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 |
|---|---|---|---|---|
| Unlisted mr procedure CPT 76498 | not published | not published | not published | 0 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | not published | 0 |
| Unlisted muscskel px head CPT 21499 | not published | not published | not published | 0 |
| Unlisted neurological dx px CPT 95999 | not published | not published | not published | 0 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | not published | 0 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | not published | 0 |
| Unlisted orl service/px CPT 92700 | not published | not published | not published | 0 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | not published | 0 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | not published | 0 |
| Unlisted procedure larynx CPT 31599 | not published | not published | not published | 0 |
| Unlisted procedure liver CPT 47399 | not published | not published | $738.50 – $738.50 | 1 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $317.00 – $317.00 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | not published | 0 |
| Unlisted procedure rectum CPT 45999 | not published | not published | not published | 0 |
| Unlisted procedure spine CPT 22899 | not published | not published | not published | 0 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,046.58 – $1,063.60 | 2 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | not published | 0 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | not published | 0 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | not published | 0 |
| Unlisted px biliary tract CPT 47999 | not published | not published | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $96.75 – $96.75 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | not published | 0 |
| Unlisted px diaphragm CPT 39599 | not published | not published | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | not published | 0 |
| Unlisted px external ear CPT 69399 | not published | not published | not published | 0 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | not published | 0 |
| Unlisted px foot/toes CPT 28899 | not published | not published | not published | 0 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | not published | 0 |
| Unlisted px inner ear CPT 69949 | not published | not published | not published | 0 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | not published | 0 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $7,241.25 – $7,241.25 | 1 |
| Unlisted px mediastinum CPT 39499 | not published | not published | not published | 0 |
| Unlisted px med radj physics CPT 77399 | not published | not published | not published | 0 |
| Unlisted px middle ear CPT 69799 | not published | not published | not published | 0 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | not published | 0 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $164.75 – $164.75 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $2,849.75 – $2,849.75 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | not published | 0 |
| Unlisted px small intestine CPT 44799 | not published | not published | $586.38 – $586.38 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | not published | 0 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | not published | 0 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | not published | 0 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $692.25 – $692.25 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $74.09 | $200.25 | $100.13 – $100.13 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | not published | 0 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | not published | 0 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | not published | 0 |
| Upgrade pm system CPT 33214 | not published | not published | $535.32 – $31,789.00 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,390.28 | $3,757.50 | $161.59 – $268.75 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $972.27 | $2,627.75 | $120.96 – $236.06 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $976.62 | $2,639.50 | $100.59 – $151.98 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $139.96 – $169.45 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $158.31 – $200.81 | 2 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $291.48 – $318.44 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $157.94 – $206.05 | 2 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $716.16 – $776.62 | 2 |
| Urea nitrogen CPT 84520 | $20.44 | $55.25 | $4.17 – $6.15 | 2 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.47 | $87.75 | $4.95 – $7.39 | 2 |
| Urea nitrogen clearance CPT 84545 | $47.73 | $129.00 | $7.04 – $10.29 | 2 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $227.69 – $227.69 | 1 |
| Ureteral reflux study CPT 78740 | $406.35 | $1,098.25 | $36.38 – $201.93 | 2 |
| Ureter endoscopy CPT 50970 | not published | not published | $420.34 – $478.32 | 2 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $399.76 – $468.02 | 2 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $536.97 – $610.10 | 2 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $406.18 – $460.53 | 2 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $402.47 – $455.55 | 2 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $359.70 – $407.64 | 2 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $529.50 – $601.01 | 2 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $403.83 – $459.16 | 2 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,247.82 – $1,367.69 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,266.90 – $1,364.93 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $257.15 | $695.00 | $21.24 – $21.24 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $839.60 – $920.82 | 2 |
| Urethrocystography void s&i CPT 74455 | $269.36 | $728.00 | $21.24 – $66.11 | 2 |
| Uric acid blood CPT 84550 | $25.25 | $68.25 | $4.69 – $7.04 | 2 |
| Uric acid urine CPT 84560 | $23.59 | $63.75 | $4.95 – $7.39 | 2 |
| Urinalysis microscopic only CPT 81015 | $22.57 | $61.00 | $3.13 – $4.74 | 2 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.35 – $3.37 | 2 |
| Urinalysis (with microscopy) CPT 81001 | $33.02 | $89.25 | $3.39 – $4.94 | 2 |
| Urinalysis (without microscopy) CPT 81003 | $21.46 | $58.00 | $2.35 – $3.50 | 2 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $10.81 – $66.48 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $70.37 – $158.81 | 2 |
| Urine Culture Test CPT 87086 | $47.82 | $129.25 | $8.60 – $12.56 | 2 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $7.20 – $24.60 | 2 |
| Urine pregnancy test CPT 81025 | $27.01 | $73.00 | $6.78 – $9.84 | 2 |
| Urography, antegrade CPT 74425 | $297.67 | $804.50 | $23.05 – $117.19 | 2 |
| Urography inf drip &/or bolus CPT 74410 | $292.12 | $789.50 | $31.13 – $85.16 | 2 |
| Use 1st target lesion CPT 76982 | $114.33 | $309.00 | $72.19 – $72.19 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $22.15 – $22.15 | 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.