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 |
|---|---|---|---|---|
| St analysis behavior qualitative voice/resonance CPT 92524 | $64.57 | $174.50 | $97.44 – $97.44 | 1 |
| Staph a dna amp probe CPT 87640 | not published | not published | $37.00 – $54.64 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $106.28 | $287.25 | $99.56 – $126.06 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $38.03 – $47.70 | 2 |
| Stenger test pure tone CPT 92565 | not published | not published | $13.53 – $15.81 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $15.46 – $18.40 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $840.66 – $840.66 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $571.46 – $571.46 | 1 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $246.72 – $246.72 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,255.23 – $1,255.23 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $804.85 – $804.85 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,507.00 – $1,585.74 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $594.56 – $599.38 | 2 |
| St evaluate speech sound production CPT 92522 | $68.64 | $185.50 | $100.67 – $100.67 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $142.36 | $384.75 | $213.90 – $213.90 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $134.59 | $363.75 | $92.82 – $94.87 | 2 |
| St evaluation swallow function CPT 92610 | $88.43 | $239.00 | $80.66 – $85.25 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $507.07 – $509.10 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | not published | 0 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | not published | 0 |
| Storage/year reprod tissue CPT 89344 | not published | not published | not published | 0 |
| Storage/year sperm/semen CPT 89343 | not published | not published | not published | 0 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $549.17 – $565.67 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $89.36 | $241.50 | $20.58 – $37.63 | 2 |
| Strapping of chest CPT 29200 | $111.37 | $301.00 | $20.57 – $45.20 | 2 |
| Strapping of elbow or wrist 29260 CPT 29260 | $176.31 | $476.50 | $22.02 – $41.21 | 2 |
| Strapping of hand or finger CPT 29280 | $153.74 | $415.50 | $22.02 – $38.74 | 2 |
| Strapping of hip CPT 29520 | $114.33 | $309.00 | $20.93 – $40.95 | 2 |
| Strapping of knee CPT 29530 | $93.52 | $252.75 | $20.57 – $42.14 | 2 |
| Strapping of toes 29550 CPT 29550 | $78.90 | $213.25 | $13.08 – $35.36 | 2 |
| Strep a ag ia CPT 87430 | not published | not published | $12.77 – $18.66 | 2 |
| Strep a dna dir probe CPT 87650 | not published | not published | $21.11 – $31.22 | 2 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.77 – $18.66 | 2 |
| Strep b dna amp probe CPT 87653 | not published | not published | $37.00 – $54.64 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.73 – $17.20 | 2 |
| Stress tte complete CPT 93351 | not published | not published | $120.48 – $188.29 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $345.96 – $345.96 | 1 |
| Str markers specimen anal CPT 81265 | not published | not published | $334.81 – $334.81 | 1 |
| St treatment speech individual CPT 92507 | $66.05 | $178.50 | $32.14 – $86.41 | 2 |
| St treatment swallow dysfunction/oral CPT 92526 | $87.32 | $236.00 | $33.55 – $93.79 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $122.94 – $125.92 | 2 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $444.77 – $472.11 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $57.09 – $59.11 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $104.95 – $115.03 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $138.96 – $150.22 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $134.17 – $144.44 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $762.56 – $767.04 | 2 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $728.20 – $747.79 | 2 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $677.59 – $691.68 | 2 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $943.30 – $966.04 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | not published | 0 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | not published | 0 |
| Suction lipectomy trunk CPT 15877 | not published | not published | not published | 0 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | not published | 0 |
| Sugars multiple quant CPT 84379 | not published | not published | $12.25 – $17.94 | 2 |
| Sugars single quant CPT 84378 | $92.91 | $251.10 | $12.25 – $17.94 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $3.53 – $3.90 | 2 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $120.08 – $120.99 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $884.13 – $899.90 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $886.93 – $904.22 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $475.07 – $532.26 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $716.55 – $727.24 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $805.18 – $807.60 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,017.65 – $1,039.75 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $733.23 – $733.72 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $985.95 – $1,102.94 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,038.28 – $1,046.58 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $850.58 – $881.29 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $805.35 – $834.80 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $23.31 | $63.00 | $5.24 – $11.86 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $48.56 | $131.25 | $7.98 – $23.72 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $50.14 | $135.50 | $13.40 – $29.46 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $68.45 | $185.00 | $29.83 – $46.01 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $160.30 | $433.25 | $97.83 – $182.17 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $208.22 | $562.75 | $169.10 – $258.70 | 2 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,467.01 – $1,514.04 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,662.19 – $1,694.79 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $408.56 – $454.65 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | $20.72 | $56.00 | $1.84 – $2.29 | 2 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $13.97 | $37.75 | $1.84 – $2.29 | 2 |
| Susceptibility mic per plate CPT 87186 | $163.98 | $443.20 | $9.12 – $13.46 | 2 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $7.04 – $10.34 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $336.60 – $378.75 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $484.76 – $511.29 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,163.76 – $1,192.53 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,482.23 – $1,539.49 | 2 |
| Svc venogram s&i CPT 75827 | not published | not published | $70.46 – $83.00 | 2 |
| Sweat collection by iontophoresis CPT 89230 | $50.14 | $135.50 | $2.73 – $4.31 | 2 |
| Sympathectomy cervical CPT 64802 | not published | not published | $675.86 – $717.12 | 2 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $784.98 – $827.23 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $837.88 – $869.02 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $22.59 – $37.01 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $45.70 | $123.50 | $4.69 – $6.86 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $89.82 | $242.75 | $17.98 – $26.38 | 2 |
| T3 (triiodothyronine) total CPT 84480 | $59.02 | $159.50 | $14.85 – $22.08 | 2 |
| T4 (thyroxine) free CPT 84439 | $61.33 | $165.75 | $9.64 – $14.04 | 2 |
| T4 (thyroxine) total CPT 84436 | $41.26 | $111.50 | $7.30 – $10.69 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | $96.66 | $261.25 | $14.59 – $21.38 | 2 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,410.24 – $2,474.21 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,219.74 – $2,277.11 | 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.