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 |
|---|---|---|---|---|
| Vkorc1 gene CPT 81355 | $318.85 | $861.75 | $100.11 – $100.11 | 1 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $55.78 – $72.57 | 2 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $15.37 – $15.37 | 1 |
| Volume deplete of harvest CPT 38214 | not published | not published | $48.17 – $54.21 | 2 |
| Volume measurement urine timed CPT 81050 | $11.38 | $30.75 | $3.13 – $4.68 | 2 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $8.42 | $22.75 | $5.36 – $5.36 | 1 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,624.90 – $1,702.32 | 2 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $559.98 – $573.23 | 2 |
| Warde 1003990 aldosterone CPT 82088 | $124.23 | $335.75 | $43.00 – $63.45 | 2 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $111.19 | $300.50 | $29.45 – $43.29 | 2 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $91.21 | $246.50 | $13.55 – $20.08 | 2 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $104.53 | $282.50 | $26.58 – $39.32 | 2 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $98.24 | $265.50 | $16.42 – $24.13 | 2 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $36.63 | $99.00 | $8.34 – $12.48 | 2 |
| Warde 3008005 oligoclonal bands CPT 83916 | $103.95 | $280.95 | $21.11 – $31.31 | 2 |
| Warde 3016000 west nile virus antibody CPT 86788 | $106.84 | $288.75 | $17.72 – $26.23 | 2 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $108.32 | $292.75 | $15.11 – $22.40 | 2 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $85.66 | $231.50 | $13.03 – $19.08 | 2 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $58.46 | $158.00 | $9.38 – $13.61 | 2 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $31.82 | $86.00 | $19.02 – $27.99 | 2 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $161.89 – $161.89 | 1 |
| Warde 3400852 arsenic CPT 82175 | $85.01 | $229.75 | $20.06 – $29.53 | 2 |
| Warde 3708165 mercury urine CPT 83825 | $65.95 | $178.25 | $17.20 – $25.31 | 2 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $91.76 | $248.00 | $7.30 – $10.88 | 2 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $126.45 | $341.75 | $40.65 – $60.13 | 2 |
| Warde aldolase CPT 82085 | $37.28 | $100.75 | $10.16 – $15.12 | 2 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $274.73 | $742.50 | $17.72 – $26.26 | 2 |
| Warde amiodarone therapeutic drug level CPT 80151 | $85.66 | $231.50 | $21.16 – $21.16 | 1 |
| Warde analysis gene hfe common variants CPT 81256 | $260.94 | $705.25 | $101.76 – $101.76 | 1 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $254.38 | $687.50 | $255.27 – $255.27 | 1 |
| Warde apolipoprotein b CPT 82172 | $34.69 | $93.75 | $16.42 – $24.13 | 2 |
| Warde bile acids CPT 82239 | $33.86 | $91.50 | $17.98 – $26.66 | 2 |
| Warde cadmium blood CPT 82300 | $83.53 | $225.75 | $24.49 – $36.04 | 2 |
| Warde calcitonin CPT 82308 | $87.51 | $236.50 | $28.14 – $41.71 | 2 |
| Warde calculus (stone) infrared CPT 82365 | $49.67 | $134.25 | $13.55 – $20.08 | 2 |
| Warde clozapine therapeutic drug level CPT 80159 | $59.57 | $161.00 | $28.80 – $28.80 | 1 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $126.08 | $340.75 | $23.19 – $34.20 | 2 |
| Warde collagen cross links c-telopeptide CPT 82523 | $85.84 | $232.00 | $19.80 – $29.09 | 2 |
| Warde complement total hemolytic CPT 86162 | $141.43 | $382.25 | $21.37 – $31.64 | 2 |
| Warde copper CPT 82525 | $102.40 | $276.75 | $13.03 – $19.32 | 2 |
| Warde cryoglobulin CPT 82595 | $26.46 | $71.50 | $6.78 – $10.07 | 2 |
| Warde erythropoietin CPT 82668 | $76.31 | $206.25 | $19.80 – $29.26 | 2 |
| Warde estrogen fractionated CPT 82671 | not published | not published | $34.14 – $50.29 | 2 |
| Warde folic acid rbc CPT 82747 | $66.19 | $178.90 | $18.24 – $26.97 | 2 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $84.82 | $229.25 | $10.16 – $15.10 | 2 |
| Warde gastrin CPT 82941 | $65.58 | $177.25 | $18.50 – $27.46 | 2 |
| Warde growth hormone (hgh) CPT 83003 | $57.35 | $155.00 | $17.46 – $25.96 | 2 |
| Warde haloperidol therapeutic drug level CPT 80173 | $176.58 | $477.25 | $15.37 – $22.68 | 2 |
| Warde helminth antibody strongyloides igg CPT 86682 | $77.52 | $209.50 | $13.81 – $20.25 | 2 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $68.08 | $184.00 | $13.55 – $20.04 | 2 |
