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 |
|---|---|---|---|---|
| Bone marrow imaging mult CPT 78103 | $395.44 | $1,068.75 | $47.21 – $194.39 | 2 |
| Bone marrow interpretation CPT 85097 | not published | not published | $37.66 – $55.93 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,794.49 – $3,083.34 | 2 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,717.81 – $2,934.92 | 2 |
| Bone survey-lead poisoning CPT 77074 | $240.22 | $649.25 | $28.46 – $42.04 | 2 |
| Boot mlti podous univ xlg HCPCS L4396 | $129.59 | $350.25 | $282.66 – $282.66 | 1 |
| Borrelia antibody CPT 86619 | not published | not published | $14.07 – $20.83 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $64.75 | $175.00 | $17.98 – $26.51 | 2 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $103.66 | $280.15 | $37.24 – $37.24 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.65 – $5.35 | 2 |
| Bowel imaging CPT 78290 | $314.22 | $849.25 | $43.13 – $314.39 | 2 |
| Brace ank air stirrup univ HCPCS L4350 | $56.65 | $153.10 | $143.99 – $143.99 | 1 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,975.62 | $5,339.50 | $1,674.82 – $1,674.82 | 1 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $803.67 – $864.99 | 2 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $267.61 – $301.82 | 2 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $309.88 – $340.30 | 2 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $368.82 – $407.49 | 2 |
| Brach/thor cath addl CPT 36218 | not published | not published | $59.24 – $64.96 | 2 |
| Brachytx isodose complex CPT 77318 | not published | not published | $208.78 – $208.78 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $153.79 – $153.79 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $118.22 – $118.22 | 1 |
| Braf gene CPT 81210 | $407.56 | $1,101.50 | $204.56 – $204.56 | 1 |
| Brain biopsy w/ct/mr guide CPT 61751 | $946.37 | $2,557.75 | $1,464.74 – $1,551.73 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,259.72 – $1,349.41 | 2 |
| Brain flow imaging only CPT 78610 | $500.89 | $1,353.75 | $19.54 – $168.52 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $27.99 – $171.75 | 2 |
| Brain image 4+ views CPT 78605 | not published | not published | $33.81 – $183.25 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $32.07 – $200.13 | 2 |
| Brain image w/flow 4 + views CPT 78606 | $657.95 | $1,778.25 | $40.45 – $314.75 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $838.98 | $2,267.50 | $113.05 – $427.19 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $686.07 | $1,854.25 | $75.27 – $265.51 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $599.59 | $1,620.50 | $75.27 – $225.99 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $1,278.91 | $3,456.50 | $148.26 – $265.51 | 2 |
| Brain MRI (with contrast) CPT 70552 | $985.40 | $2,663.25 | $112.11 – $233.19 | 2 |
| Brain MRI (without contrast) CPT 70551 | $870.98 | $2,354.00 | $92.97 – $158.45 | 2 |
| Brca1&2 gene full seq alys CPT 81163 | $1,491.93 | $4,032.25 | $531.18 – $531.18 | 1 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $663.10 – $663.10 | 1 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $106.41 – $106.41 | 1 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $342.03 – $342.03 | 1 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $321.07 – $321.07 | 1 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $210.11 – $210.11 | 1 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $106.41 – $106.41 | 1 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $321.07 – $321.07 | 1 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $201.67 – $201.67 | 1 |
| Brcassure comprehensive panel-sendout CPT 81162 | $929.26 | $2,511.50 | $2,071.24 – $2,071.24 | 1 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $698.42 – $705.43 | 2 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,598.62 | $9,726.00 | $180.42 – $180.42 | 1 |
| Breast punct aspir cyst, bil CPT 19000 | $305.62 | $826.00 | $49.38 – $53.69 | 2 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,645.80 – $1,674.20 | 2 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,983.11 – $2,001.55 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,745.91 – $1,804.58 | 2 |
| Breast reduction CPT 19318 | not published | not published | $1,219.01 – $1,247.38 | 2 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $12.86 – $65.40 | 2 |
| Breathing response hypoxia CPT 94450 | not published | not published | $23.33 – $49.95 | 2 |
| Breath recording infant CPT 94772 | not published | not published | not published | 0 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $101.40 – $108.80 | 2 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $12.24 – $12.75 | 2 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $981.06 | $2,651.50 | $144.25 – $167.52 | 2 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $77.24 – $77.24 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $252.39 – $252.39 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $279.62 – $279.62 | 1 |
| Bronchial allergy tests CPT 95070 | not published | not published | $31.27 – $46.82 | 2 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $122.40 – $133.01 | 2 |
| Bronchial challenge CPT 94070 | $156.51 | $423.00 | $31.62 – $34.03 | 2 |
| Bronchial valve init insert CPT 31647 | not published | not published | $239.45 – $239.45 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $79.23 – $79.23 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $219.34 – $219.34 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $249.89 – $270.11 | 2 |
| Bronchoscopy clear airways 31645 CPT 31645 | $910.40 | $2,460.53 | $169.02 – $193.52 | 2 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $226.32 – $244.64 | 2 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $259.60 – $276.19 | 2 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,079.11 | $2,916.50 | $56.02 – $63.95 | 2 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $3,799.90 | $10,270.00 | $200.13 – $230.09 | 2 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $72.17 – $80.14 | 2 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $212.99 – $246.29 | 2 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $284.73 – $303.03 | 2 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $292.19 – $310.62 | 2 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,583.69 | $4,280.25 | $177.90 – $205.87 | 2 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,536.52 | $4,152.75 | $198.84 – $228.15 | 2 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $226.06 – $226.06 | 1 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,799.90 | $10,270.00 | $286.39 – $313.62 | 2 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $222.80 – $222.80 | 1 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $235.15 – $235.15 | 1 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $219.89 – $219.89 | 1 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $167.15 | $451.75 | $24.69 – $26.85 | 2 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,543.96 – $1,552.10 | 2 |
| Bundled special stain group 1 microorganisms CPT 88312 | $62.07 | $167.75 | $32.68 – $71.50 | 2 |
| Bundled special stain group 2 CPT 88313 | $208.11 | $562.45 | $14.34 – $58.21 | 2 |
| Bundle his recording CPT 93600 | not published | not published | $86.93 – $8,949.00 | 2 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $768.74 – $833.62 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $414.69 – $421.72 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,338.55 – $1,415.69 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,339.93 – $1,423.88 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $962.09 – $980.59 | 2 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,068.78 – $1,119.76 | 2 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $179.18 – $184.02 | 2 |
| Bx bone trocar/ndl deep CPT 20225 | $1,064.12 | $2,876.00 | $121.58 – $137.98 | 2 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,256.00 | $8,800.00 | $210.70 – $210.70 | 1 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,598.62 | $9,726.00 | $191.77 – $191.77 | 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.