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 |
|---|---|---|---|---|
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,383.96 – $1,440.47 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $89.95 – $89.95 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $76.90 – $76.90 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $925.19 | $2,500.50 | $741.09 – $741.09 | 1 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,259.70 | $3,404.60 | $3,313.75 – $3,313.75 | 1 |
| Target gsa panel organ neop CPT 81445 | $1,426.07 | $3,854.25 | $683.38 – $683.38 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $147.82 – $150.03 | 2 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,547.39 – $1,547.39 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $85.93 | $232.25 | $116.67 – $116.67 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $77.52 | $209.50 | $65.41 – $96.50 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $454.09 – $462.06 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $70.83 – $112.82 | 2 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $70.43 – $112.82 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $93.21 – $105.58 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $185.28 | $500.75 | $49.51 – $73.15 | 2 |
| T cells absolute cd 4 count CPT 86361 | $110.72 | $299.25 | $28.14 – $41.69 | 2 |
| T cells total count CPT 86359 | $68.92 | $186.26 | $38.03 – $47.70 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,188.10 – $1,288.07 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $141.58 – $141.58 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $78.34 – $78.34 | 1 |
| Temperature gradient studies CPT 93740 | not published | not published | $1.89 – $9.03 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $116.48 | $314.80 | $53.80 – $53.80 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $597.30 – $611.24 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $626.24 – $631.48 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $602.06 – $615.85 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $928.77 – $946.95 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $665.07 – $671.58 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $598.56 – $604.72 | 2 |
| Tenolysis triceps CPT 24332 | not published | not published | $653.14 – $670.81 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $842.33 – $850.03 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $546.45 – $559.49 | 2 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $328.31 – $346.90 | 2 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $268.59 – $285.74 | 2 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $210.20 – $210.20 | 1 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.25 – $9.35 | 2 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.43 – $6.67 | 2 |
| Test for urine cystines CPT 82615 | $18.50 | $50.00 | $8.60 – $12.71 | 2 |
| Testicular imaging w/vasc flow CPT 78761 | $342.62 | $926.00 | $44.93 – $187.56 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $365.84 | $988.75 | $39.88 – $64.61 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $5.73 – $8.56 | 2 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.12 – $13.42 | 2 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.39 – $5.06 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | not published | 0 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | not published | 0 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | not published | 0 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | not published | 0 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.65 – $38.00 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $60.77 | $164.25 | $14.85 – $22.02 | 2 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.29 | $130.50 | $33.91 – $35.62 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.64 | $72.00 | $29.36 – $30.20 | 2 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $128.71 – $137.26 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.90 – $131.82 | 2 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.19 | $687.00 | $106.35 – $112.12 | 2 |
| Ther/proph/diag inj ia CPT 96373 | $221.54 | $598.75 | $20.23 – $20.91 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $967.18 | $2,614.00 | $127.81 – $127.81 | 1 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,371.83 – $3,112.81 | 2 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $245.04 – $312.54 | 2 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,143.50 – $4,242.88 | 2 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,809.56 – $1,809.56 | 1 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $348.52 – $368.72 | 2 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $245.76 – $245.76 | 1 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,232.33 – $1,245.40 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,516.80 – $1,516.80 | 1 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,191.17 – $1,207.03 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,074.18 – $1,099.60 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $745.08 – $782.97 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,333.05 – $1,335.47 | 2 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $949.01 – $1,007.42 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,873.37 – $1,894.70 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $523.52 – $557.17 | 2 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $547.01 – $583.05 | 2 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,579.78 – $1,639.49 | 2 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,002.21 – $1,059.28 | 2 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $897.39 – $945.94 | 2 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $898.39 – $939.25 | 2 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $819.62 – $858.76 | 2 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,370.48 – $1,370.48 | 1 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $977.52 – $977.52 | 1 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $178.75 – $178.75 | 1 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $178.75 – $178.75 | 1 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $863.76 – $878.35 | 2 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $807.67 – $809.26 | 2 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,040.44 – $1,065.96 | 2 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $911.62 – $1,119.09 | 2 |
| Thoracotomy with cardiac massage CPT 32160 | $921.49 | $2,490.50 | $883.71 – $886.75 | 2 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,352.15 – $1,405.46 | 2 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $292.19 – $292.19 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $348.52 – $348.52 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $428.12 – $428.12 | 1 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $19.68 – $61.44 | 2 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $201.34 – $226.31 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $388.12 – $388.12 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $487.19 – $487.19 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $568.56 – $568.56 | 1 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,289.40 – $1,297.72 | 2 |
| Thrombin time CPT 85670 | $42.83 | $115.75 | $3.36 – $4.20 | 2 |
| Thrombin time titer CPT 85675 | not published | not published | $7.30 – $10.66 | 2 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $938.77 – $1,012.93 | 2 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,020.24 – $1,095.70 | 2 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,469.68 – $1,587.37 | 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.