| Warde hepatitis a antibody CPT 86708 | $62.25 | $168.25 | $13.03 – $19.28 | 2 |
| Warde hepatitis be antibody CPT 86707 | $42.83 | $115.75 | $12.25 – $18.01 | 2 |
| Warde hepatitis delta agent antibody CPT 86692 | $110.82 | $299.50 | $17.98 – $26.72 | 2 |
| Warde immunofixation electrophoresis urine CPT 86335 | $108.97 | $294.50 | $14.66 – $45.70 | 2 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $46.53 | $125.75 | $12.25 – $17.94 | 2 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $392.11 | $1,059.75 | $271.53 – $400.83 | 2 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $445.48 | $1,204.00 | $20.85 – $30.80 | 2 |
| Warde lipoprotein (a) CPT 83695 | $72.06 | $194.75 | $13.55 – $20.16 | 2 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $54.02 | $146.00 | $35.70 – $52.85 | 2 |
| Warde neutralization rabies CPT 86382 | not published | not published | $17.72 – $26.33 | 2 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $79.27 | $214.25 | $20.63 – $20.63 | 1 |
| Warde protein c antigen CPT 85302 | $164.28 | $444.00 | $12.77 – $18.70 | 2 |
| Warde sex hormone binding globulin CPT 84270 | $43.20 | $116.75 | $22.93 – $33.83 | 2 |
| Warde somatomedin CPT 84305 | $106.75 | $288.50 | $22.41 – $33.11 | 2 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $32.19 | $87.00 | $5.73 – $8.56 | 2 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $115.44 | $312.00 | $16.68 – $24.54 | 2 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $180.01 | $486.50 | $53.68 – $79.18 | 2 |
| Warde topiramate therapeutic drug level CPT 80201 | $76.04 | $205.50 | $12.51 – $18.56 | 2 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $123.51 | $333.80 | $27.62 – $40.59 | 2 |
| Warde viscosity CPT 85810 | $42.92 | $116.00 | $12.25 – $18.17 | 2 |
| Warde vitamin a CPT 84590 | $59.66 | $161.25 | $12.25 – $18.00 | 2 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $83.99 | $227.00 | $22.41 – $33.05 | 2 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $126.82 | $342.75 | $29.71 – $43.74 | 2 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $98.98 | $267.50 | $10.42 – $14.49 | 2 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $140.32 | $379.25 | $40.65 – $59.94 | 2 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $46.90 | $126.75 | $14.85 – $22.08 | 2 |
| Warde zinc CPT 84630 | $57.81 | $156.25 | $11.99 – $17.73 | 2 |
| Wash harvest stem cells CPT 38209 | not published | not published | $14.11 – $16.33 | 2 |
| Wbc automated CPT 85048 | not published | not published | $2.61 – $3.95 | 2 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $898.46 – $941.60 | 2 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $806.22 – $833.69 | 2 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $178.02 – $178.02 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $178.02 – $178.02 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $1,046.58 – $1,046.58 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $76.93 – $78.49 | 2 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $77.27 – $87.97 | 2 |
| Western blot test CPT 84181 | $235.78 | $637.25 | $14.66 – $26.51 | 2 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,460.74 – $1,460.74 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $102.75 – $103.01 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $206.46 | $558.00 | $28.17 – $32.35 | 2 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $249.66 | $674.75 | $30.57 – $35.39 | 2 |
| Wrist arthroscopy CPT 29840 | not published | not published | $481.28 – $492.60 | 2 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $517.62 – $530.58 | 2 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $538.82 – $543.32 | 2 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $616.45 – $631.76 | 2 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $567.09 – $570.38 | 2 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $589.23 – $595.13 | 2 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $534.66 – $559.00 | 2 |
| Wrist X-ray CPT 73110 | $263.81 | $713.00 | $10.66 – $26.96 | 2 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $863.63 – $1,082.89 | 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.