Ascension St. John Medical Center (St. John Medical Center, Inc.)
1923 S Utica Ave, Tulsa, OK · Ascension · · NPI 1154417368
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 |
|---|---|---|---|---|
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $315.17 | $851.80 | $185.43 – $185.43 | 5 |
| Connect omega .5mm HCPCS L8613 | $847.52 | $2,290.60 | $443.64 – $502.25 | 6 |
| Connector tis 2x10mm HCPCS C9352 | $2,904.59 | $7,850.25 | $568.93 – $568.93 | 5 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $573.65 – $1,006.10 | 7 |
| Construction of vagina CPT 57291 | not published | not published | $581.53 – $999.98 | 7 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,628.65 – $3,015.56 | 7 |
| Construct vagina with graft CPT 57292 | not published | not published | $904.30 – $1,542.12 | 7 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $41.17 – $226.00 | 30 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $138.66 | $374.75 | $29.11 – $3,108.20 | 30 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $38.39 | $103.75 | $11.35 – $92.04 | 7 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $86.49 | $233.75 | $31.86 – $652.00 | 30 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $82.33 | $222.50 | $41.33 – $203.28 | 30 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $37.34 – $180.96 | 30 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $151.95 – $652.00 | 30 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $61.98 – $1,518.28 | 30 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $71.83 – $490.44 | 30 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $48.67 – $92.83 | 7 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $780.34 – $1,244.18 | 7 |
| Contour of face bone lesion CPT 21029 | not published | not published | $682.73 – $1,202.69 | 7 |
| Contrast baths charges CPT 97034 | not published | not published | $12.82 – $51.28 | 30 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,568.06 | $4,238.00 | $72.35 – $320.59 | 7 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $32.73 – $431.36 | 7 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,701.56 | $7,301.50 | $74.05 – $319.82 | 7 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $20.08 – $677.36 | 30 |
| Contrast x-ray of ankle CPT 73615 | $517.26 | $1,398.00 | $33.77 – $1,358.84 | 30 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $74.10 – $1,358.84 | 30 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $76.08 – $3,006.08 | 30 |
| Contrast x-ray of elbow CPT 73085 | $517.26 | $1,398.00 | $33.48 – $1,358.84 | 30 |
| Contrast x-ray of hip CPT 73525 | $497.28 | $1,344.00 | $34.17 – $1,358.84 | 30 |
| Contrast x-ray of knee joint CPT 73580 | $497.28 | $1,344.00 | $34.17 – $1,358.84 | 30 |
| Contrast x-ray of wrist CPT 73115 | $497.28 | $1,344.00 | $33.88 – $1,358.84 | 30 |
| Control nosebleed pack+caut 30905 CPT 30905 | $209.05 | $565.00 | $119.25 – $490.44 | 30 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $509.57 – $864.60 | 7 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $566.85 – $968.00 | 7 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $220.89 – $883.56 | 30 |
| Control of nosebleed ant comp 30903 CPT 30903 | $251.79 | $680.50 | $90.55 – $490.44 | 30 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $213.86 | $578.00 | $63.97 – $490.44 | 30 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $487.48 | $1,317.50 | $187.90 – $1,937.64 | 30 |
| Control throat bleeding CPT 42961 | not published | not published | $465.33 – $799.29 | 7 |
| Control throat bleeding CPT 42962 | not published | not published | $575.26 – $979.56 | 7 |
| Conversion ext bil drg cath CPT 47535 | $2,915.42 | $7,879.50 | $227.62 – $453.98 | 6 |
| Convert nephrostomy catheter CPT 50434 | $1,404.71 | $3,796.50 | $222.34 – $405.48 | 6 |
| Conv gtube to jtube CPT 44373 | $816.96 | $2,208.00 | $219.65 – $387.06 | 7 |
| Coombs direct CPT 86880 | $61.98 | $167.50 | $5.73 – $226.00 | 30 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $17.95 | $48.50 | $5.99 – $652.00 | 30 |
| Coombs indirect titer reference CPT 86886 | $86.49 | $233.75 | $5.47 – $652.00 | 30 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,183.07 – $1,183.07 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $644.57 – $1,265.27 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $572.97 – $974.81 | 7 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $550.51 – $946.23 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $8.27 – $226.00 | 29 |
