| Attach ocular implant CPT 65140 | not published | not published | $802.41 – $866.19 | 2 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $85.60 – $88.04 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $94.35 – $106.24 | 2 |
| Audiometry air + bone CPT 92553 | not published | not published | $30.86 – $38.09 | 2 |
| Auditory function 60 min CPT 92620 | not published | not published | $89.04 – $91.69 | 2 |
| Augmentation cheek bone CPT 21270 | not published | not published | $771.47 – $802.23 | 2 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $815.80 – $820.09 | 2 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $958.53 – $986.07 | 2 |
| Augmentation of facial bones CPT 21208 | not published | not published | $901.56 – $929.26 | 2 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $254.80 – $254.80 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $585.64 – $585.64 | 1 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,144.98 – $1,151.99 | 2 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,835.94 – $1,853.39 | 2 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $670.34 – $670.34 | 1 |
| Autologous blood op salvage CPT 86891 | not published | not published | $68.01 – $68.01 | 1 |
| Autologous blood process CPT 86890 | not published | not published | $43.52 – $43.52 | 1 |
| Automated diff wbc count CPT 85004 | $32.65 | $88.25 | $6.78 – $10.07 | 2 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $43.23 – $52.10 | 2 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $30.88 – $40.25 | 2 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $55.62 – $96.29 | 2 |
| Av fistula revision CPT 36833 | not published | not published | $790.13 – $926.85 | 2 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $837.13 – $956.69 | 2 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $791.69 – $810.45 | 2 |
| Av fusion direct any site CPT 36821 | not published | not published | $757.99 – $796.47 | 2 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $835.31 – $959.59 | 2 |
| Avul nail plate addl CPT 11732 | $63.64 | $172.00 | $20.17 – $35.56 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $105.45 | $285.00 | $62.23 – $68.44 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $738.45 – $774.35 | 2 |
| Azacitidine injection HCPCS J9025 | $30.69 | $82.95 | $4.81 – $4.81 | 1 |
| Baclofen eval charges CPT 97750 | $44.49 | $120.25 | $34.84 – $35.59 | 2 |
| Bacterial meningitis antigen CPT 86403 | $52.17 | $141.00 | $10.68 – $15.87 | 2 |
| Bacterial vaginosis pcr CPT 87801 | $298.04 | $805.50 | $74.01 – $109.29 | 2 |
| Bactericidal level serum CPT 87197 | $51.06 | $138.00 | $15.90 – $23.39 | 2 |
| #bac vag cand-c. albicans naa CPT 87481 | $171.87 | $464.50 | $23.44 – $39.83 | 2 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $214.71 – $214.71 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $2,162.84 | $5,845.50 | $200.61 – $209.05 | 2 |
| Bartonella dna pcr-sendout CPT 87471 | $166.87 | $451.00 | $37.00 – $54.64 | 2 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $22.64 – $22.64 | 1 |
| B cells total count CPT 86355 | $167.72 | $453.31 | $38.03 – $47.70 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $107.81 – $107.81 | 1 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $4,779.62 | $12,917.90 | $20.33 – $20.33 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $182.78 | $494.00 | $25.78 – $37.83 | 2 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $33.69 – $49.15 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $58.74 | $158.75 | $26.84 – $39.62 | 2 |
| Beta-2 microglobulin CPT 82232 | $167.89 | $453.75 | $16.94 – $25.19 | 2 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $17.72 – $26.26 | 2 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $615.39 – $615.39 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $90.83 – $100.89 | 2 |
| Bilateral n block inj occipital 64405 CPT 64405 | $762.76 | $2,061.50 | $69.69 – $84.17 | 2 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $455.66 | $1,231.50 | $72.04 – $79.15 | 2 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $28.14 – $41.38 | 2 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $187.84 – $189.22 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $352.38 – $401.48 | 2 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $351.73 – $403.39 | 2 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $538.74 – $590.44 | 2 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $417.60 – $483.60 | 2 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $476.00 – $547.10 | 2 |
| Bilicheck CPT 88720 | not published | not published | $7.81 – $7.97 | 2 |
| Bilirubin direct CPT 82248 | $37.74 | $102.00 | $5.21 – $7.81 | 2 |
| Bilirubin total CPT 82247 | $69.01 | $186.50 | $5.21 – $7.81 | 2 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,781.22 – $1,869.18 | 2 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $334.44 | $903.90 | $92.79 – $92.79 | 1 |
| Biofeedback, pt CPT 90901 | not published | not published | $21.75 – $24.59 | 2 |
| Biopsy abdominal mass CPT 49180 | $1,141.82 | $3,086.00 | $97.52 – $110.36 | 2 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $430.35 – $455.90 | 2 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $396.39 – $689.23 | 2 |
| Biopsy bone trocar/needle superficial CPT 20220 | $542.98 | $1,467.50 | $80.91 – $90.99 | 2 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $83.84 – $85.70 | 2 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $101.62 – $106.08 | 2 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $592.38 – $615.89 | 2 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $54.63 – $55.20 | 2 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $79.79 – $99.85 | 2 |
| Biopsy eye muscle CPT 67346 | not published | not published | $209.12 – $211.90 | 2 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $346.61 – $361.71 | 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.