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 |
|---|---|---|---|---|
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,290.71 – $1,375.02 | 2 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $34.60 | $93.50 | $6.78 – $10.07 | 2 |
| Thromboxane urine CPT 84431 | not published | not published | $26.16 – $26.16 | 1 |
| Thumb fusion with graft CPT 26820 | not published | not published | $820.73 – $832.50 | 2 |
| Thumb fusion with graft CPT 26842 | not published | not published | $836.64 – $837.35 | 2 |
| Thumb tendon transfer CPT 26510 | not published | not published | $622.58 – $629.75 | 2 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,533.40 – $1,609.54 | 2 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,163.13 – $1,168.19 | 2 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,261.21 – $1,333.20 | 2 |
| Thyroglobulin antibody CPT 86800 | $56.89 | $153.75 | $16.68 – $24.77 | 2 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,533.93 – $1,547.91 | 2 |
| Thyroid imaging CPT 78013 | $176.21 | $476.25 | $182.17 – $182.17 | 1 |
| Thyroid met imaging CPT 78015 | not published | not published | $42.26 – $199.42 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $51.68 – $263.38 | 2 |
| Thyroid mets imag whole body CPT 78018 | $589.32 | $1,592.75 | $54.25 – $286.72 | 2 |
| Thyroid met uptake CPT 78020 | not published | not published | $37.89 – $58.94 | 2 |
| Thyroid (TSH) Test CPT 84443 | $83.07 | $224.50 | $17.72 – $26.16 | 2 |
| Thyroid Ultrasound CPT 76536 | $408.02 | $1,102.75 | $34.42 – $90.19 | 2 |
| Thyroid uptake measurement CPT 78012 | $134.03 | $362.25 | $74.74 – $74.74 | 1 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.55 – $78.49 | 2 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.42 | $166.00 | $15.63 – $23.02 | 2 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $861.62 – $863.84 | 2 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,097.18 – $1,109.61 | 2 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $873.63 – $873.63 | 1 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $455.06 – $455.06 | 1 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $378.93 – $378.93 | 1 |
| Tilt table study CPT 93660 | $487.29 | $1,317.00 | $64.68 – $74.32 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $696.08 | $1,881.30 | $7.98 – $7.98 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $155.31 – $229.28 | 2 |
| Tissue culture skin/biopsy CPT 88233 | $560.27 | $1,514.25 | $148.53 – $219.10 | 2 |
| Tissue culture tumor CPT 88239 | $320.05 | $865.00 | $155.57 – $229.68 | 2 |
| Tissue exam koh skin/hair/nails CPT 87220 | $21.09 | $57.00 | $4.43 – $6.65 | 2 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $862.33 – $1,059.78 | 2 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,131.30 – $1,320.20 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $995.13 – $1,165.48 | 2 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,351.30 – $1,495.99 | 2 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,698.79 – $2,848.94 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,773.32 – $2,973.10 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $511.81 – $512.34 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $65.95 | $178.25 | $16.94 – $25.11 | 2 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $34.97 | $94.50 | $25.50 – $25.50 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $34.97 | $94.50 | $25.50 – $25.50 | 1 |
| Tone decay hearing test CPT 92563 | not published | not published | $21.90 – $31.27 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $408.08 – $436.46 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $121.16 – $124.36 | 2 |
| Tongue suspension CPT 41512 | not published | not published | $666.87 – $722.42 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $429.48 – $460.21 | 2 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $277.42 – $279.34 | 2 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $288.49 – $288.67 | 2 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,510.05 – $1,531.64 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,863.15 – $1,892.08 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,507.65 – $1,617.76 | 2 |
| Total hysterectomy CPT 58150 | not published | not published | $1,127.40 – $1,140.68 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,506.93 – $1,731.60 | 2 |
| Total lung lavage CPT 32997 | not published | not published | $390.50 – $433.04 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,375.04 – $2,616.82 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,829.01 – $1,831.86 | 2 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,915.70 – $1,982.20 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $567.72 – $567.72 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,884.69 – $2,914.68 | 2 |
| Toxoplasma antibody igg CPT 86777 | $49.77 | $134.50 | $15.11 – $22.40 | 2 |
| Toxoplasma antibody igm CPT 86778 | $48.93 | $132.25 | $15.11 – $22.43 | 2 |
| Tp53 gene full gene sequence CPT 81351 | $535.76 | $1,448.00 | $728.50 – $728.50 | 1 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $373.99 – $373.99 | 1 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $198.41 – $198.41 | 1 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $226.55 – $301.63 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $381.54 – $390.31 | 2 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $127.95 – $146.93 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $472.94 – $488.82 | 2 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $338.01 – $344.30 | 2 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,306.99 – $1,306.99 | 1 |
| Transcath biopsy CPT 37200 | not published | not published | $251.02 – $291.41 | 2 |
| Transcath closure of asd CPT 93580 | not published | not published | $1,112.12 – $1,239.18 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,525.79 – $1,628.13 | 2 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $52.84 – $52.84 | 1 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $484.53 – $484.53 | 1 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $2,043.49 – $2,043.49 | 1 |
| Transcath occlusion cns CPT 61624 | not published | not published | $1,301.65 – $1,309.05 | 2 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $980.96 – $1,067.04 | 2 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $2,194.43 – $2,194.43 | 1 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $7.81 – $7.81 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $900.08 – $900.30 | 2 |
| Transfer of embryo CPT 58976 | not published | not published | $242.21 – $259.88 | 2 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $1,056.55 – $1,070.26 | 2 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $944.42 – $994.85 | 2 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $943.18 – $955.34 | 2 |
| Transferrin CPT 84466 | $53.47 | $144.50 | $13.55 – $19.87 | 2 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $414.42 – $419.05 | 2 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $684.86 – $704.99 | 2 |
| Transfusion blood/blood component(s) CPT 36430 | not published | not published | $35.58 – $39.23 | 2 |
| Transperi needle place pros CPT 55875 | not published | not published | $857.20 – $9,028.00 | 3 |
| Transplant forearm tendon CPT 25310 | not published | not published | $677.61 – $725.48 | 2 |
| Transplant forearm tendon CPT 25312 | not published | not published | $787.91 – $843.38 | 2 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $892.91 – $894.06 | 2 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $932.11 – $995.49 | 2 |
| Transplant hand tendon CPT 26480 | not published | not published | $786.13 – $794.95 | 2 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $667.44 – $672.00 | 2 |
| Transplant palm tendon CPT 26485 | not published | not published | $853.64 – $855.94 | 2 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $987.52 – $997.14 | 2 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $133.20 – $133.20 | 1 |
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.