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 |
|---|---|---|---|---|
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $163.00 – $2,624.72 | 29 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $732.78 – $1,308.80 | 7 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $691.59 – $1,168.67 | 7 |
| Culture aerobic additional method definitive id each CPT 87077 | $27.38 | $74.00 | $8.08 – $32.32 | 30 |
| Culture afb any source CPT 87116 | $51.34 | $138.75 | $10.80 – $43.20 | 30 |
| Culture anaerobic additional method definitive id each CPT 87076 | $35.34 | $95.50 | $8.08 – $32.32 | 30 |
| Culture anaerobic except blood CPT 87075 | $65.49 | $177.00 | $9.47 – $37.88 | 30 |
| Culture bact stool aero addl path ea CPT 87046 | $19.43 | $52.50 | $9.44 – $37.76 | 30 |
| Culture body fluid CPT 87070 | $60.22 | $162.75 | $8.62 – $34.48 | 30 |
| Culture fungi definitive id mold CPT 87107 | $27.10 | $73.25 | $10.32 – $41.28 | 30 |
| Culture fungi definitive id yeast CPT 87106 | $41.90 | $113.25 | $10.32 – $41.28 | 30 |
| Culture fungi other (except blood) CPT 87102 | $45.51 | $123.00 | $8.41 – $33.64 | 30 |
| Culture fungi skin/hair/nail CPT 87101 | $36.45 | $98.50 | $7.71 – $30.84 | 30 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $11.47 – $58.44 | 30 |
| Culture mycoplasma any source CPT 87109 | $90.37 | $244.25 | $15.39 – $61.56 | 30 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $39.56 | 30 |
| Culture screening strep group a CPT 87081 | $43.29 | $117.00 | $6.63 – $26.52 | 30 |
| Culture typing added method CPT 87158 | not published | not published | $5.47 – $30.96 | 30 |
| Culture typing immunologic CPT 87147 | $29.32 | $79.25 | $5.18 – $20.72 | 30 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $872.24 | 23 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $140.36 | 29 |
| Culture urine each isolate CPT 87088 | $17.48 | $47.25 | $7.62 – $32.36 | 30 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $78.24 | 30 |
| Curette/treat cornea CPT 65435 | $1,317.39 | $3,560.50 | $71.41 – $3,685.16 | 30 |
| Curette/treat cornea CPT 65436 | not published | not published | $370.95 – $709.50 | 7 |
| Cv line/pic reposition CPT 36597 | $1,516.26 | $4,098.00 | $69.50 – $146.29 | 7 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $16.54 – $31.20 | 7 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $24.81 – $40.82 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $57.28 | 30 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $9.71 | $26.25 | $0.73 – $0.73 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $65.68 | $177.50 | $12.95 – $51.80 | 30 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $22.40 | $60.55 | $9.27 – $9.27 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $75.74 | $204.70 | $40.76 – $40.76 | 5 |
| Cyclosporine 2 hour CPT 80158 | $87.88 | $237.50 | $18.05 – $72.20 | 30 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.30 | $3.50 | $1.17 – $1.17 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $263.81 | $713.00 | $4.36 – $4.36 | 5 |
| Cyp2c19 gene com variants CPT 81225 | $657.12 | $1,776.00 | $291.36 – $1,165.44 | 29 |
| Cyp2c9 gene com variants CPT 81227 | $318.85 | $861.75 | $174.81 – $699.24 | 29 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $1,803.64 | 29 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $699.24 | 29 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $699.24 | 29 |
| Cystatin c CPT 82610 | $71.23 | $192.50 | $14.33 – $74.08 | 30 |
| Cystic fibrosis cftr CPT 81223 | $184.63 | $499.00 | $74.21 – $1,996.00 | 29 |
| Cystine urine quantitative CPT 82131 | $94.26 | $254.75 | $17.72 – $91.92 | 30 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $538.99 – $882.29 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $265.85 | $718.50 | $20.37 – $1,358.84 | 30 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $206.96 – $2,539.64 | 29 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,006.89 – $1,659.81 | 7 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $835.81 – $1,382.96 | 7 |
| Cystoscopy and biopsy CPT 52007 | $4,057.88 | $10,967.25 | $187.22 – $306.80 | 7 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $270.92 – $448.97 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $200.70 – $326.52 | 7 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $216.26 – $378.23 | 7 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $278.74 – $454.41 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $326.95 – $534.00 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $444.43 – $725.82 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $237.91 – $389.79 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $183.23 – $304.07 | 7 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $299.96 – $491.15 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $366.39 – $604.07 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $227.69 – $372.78 | 7 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $221.31 – $2,539.64 | 30 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $276.03 – $452.37 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $317.64 – $528.56 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $328.67 – $541.49 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $316.21 – $515.63 | 7 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $171.46 – $280.95 | 7 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $311.04 – $507.47 | 7 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $279.81 – $456.45 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $299.07 – $488.42 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $605.78 | $1,637.25 | $113.10 – $2,539.64 | 30 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $191.69 – $312.92 | 6 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $187.22 – $2,539.64 | 30 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $381.54 – $623.79 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $298.01 – $487.07 | 7 |
| Cystoscopy removal of clots CPT 52001 | $1,528.84 | $4,132.00 | $325.51 – $531.27 | 7 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $205.75 – $336.72 | 7 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $281.60 – $459.86 | 7 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $364.19 – $594.54 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | $1,757.59 | $4,750.25 | $150.26 – $246.26 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $976.15 | $2,638.25 | $321.94 – $530.60 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $524.04 – $862.56 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $878.12 – $1,435.34 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $343.19 – $571.41 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $418.88 – $702.02 | 7 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $473.10 – $787.05 | 7 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $530.44 – $880.92 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $471.66 – $742.16 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $444.43 – $740.12 | 7 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $506.11 – $846.23 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $401.25 – $670.73 | 7 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $447.19 – $748.95 | 7 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $303.48 – $493.86 | 7 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $999.19 | $2,700.50 | $171.88 – $281.63 | 7 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $159.97 – $261.90 | 7 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $68.74 – $1,628.52 | 6 |
| Cystourethro w/implant CPT 52441 | not published | not published | $257.68 – $2,122.38 | 6 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $389.85 – $646.25 | 7 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $350.51 – $580.94 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | $2,708.31 | $7,319.75 | $321.84 – $534.00 | 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.