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 |
|---|---|---|---|---|
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,132.87 – $1,133.17 | 2 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,455.84 – $1,464.51 | 2 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,333.68 – $1,337.53 | 2 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,602.55 – $1,609.55 | 2 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,674.96 – $1,679.19 | 2 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,574.14 – $1,575.62 | 2 |
| Revise ocular implant CPT 65125 | not published | not published | $287.00 – $310.18 | 2 |
| Revise ocular implant CPT 65150 | not published | not published | $579.23 – $619.39 | 2 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $848.72 – $905.43 | 2 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,004.07 – $1,050.65 | 2 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,075.38 – $1,176.36 | 2 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,188.84 – $1,285.99 | 2 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,340.12 – $1,465.96 | 2 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $931.14 – $931.14 | 1 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,109.61 – $1,160.04 | 2 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,009.20 – $1,064.36 | 2 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,051.92 – $1,119.52 | 2 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $1,722.76 – $1,722.76 | 1 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $1,983.72 – $1,983.72 | 1 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $579.74 – $631.43 | 2 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $425.19 – $442.67 | 2 |
| Revise/remove sling repair CPT 57287 | not published | not published | $752.95 – $806.23 | 2 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,513.78 – $1,576.20 | 2 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,561.73 – $1,578.51 | 2 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,956.75 – $1,996.05 | 2 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $871.75 – $871.75 | 1 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $392.78 – $437.44 | 2 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $481.34 – $529.97 | 2 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $502.49 – $7,541.00 | 2 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $960.65 – $7,541.00 | 2 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,796.22 – $1,841.73 | 2 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $744.93 – $752.22 | 2 |
| Revise thumb tendon CPT 26490 | not published | not published | $831.71 – $852.07 | 2 |
| Revise thumb tendon CPT 26496 | not published | not published | $916.01 – $919.02 | 2 |
| Revise two eye muscles CPT 67312 | not published | not published | $718.57 – $771.58 | 2 |
| Revise two eye muscles CPT 67316 | not published | not published | $807.23 – $869.38 | 2 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $423.28 – $437.03 | 2 |
| Revise ureter CPT 50727 | not published | not published | $568.32 – $622.18 | 2 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $899.34 – $1,001.12 | 2 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $988.43 – $1,103.48 | 2 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $526.50 – $564.21 | 2 |
| Revise windpipe scar CPT 31830 | not published | not published | $373.66 – $375.55 | 2 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $616.34 – $669.59 | 2 |
| Revise wrist joint CPT 25332 | not published | not published | $925.97 – $925.99 | 2 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,868.84 – $1,908.08 | 2 |
| Revision of amputation CPT 24935 | not published | not published | $1,085.72 – $1,138.02 | 2 |
| Revision of ankle joint CPT 27700 | not published | not published | $676.04 – $698.73 | 2 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $845.58 – $845.58 | 1 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $843.79 – $851.28 | 2 |
| Revision of big toe CPT 28310 | not published | not published | $398.31 – $414.21 | 2 |
| Revision of bladder neck CPT 52500 | not published | not published | $545.64 – $606.67 | 2 |
| Revision of calf tendon CPT 27687 | not published | not published | $499.62 – $512.10 | 2 |
| Revision of cervix CPT 57720 | not published | not published | $336.57 – $346.76 | 2 |
| Revision of cervix CPT 59320 | not published | not published | $171.54 – $177.06 | 2 |
| Revision of collar bone CPT 23480 | not published | not published | $903.99 – $904.82 | 2 |
| Revision of collar bone CPT 23485 | not published | not published | $1,053.22 – $1,071.25 | 2 |
| Revision of colostomy CPT 44340 | $1,776.74 | $4,802.00 | $650.00 – $694.22 | 2 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,141.16 – $1,180.54 | 2 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,282.77 – $1,329.37 | 2 |
| Revision of cornea CPT 65600 | not published | not published | $334.52 – $371.05 | 2 |
| Revision of cranial nerve CPT 64716 | not published | not published | $566.93 – $584.48 | 2 |
| Revision of eyelid CPT 67880 | not published | not published | $363.82 – $397.81 | 2 |
| Revision of eyelid CPT 67882 | not published | not published | $469.49 – $510.33 | 2 |
| Revision of eyelid CPT 67950 | not published | not published | $473.99 – $501.95 | 2 |
| Revision of eyelid CPT 67961 | not published | not published | $463.02 – $492.32 | 2 |
| Revision of eyelid CPT 67966 | not published | not published | $660.02 – $714.03 | 2 |
| Revision of foot CPT 28116 | not published | not published | $637.05 – $656.29 | 2 |
| Revision of foot and ankle CPT 28262 | not published | not published | $1,276.10 – $1,310.36 | 2 |
| Revision of foot bones CPT 28737 | not published | not published | $774.34 – $802.47 | 2 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $446.42 – $461.44 | 2 |
| Revision of foot tendon CPT 28238 | not published | not published | $541.83 – $578.96 | 2 |
| Revision of foot tendon CPT 28261 | not published | not published | $882.89 – $914.89 | 2 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,888.79 – $1,969.12 | 2 |
| Revision of hip tendon CPT 27097 | not published | not published | $730.70 – $744.71 | 2 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,106.82 – $1,127.27 | 2 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $647.43 – $660.65 | 2 |
| Revision of infusion pump CPT 36261 | not published | not published | $365.41 – $416.70 | 2 |
| Revision of iris CPT 66761 | not published | not published | $254.93 – $406.78 | 2 |
| Revision of iris CPT 66762 | not published | not published | $421.90 – $460.50 | 2 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $185.29 – $200.79 | 2 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $451.74 – $481.57 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $848.42 – $876.56 | 2 |
| Revision of knee joint CPT 27441 | not published | not published | $876.76 – $909.75 | 2 |
| Revision of knee joint CPT 27442 | not published | not published | $959.76 – $960.90 | 2 |
| Revision of knee joint CPT 27443 | not published | not published | $896.87 – $898.35 | 2 |
| Revision of knee joint CPT 27446 | not published | not published | $1,247.11 – $1,287.19 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $1,068.31 – $1,077.57 | 2 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $282.18 – $301.45 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $414.32 – $465.71 | 2 |
| Revision of neck muscle CPT 21720 | not published | not published | $449.18 – $542.06 | 2 |
| Revision of neck muscle CPT 21725 | not published | not published | $581.28 – $593.58 | 2 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $621.70 – $719.74 | 2 |
| Revision of nose CPT 30120 | not published | not published | $477.40 – $482.25 | 2 |
| Revision of nose CPT 30430 | not published | not published | $912.06 – $950.22 | 2 |
| Revision of nose CPT 30435 | not published | not published | $1,268.42 – $1,345.00 | 2 |
| Revision of nose CPT 30450 | not published | not published | $1,617.30 – $1,705.46 | 2 |
| Revision of nose CPT 30460 | not published | not published | $831.62 – $884.04 | 2 |
| Revision of nose CPT 30462 | not published | not published | $1,538.53 – $1,670.83 | 2 |
| Revision of penis CPT 54300 | not published | not published | $721.55 – $811.19 | 2 |
| Revision of penis CPT 54304 | not published | not published | $841.26 – $951.29 | 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.