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 |
|---|---|---|---|---|
| Bx breast add lesion mr imag CPT 19086 | $98.24 | $265.50 | $104.79 – $104.79 | 1 |
| Bx breast add lesion strtctc CPT 19082 | $386.19 | $1,043.75 | $96.45 – $96.45 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $93.33 | $252.25 | $89.84 – $89.84 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $78.89 – $79.00 | 2 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $150.80 – $158.53 | 2 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,285.45 – $2,374.89 | 2 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $465.56 – $468.79 | 2 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $273.59 – $282.56 | 2 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,689.34 – $1,738.82 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $3,297.44 | $8,912.00 | $447.84 – $451.66 | 2 |
| Bx liver with other CPT 47001 | $601.53 | $1,625.75 | $118.32 – $118.35 | 2 |
| Bx muscle CPT 20200 | not published | not published | $104.31 – $106.45 | 2 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $144.53 – $146.99 | 2 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $234.83 – $244.56 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $180.56 – $190.51 | 2 |
| Bx pancreas pq ndl CPT 48102 | $719.65 | $1,945.00 | $274.75 – $309.76 | 2 |
| Bx perianal mass CPT 46999 | not published | not published | not published | 0 |
| Bx pleura pq ndl CPT 32400 | $1,907.07 | $5,154.25 | $99.11 – $109.37 | 2 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $416.90 – $474.77 | 2 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $364.57 – $389.93 | 2 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $181.33 – $184.85 | 2 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $176.37 – $178.54 | 2 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $220.60 – $222.35 | 2 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $759.33 – $765.66 | 2 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,196.40 | $3,233.50 | $365.21 – $391.95 | 2 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,907.07 | $5,154.25 | $172.58 – $176.00 | 2 |
| Bx spinal cord pq ndl CPT 62269 | $1,907.07 | $5,154.25 | $301.85 – $318.31 | 2 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,907.07 | $5,154.25 | $192.61 – $195.81 | 2 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $803.18 | $2,170.75 | $89.52 – $98.40 | 2 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $349.37 | $944.25 | $75.25 – $76.72 | 2 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $67.54 – $70.94 | 2 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $33.60 – $35.02 | 2 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $72.25 – $72.25 | 1 |
| C1 esterase inhibitor func - sendout CPT 86161 | $83.90 | $226.75 | $12.77 – $18.68 | 2 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,490.43 – $2,652.86 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,781.22 – $2,947.89 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,998.86 – $3,161.58 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,115.74 – $2,279.63 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,188.33 – $2,342.06 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $599.70 – $618.80 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,405.34 – $2,557.39 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,735.34 – $2,883.27 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,816.28 – $2,948.24 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $213.74 – $224.56 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $469.48 – $486.53 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $620.88 – $648.75 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $744.86 – $784.81 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $835.89 – $892.25 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $947.54 – $1,018.21 | 2 |
| Cacna1a gene full gene seq CPT 81185 | $710.68 | $1,920.75 | $960.52 – $960.52 | 1 |
| Cadd pump refill CPT 96521 | not published | not published | $141.13 – $142.98 | 2 |
| Calcium 24 hour urine CPT 82340 | $35.06 | $94.75 | $6.25 – $9.39 | 2 |
| Calcium ionized CPT 82330 | $49.58 | $134.00 | $14.33 – $21.29 | 2 |
| Calcium total CPT 82310 | $36.35 | $98.25 | $5.47 – $8.04 | 2 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $13.55 – $20.04 | 2 |
| Calculus analysis qual CPT 82355 | not published | not published | $12.25 – $18.02 | 2 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $4.68 – $4.68 | 1 |
| Calprotectin fecal CPT 83993 | $102.77 | $277.75 | $20.59 – $30.57 | 2 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.81 – $20.43 | 2 |
| Candida dna CPT 87480 | $66.05 | $178.50 | $21.11 – $31.22 | 2 |
| Candida skin test CPT 86485 | $50.97 | $137.75 | $8.60 – $8.60 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $153.01 – $179.10 | 2 |
| Canthotomy 67715 CPT 67715 | $1,128.78 | $3,050.75 | $108.13 – $116.50 | 2 |
| Capsular contracture release CPT 23020 | not published | not published | $753.49 – $757.69 | 2 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $282.04 – $299.58 | 2 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $370.02 – $383.71 | 2 |
| Carbamazepine free CPT 80157 | $48.01 | $129.75 | $14.07 – $20.63 | 2 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $21.16 – $21.16 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $59.57 | $161.00 | $15.37 – $22.68 | 2 |
| Carbohydrate deficient transf - sendout CPT 82373 | $123.49 | $333.75 | $19.02 – $28.11 | 2 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.73 – $8.56 | 2 |
| Carbon dioxide CPT 82374 | $22.76 | $61.50 | $5.21 – $7.60 | 2 |
| Carboxyhemoglobin quantitative CPT 82375 | $45.23 | $122.25 | $13.03 – $19.18 | 2 |
| Carcinoembryonic ag (cea) CPT 82378 | $59.48 | $160.75 | $20.06 – $29.52 | 2 |
| Cardiac drug stress test CPT 93024 | not published | not published | $55.34 – $64.12 | 2 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $195.06 – $226.35 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $390.20 – $390.20 | 1 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $268.04 – $268.04 | 1 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,379.27 | $3,727.75 | $287.80 – $287.80 | 1 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $15.73 – $18.60 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $9.85 – $11.92 | 2 |
| Cardiac shunt imaging CPT 78428 | $332.54 | $898.75 | $51.00 – $151.64 | 2 |
| Cardiac Stress Test CPT 93015 | not published | not published | $81.23 – $114.60 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $209.77 – $223.87 | 2 |
| Cardiolipin antibody iga CPT 86147 | $71.50 | $193.25 | $26.84 – $39.62 | 2 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $551.12 | $1,489.50 | $122.52 – $162.55 | 2 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $281.31 – $318.98 | 2 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $43.11 – $43.11 | 1 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $910.64 – $910.64 | 1 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $910.64 – $910.64 | 1 |
| Carotene CPT 82380 | $57.91 | $156.50 | $9.64 – $14.36 | 2 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $347.52 | $939.25 | $38.08 – $164.92 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $442.88 – $464.01 | 2 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $27.48 – $27.48 | 1 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $9.81 – $9.81 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $693.12 – $774.59 | 2 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $745.79 – $805.77 | 2 |
| Catecholamines,fractionated, urine CPT 82382 | $70.67 | $191.00 | $18.24 – $26.76 | 2 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $757.37 – $757.37 | 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.