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 |
|---|---|---|---|---|
| Biopsy finger joint lining CPT 26110 | not published | not published | $332.42 – $348.57 | 2 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $391.19 – $401.32 | 2 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $338.88 – $351.77 | 2 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $431.23 – $449.24 | 2 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $179.03 – $181.09 | 2 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $715.47 – $721.06 | 2 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,907.07 | $5,154.25 | $66.27 – $72.79 | 2 |
| Biopsy needle liver percutaneous CPT 47000 | $1,141.82 | $3,086.00 | $101.81 – $121.71 | 2 |
| Biopsy needle lymph node superficial CPT 38505 | $1,124.62 | $3,039.50 | $79.57 – $86.78 | 2 |
| Biopsy of cornea CPT 65410 | not published | not published | $107.65 – $113.85 | 2 |
| Biopsy of epididymis CPT 54800 | not published | not published | $149.75 – $166.62 | 2 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $341.58 – $352.36 | 2 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $313.01 – $320.95 | 2 |
| Biopsy of heart lining CPT 93505 | not published | not published | $299.00 – $484.32 | 2 |
| Biopsy of hip joint CPT 27052 | not published | not published | $602.57 – $634.95 | 2 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $123.76 – $135.11 | 2 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $82.51 – $83.38 | 2 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $86.12 – $95.83 | 2 |
| Biopsy of nerve CPT 64795 | not published | not published | $216.20 – $216.60 | 2 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $454.05 – $470.58 | 2 |
| Biopsy of penis CPT 54105 | not published | not published | $238.26 – $267.57 | 2 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $140.09 – $142.64 | 2 |
| Biopsy of prostate CPT 55700 | $2,412.22 | $6,519.50 | $148.39 – $172.82 | 2 |
| Biopsy of prostate CPT 55705 | not published | not published | $298.82 – $336.93 | 2 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $307.80 – $330.40 | 2 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $377.94 – $421.53 | 2 |
| Biopsy of salivary gland 42400 CPT 42400 | $440.21 | $1,189.75 | $60.94 – $65.04 | 2 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $251.38 – $254.29 | 2 |
| Biopsy of tear gland CPT 68510 | not published | not published | $308.52 – $320.21 | 2 |
| Biopsy of tear sac CPT 68525 | not published | not published | $285.04 – $291.66 | 2 |
| Biopsy of testis CPT 54500 | not published | not published | $84.00 – $95.05 | 2 |
| Biopsy of testis CPT 54505 | not published | not published | $234.83 – $265.49 | 2 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $265.98 – $291.54 | 2 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $123.47 – $124.59 | 2 |
| Biopsy of urethra CPT 53200 | $2,396.58 | $6,477.25 | $160.69 – $177.93 | 2 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $366.57 – $367.47 | 2 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | not published | 0 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $459.94 – $485.44 | 2 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $507.18 – $515.59 | 2 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,141.82 | $3,086.00 | $146.35 – $178.63 | 2 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $117.99 – $120.93 | 2 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $916.68 | $2,477.50 | $172.77 – $173.48 | 2 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $412.36 – $435.33 | 2 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $119.40 – $119.44 | 2 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $138.25 – $140.66 | 2 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $112.26 – $118.51 | 2 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $459.61 – $469.08 | 2 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $414.60 – $428.34 | 2 |
| Biospy of bladder CPT 53899 | not published | not published | $2,058.50 – $2,058.50 | 1 |
| Biotinidase - quest CPT 82261 | $78.26 | $211.50 | $17.72 – $26.26 | 2 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $125.39 – $125.39 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $188.15 | $508.50 | $40.29 – $56.57 | 2 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $145.33 – $155.41 | 2 |
| Bld prd mix CPT 86965 | $61.98 | $167.50 | $13.55 – $13.55 | 1 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $61.46 – $62.39 | 2 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $513.70 – $568.37 | 2 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $392.51 – $421.72 | 2 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $588.21 – $649.29 | 2 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $545.88 – $589.16 | 2 |
| Blink reflex test CPT 95933 | $95.74 | $258.75 | $36.44 – $45.64 | 2 |
| Blm gene CPT 81209 | not published | not published | $44.62 – $44.62 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,644.28 | $4,444.00 | $89.99 – $108.33 | 2 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $81.22 – $95.67 | 2 |
| Block paracervical nrv CPT 64435 | not published | not published | $92.60 – $97.00 | 2 |
| Block plantar digital nerve CPT 64455 | not published | not published | $39.58 – $47.38 | 2 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $83.97 – $83.97 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $70.52 – $70.52 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $29.60 | $80.00 | $4.17 – $6.12 | 2 |
| Blood Clotting (PTT) Test CPT 85730 | $22.11 | $59.75 | $6.25 – $9.35 | 2 |
| Blood Count (CBC) Test CPT 85025 | $45.33 | $122.50 | $8.08 – $12.10 | 2 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $29.60 | $80.00 | $6.78 – $10.07 | 2 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $2.61 – $3.69 | 2 |
| Blood Culture Test CPT 87040 | $61.70 | $166.75 | $10.94 – $16.07 | 2 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $5.17 – $5.17 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $29.97 – $44.17 | 2 |
| Blood gases ph venous CPT 82800 | $32.93 | $89.00 | $8.86 – $13.18 | 2 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $58.28 | $157.50 | $16.68 – $24.77 | 2 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $20.17 | $54.50 | $3.39 – $5.06 | 2 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $3.39 – $5.06 | 2 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.98 | $67.50 | $3.39 – $5.06 | 2 |
| Blood smear interpretation CPT 85060 | not published | not published | $18.09 – $27.68 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $32.47 | $87.75 | $3.65 – $5.35 | 2 |
| Blood typing abo CPT 86900 | $37.56 | $101.50 | $3.13 – $4.65 | 2 |
| Blood typing ag donor ea ag CPT 86902 | $64.29 | $173.75 | $5.96 – $5.96 | 1 |
| Blood typing patient serum CPT 86904 | not published | not published | $9.90 – $14.81 | 2 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $37.56 | $101.50 | $3.91 – $5.96 | 2 |
| Blood typing rh (d) CPT 86901 | $35.98 | $97.25 | $3.13 – $4.65 | 2 |
| Blood typing rh phenotype complete reference CPT 86906 | $42.09 | $113.75 | $8.08 – $12.07 | 2 |
| Blood volume CPT 78122 | not published | not published | $28.46 – $79.42 | 2 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $171.26 – $252.60 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $109.34 | $295.50 | $12.46 – $31.27 | 2 |
| Bone imaging multiple areas CPT 78305 | $295.17 | $797.75 | $52.05 – $201.21 | 2 |
| Bone/joint imaging ltd area CPT 78300 | $378.88 | $1,024.00 | $39.12 – $158.46 | 2 |
| Bone marrow;aspiration only 38220 CPT 38220 | $817.05 | $2,208.25 | $69.25 – $72.03 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $593.30 | $1,603.50 | $83.90 – $91.40 | 2 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $222.98 – $364.71 | 2 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $220.14 – $220.14 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $50.75 – $218.45 | 2 |
| Bone marrow imaging ltd CPT 78102 | $350.95 | $948.50 | $34.74 – $151.64 | 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.