Lavage cannulation maxillary sinus at Ascension St. John Medical Center (St. John Medical Center, Inc.)

1923 S Utica Ave, Tulsa, OK · Ascension · · NPI 1154417368

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$111.70 with FIRST HEALTH vs $883.56 with OPTUM HEALTH — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
FIRST HEALTH 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 $111.70
AETNA WHOLE HEALTH 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 $114.03
BLUE CROSS BLUE SHIELD PREFERRED 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 $181.58
BLUE CROSS BLUE SHIELD LINCS 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 $181.58
BLUE CROSS BLUE SHIELD BLUE ADVANTAGE 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 $194.55
BLUE CROSS BLUE SHIELD CHOICE 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 $194.55
BLUE CROSS BLUE SHIELD TRADITIONAL 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 $194.55
VETERANS ADMINISTRATION 2992_VETERANS ADMINISTRATION 20251001 $220.89
CHAMPVA 2690_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA OUTPATIENT 20250101 $220.89
CHAMPVA 2969_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA INPATIENT 20251001 $220.89
COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT 2683_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NETWORK OUTPATIENT GOVERNMENT 20250101 $220.89
COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT 2970_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NEWTORK INPATIENT GOVERNMENT 20251001 $220.89
COMMUNITYCARE SENIOR 2681_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT GOVERNMENT PROGRAM 20250101 $220.89
COMMUNITYCARE SENIOR 2978_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE INPATIENT GOVERNMENT PROGRAM 20251001 $220.89
LIFE PACE 2702_MEDICARE ADVANTAGE LIFE PACE OUTPATIENT 20250101 $220.89
LIFE PACE 2984_MEDICARE ADVANTAGE LIFE PACE INPATIENT 20251001 $220.89
LONGEVITY HEALTH PLAN OF OKLAHOMA 2697_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA OUTPATIENT 20250101 $220.89
LONGEVITY HEALTH PLAN OF OKLAHOMA 2985_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA INPATIENT 20251001 $220.89
MISC MEDICARE ADVANTAGE 2701_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED OUTPATIENT 20250101 $220.89
MISC MEDICARE ADVANTAGE 2987_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED INPATIENT 20251001 $220.89
VA COMMUNITY CARE NETWORK 1218_VETERAN AFFAIRS COMMUNITY CARE NETWORK OUTPATIENT 20191001 $220.89
VA COMMUNITY CARE NETWORK 2964_VETERAN AFFAIRS COMMUNITY CARE NETWORK INPATIENT 20251001 $220.89
VA OPTUM 2679_VA OPTUM HEALTH OUTPATIENT 20250101 $220.89
VA OPTUM 2963_VA OPTUM HEALTH INPATIENT 20251001 $220.89
HUMANA MCR 2700_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 $223.10
HUMANA MCR 2982_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 $223.10
UNITED HEALTH CARE MEDICARE 2698_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE OUTPATIENT 20250101 $227.52
UHC CHEROKEE NATION 2699_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES OUTPATIENT 20250101 $227.52
UHC CHEROKEE NATION 2990_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES INPATIENT 20251001 $227.52
UNITED HEALTH CARE MEDICARE 2991_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE INPATIENT 20251001 $227.52
BLUE CROSS BLUE SHIELD MEDICARE 2695_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE OUTPATIENT 20250101 $231.93
BLUE CROSS BLUE SHIELD MEDICARE 2965_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE INPATIENT 20251001 $231.93
COMMUNITYCARE (STANDARD) 711_COMMUNITYCARE STANDARD INPATIENT 20180101 $242.98
COMMUNITY CARE (SELECT) 7/1/13 2682_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20250101 $265.07
COMMUNITY CARE (SELECT) 7/1/13 2971_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20251001 $265.07
CCL&H 2968_BAOK, JPOK, OHOK, MCOK COMMUNITY CARE LIFE AND HEALTH INPATIENT 20251001 $287.16
SMARTHEALTH 2988_BAOK, JPOK, MCOK, OHOK SMARTHEALTH INPATIENT 20251001 $309.25
SMARTHEALTH 2703_BAOK, JPOK, MCOK, OHOK SMARTHEALTH OUTPATIENT 20250101 $309.25
COMMUNITY CARE SMARTHEALTH 2973_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20251001 $331.33
COMMUNITYCARE (SELECT) 2975_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT INPATIENT 20251001 $331.33
EVOLUTIONS 2677_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS OUTPATIENT 20250101 $441.78
CONNECT HEALTH BENEFIT 2980_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT MEDICARE INPATIENT 20251001 $441.78
CONNECT HEALTH BENEFIT 2696_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT OUTPATIENT 20250101 $441.78
EVOLUTIONS 2981_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS INPATIENT 20251001 $441.78
KEMPTON GROUP ADMINISTRATORS 2983_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS INPATIENT 20251001 $497.00
KEMPTON GROUP ADMINISTRATORS 2676_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS OUTPATIENT 20250101 $497.00
COMMUNITYCARE (SELECT) 2684_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT OUTPATIENT 20250101 $508.05
COMMUNITY CARE SMARTHEALTH 2680_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20250101 $530.14
OPTUM HEALTH 2678_OPTUM HEALTH OUTPATIENT MCOK 20250101 $883.56

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Lavage cannulation maxillary sinus at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published $111.70 – $114.03
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $111.70 – $497.00
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $111.70 – $532.31
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $111.70 – $223.08
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $111.70 – $194.55

All Oklahoma hospitals for this procedure →