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 |
|---|---|---|---|---|
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,625.64 – $1,721.42 | 2 |
| Treatment of heel fracture 28400 CPT 28400 | $258.82 | $699.50 | $230.75 – $244.52 | 2 |
| Treatment of miscarriage CPT 59821 | not published | not published | $394.91 – $395.45 | 2 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $177.77 – $187.67 | 2 |
| Treatment of penis lesion CPT 54110 | not published | not published | $702.60 – $779.35 | 2 |
| Treatment of penis lesion CPT 54115 | not published | not published | $476.96 – $521.31 | 2 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $42.40 – $44.73 | 2 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $578.95 – $626.38 | 2 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $540.71 – $681.68 | 2 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $1,434.21 – $1,509.07 | 2 |
| Treatment of thigh fracture CPT 27501 | $394.98 | $1,067.50 | $531.99 – $546.06 | 2 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $881.41 – $882.31 | 2 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $1,481.74 – $1,482.29 | 2 |
| Treatment of thigh fracture CPT 27508 | $227.74 | $615.50 | $521.62 – $537.94 | 2 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $695.20 – $701.69 | 2 |
| Treatment of thigh fracture CPT 27510 | $2,628.48 | $7,104.00 | $752.28 – $765.86 | 2 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $1,107.36 – $1,137.72 | 2 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $616.80 – $631.47 | 2 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $980.92 – $982.90 | 2 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $1,104.46 – $1,113.84 | 2 |
| Treatment of toe fracture 28510 CPT 28510 | $376.11 | $1,016.50 | $118.80 – $129.31 | 2 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $511.95 – $559.95 | 2 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $200.92 – $218.55 | 2 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $208.07 – $229.60 | 2 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $233.08 – $233.08 | 1 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $334.62 – $1,061.98 | 2 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $501.65 – $516.03 | 2 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $585.60 – $627.38 | 2 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $358.64 – $380.60 | 2 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $585.33 – $595.46 | 2 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $281.71 – $284.97 | 2 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $680.15 – $692.07 | 2 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,032.83 – $1,194.94 | 2 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $968.62 – $1,129.07 | 2 |
| Treat penis lesion graft CPT 54111 | not published | not published | $907.95 – $1,009.49 | 2 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,056.25 – $1,185.20 | 2 |
| Treat radius fracture CPT 24665 | not published | not published | $701.05 – $713.91 | 2 |
| Treat radius fracture CPT 24666 | not published | not published | $799.22 – $805.06 | 2 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $200.75 – $211.37 | 2 |
| Treat skull fracture CPT 62000 | not published | not published | $949.01 – $1,077.06 | 2 |
| Treat skull fracture CPT 62005 | not published | not published | $1,330.64 – $1,416.15 | 2 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,008.70 – $1,013.95 | 2 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $175.97 – $178.51 | 2 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $170.16 – $175.06 | 2 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.86 – $154.02 | 2 |
| Treat tail bone fracture CPT 27202 | not published | not published | $608.88 – $687.13 | 2 |
| Treat thigh fracture CPT 27230 | $394.98 | $1,067.50 | $494.38 – $514.12 | 2 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,005.35 – $1,008.57 | 2 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,323.63 – $1,325.96 | 2 |
| Treat thigh fracture CPT 27238 | $2,289.56 | $6,188.00 | $484.69 – $502.34 | 2 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,365.09 – $1,409.24 | 2 |
| Treat thigh fracture CPT 27246 | $376.11 | $1,016.50 | $411.12 – $421.62 | 2 |
| Treat thigh fracture CPT 27248 | not published | not published | $821.13 – $833.35 | 2 |
| Treat thigh fx growth plate CPT 27516 | $394.98 | $1,067.50 | $485.79 – $516.31 | 2 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $705.65 – $731.90 | 2 |
| Treat thumb fracture CPT 26650 | not published | not published | $500.53 – $516.13 | 2 |
| Treat thumb fracture CPT 26665 | not published | not published | $650.68 – $684.86 | 2 |
| Treat toe dislocation CPT 28636 | not published | not published | $226.61 – $245.47 | 2 |
| Treat toe dislocation CPT 28665 | not published | not published | $145.79 – $152.41 | 2 |
| Treat toe dislocation CPT 28666 | not published | not published | $204.55 – $217.07 | 2 |
| Treat toe fracture CPT 28525 | not published | not published | $428.23 – $437.41 | 2 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $909.44 – $985.06 | 2 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,179.66 – $1,230.58 | 2 |
| Treat ulnar fracture CPT 24675 | $2,628.48 | $7,104.00 | $436.11 – $446.41 | 2 |
| Treat ulnar fracture CPT 24685 | not published | not published | $704.21 – $715.06 | 2 |
| Treat vaginal bleeding CPT 57180 | $142.27 | $384.50 | $115.76 – $121.65 | 2 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $402.71 – $408.17 | 2 |
| Treat wrist dislocation CPT 25675 | $266.40 | $720.00 | $410.32 – $426.79 | 2 |
| Treponema pallidum antibody CPT 86780 | $59.02 | $159.50 | $20.61 – $20.61 | 1 |
| Treprostinil injection HCPCS J3285 | $4,774.98 | $12,905.36 | $55.89 – $55.89 | 1 |
| Trg gene rearrangement anal CPT 81342 | $214.32 | $579.25 | $313.71 – $313.71 | 1 |
| Triamcinolone a inj prs-free HCPCS J3300 | $6.68 | $18.05 | $3.59 – $3.59 | 1 |
| Trichinella antibody CPT 86784 | $41.07 | $111.00 | $13.29 – $19.56 | 2 |
| Trichomonas assay w/optic CPT 87808 | $23.31 | $63.00 | $12.77 – $18.66 | 2 |
| Triglycerides CPT 84478 | $19.80 | $53.50 | $5.99 – $8.94 | 2 |
| Trim nail(s) HCPCS G0127 | $132.92 | $359.25 | $8.73 – $8.73 | 1 |
| Trim nondyst nails CPT 11719 | $120.25 | $325.00 | $8.73 – $10.55 | 2 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,027.81 – $1,027.81 | 1 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,077.08 – $1,077.08 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $754.80 | $2,040.00 | $512.05 – $525.16 | 2 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $1,238.00 – $1,238.00 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $1,133.45 – $1,343.44 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $928.36 – $928.36 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $245.60 – $245.60 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $173.52 – $173.52 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $344.42 – $344.42 | 1 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $346.62 – $346.62 | 1 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $442.76 – $442.76 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $268.70 – $268.70 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $141.22 – $141.22 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $386.33 – $386.33 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $976.30 – $976.30 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $248.35 – $248.35 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,456.14 | $3,935.50 | $740.17 – $742.36 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $919.78 – $922.85 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $791.89 – $795.38 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $714.14 – $722.35 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $536.33 – $550.57 | 2 |
| Troponin quantitative CPT 84484 | $119.05 | $321.75 | $10.42 – $15.32 | 2 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $1,169.59 – $1,266.97 | 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.