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 |
|---|---|---|---|---|
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,145.44 – $1,294.16 | 2 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,578.18 – $1,578.18 | 1 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $290.83 – $299.75 | 2 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $3,126.80 – $3,211.97 | 2 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $889.60 – $895.22 | 2 |
| Resect distal finger tumor CPT 26262 | not published | not published | $489.74 – $689.52 | 2 |
| Resect enlarged toe CPT 28341 | not published | not published | $551.08 – $609.47 | 2 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $462.26 – $513.39 | 2 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,581.63 – $1,598.50 | 2 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $464.41 – $779.95 | 2 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,130.89 – $1,130.89 | 1 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,187.75 – $1,187.75 | 1 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,294.51 – $1,294.51 | 1 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $815.19 – $984.23 | 2 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,122.99 – $1,165.30 | 2 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,108.30 – $1,485.68 | 2 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,025.31 – $2,025.31 | 1 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,305.84 – $2,400.65 | 2 |
| Resect inferior turbinate CPT 30140 | not published | not published | $446.05 – $465.19 | 2 |
| Resection of elbow joint CPT 24155 | not published | not published | $934.41 – $942.29 | 2 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,050.07 – $1,118.11 | 2 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $976.37 – $1,137.00 | 2 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,412.55 – $1,412.55 | 1 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $982.21 – $1,035.06 | 2 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,277.70 – $1,333.12 | 2 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $646.95 – $854.63 | 2 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,500.94 – $1,500.94 | 1 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,225.94 – $1,259.03 | 2 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,585.34 – $1,625.62 | 2 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $274.97 – $288.55 | 2 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $454.62 – $546.92 | 2 |
| Resect prox finger tumor CPT 26260 | not published | not published | $588.09 – $885.21 | 2 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $966.22 – $1,641.38 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $917.67 – $1,158.62 | 2 |
| Resect tarsal tumor CPT 28171 | not published | not published | $708.97 – $956.68 | 2 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,150.69 – $1,154.78 | 2 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,738.87 – $1,738.87 | 1 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $369.34 – $369.34 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $43.01 | $116.25 | $12.77 – $18.66 | 2 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $40.61 | $109.75 | $12.77 – $18.66 | 2 |
| Resp virus 6-11 targets CPT 87632 | $405.43 | $1,095.75 | $332.29 – $332.29 | 1 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $3,362.51 – $3,525.91 | 2 |
| Resuscitation cardiopulmonary CPT 92950 | $481.09 | $1,300.25 | $211.70 – $219.41 | 2 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $169.42 – $179.56 | 2 |
| Reticulated platelet assay CPT 85055 | $53.74 | $145.25 | $28.14 – $41.69 | 2 |
| Reticulocyte automated CPT 85045 | $23.22 | $62.75 | $4.17 – $6.22 | 2 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $5.99 – $8.67 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $221.65 – $232.28 | 2 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $20.59 – $30.50 | 2 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $686.50 – $711.67 | 2 |
| Revise additional leg tendon CPT 27692 | not published | not published | $118.09 – $128.57 | 2 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $743.07 – $910.79 | 2 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $519.12 – $545.57 | 2 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $829.11 – $850.36 | 2 |
| Revise circulation to head CPT 61708 | not published | not published | $2,418.05 – $2,627.24 | 2 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,478.69 – $1,503.85 | 2 |
| Revise eye CPT 65091 | not published | not published | $633.05 – $681.99 | 2 |
| Revise eyelashes CPT 67825 | not published | not published | $120.70 – $130.54 | 2 |
| Revise eyelashes CPT 67835 | not published | not published | $443.83 – $475.00 | 2 |
| Revise eyelid defect CPT 67909 | not published | not published | $444.06 – $474.41 | 2 |
| Revise eyelid defect CPT 67911 | not published | not published | $560.38 – $609.87 | 2 |
| Revise eyelid lining CPT 68330 | not published | not published | $455.95 – $498.03 | 2 |
| Revise eyelid lining CPT 68360 | not published | not published | $407.37 – $445.14 | 2 |
| Revise eyelid lining CPT 68362 | not published | not published | $655.18 – $710.81 | 2 |
| Revise eye muscle CPT 67311 | not published | not published | $598.69 – $646.37 | 2 |
| Revise eye muscle CPT 67314 | not published | not published | $671.68 – $727.49 | 2 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $702.48 – $762.87 | 2 |
| Revise eye socket implant CPT 67560 | not published | not published | $992.67 – $1,064.47 | 2 |
| Revise eye sockets CPT 21260 | not published | not published | $1,380.57 – $1,444.94 | 2 |
| Revise eye sockets CPT 21261 | not published | not published | $2,352.24 – $2,494.49 | 2 |
| Revise eye sockets CPT 21263 | not published | not published | $2,170.17 – $2,245.40 | 2 |
| Revise eye sockets CPT 21267 | not published | not published | $1,686.61 – $1,739.32 | 2 |
| Revise eye with implant CPT 65093 | not published | not published | $630.63 – $673.01 | 2 |
| Revise finger joint each CPT 26135 | not published | not published | $592.15 – $600.69 | 2 |
| Revise finger joint each CPT 26140 | not published | not published | $537.15 – $549.75 | 2 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $355.72 – $398.92 | 2 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $529.48 – $581.61 | 2 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $661.66 – $713.09 | 2 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $643.98 – $699.11 | 2 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $720.18 – $768.46 | 2 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $646.15 – $701.83 | 2 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,058.40 – $1,139.46 | 2 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,171.16 – $1,266.95 | 2 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $882.98 – $897.14 | 2 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,055.96 – $1,076.35 | 2 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $581.88 – $614.02 | 2 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,137.70 – $2,199.86 | 2 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,703.84 – $1,742.23 | 2 |
| Revise/implant finger joint CPT 26536 | not published | not published | $702.80 – $749.09 | 2 |
| Revise kneecap CPT 27437 | not published | not published | $720.38 – $727.24 | 2 |
| Revise kneecap with implant CPT 27438 | not published | not published | $926.11 – $927.11 | 2 |
| Revise knuckle joint CPT 26530 | not published | not published | $573.90 – $587.26 | 2 |
| Revise knuckle with implant CPT 26531 | not published | not published | $668.86 – $682.16 | 2 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $724.94 – $784.95 | 2 |
| Revise lower leg tendon CPT 27690 | not published | not published | $698.50 – $707.09 | 2 |
| Revise lower leg tendon CPT 27691 | not published | not published | $823.77 – $828.31 | 2 |
| Revise lower leg tendons CPT 27686 | not published | not published | $615.23 – $622.23 | 2 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,011.17 – $1,018.47 | 2 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,316.95 – $1,333.30 | 2 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,270.53 – $1,280.32 | 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.