| Corneal smear CPT 65430 | not published | not published | $107.65 – $1,518.28 | 30 |
| Corneal transplant CPT 65710 | not published | not published | $1,106.59 – $9,479.00 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $1,233.00 – $9,479.00 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $1,252.81 – $9,479.00 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $1,245.36 – $9,479.00 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,204.19 – $9,479.00 | 8 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $5,120.80 | $13,840.00 | $785.76 – $2,153.00 | 6 |
| Coronary angio/lv gram/lt heart CPT 93458 | $5,032.46 | $13,601.25 | $715.70 – $1,948.92 | 6 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $5,720.94 | $15,462.00 | $832.10 – $2,308.77 | 6 |
| Coronary art/grft angio s&i CPT 93455 | $4,643.96 | $12,551.25 | $703.11 – $1,889.73 | 6 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,344.17 | $11,741.00 | $600.36 – $1,626.48 | 6 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $335.96 | $908.00 | $70.48 – $1,262.04 | 30 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $536.37 – $1,125.81 | 7 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $331.82 – $561.89 | 7 |
| Correct finger deformity CPT 26567 | not published | not published | $718.61 – $1,228.53 | 7 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $612.38 – $1,053.03 | 7 |
| Correction claw finger other CPT 26499 | not published | not published | $874.50 – $1,495.19 | 7 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $501.60 – $921.74 | 7 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $595.73 – $1,027.43 | 6 |
| Correction of astigmatism CPT 65772 | not published | not published | $401.33 – $3,685.16 | 30 |
| Correction of astigmatism CPT 65775 | not published | not published | $548.15 – $1,014.26 | 7 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $167.42 – $1,137.40 | 30 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $55.59 – $490.44 | 30 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $138.79 – $3,685.16 | 30 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,637.26 – $2,778.83 | 7 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $711.29 – $1,229.90 | 7 |
| Correct rectal prolapse CPT 45541 | not published | not published | $998.37 – $1,737.36 | 7 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,167.50 – $1,984.29 | 7 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $125.41 – $2,329.08 | 30 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $536.30 – $925.52 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $514.44 – $1,027.86 | 7 |
| Cortisol acth stimulation test - sendout CPT 80400 | $110.82 | $299.50 | $32.62 – $130.48 | 30 |
| Cortisol total am CPT 82533 | $61.70 | $166.75 | $16.30 – $65.20 | 30 |
| Costotransversectomy CPT 21610 | not published | not published | $1,181.39 – $2,072.72 | 7 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $45.79 | $123.75 | $92.63 – $92.63 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $46.62 | $126.00 | $16.47 – $88.72 | 30 |
| Counseling smoke cess interm >10mins CPT 99407 | $91.48 | $247.25 | $28.34 – $113.36 | 30 |
| Cover eye w/membrane CPT 65778 | not published | not published | $63.41 – $3,685.16 | 29 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $167.36 – $536.72 | 6 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $39.49 – $157.96 | 23 |
| #covid19rsv-rsv CPT 87634 | $77.92 | $210.60 | $70.20 – $280.80 | 24 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $32.91 | $88.95 | $13.03 – $52.12 | 30 |
| C-peptide CPT 84681 | $79.64 | $215.25 | $20.81 – $83.24 | 30 |
| Cptrized corneal topography CPT 92025 | not published | not published | $14.64 – $226.00 | 30 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $15.46 – $226.00 | 29 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $296.21 – $1,184.84 | 23 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,560.49 – $4,354.28 | 7 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,769.76 – $2,997.86 | 7 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $2,142.97 – $3,628.46 | 7 |
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.