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 |
|---|---|---|---|---|
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.91 – $15.60 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $29.14 | $78.75 | $5.75 – $226.00 | 30 |
| Ecg < 30 days transmission & analysis CPT 93271 | $176.86 | $478.00 | $87.31 – $349.24 | 30 |
| Ecg external < 48 hours recording CPT 93225 | $121.18 | $327.50 | $26.96 – $490.44 | 30 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $196.10 | $530.00 | $38.45 – $296.90 | 30 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $37.34 – $149.36 | 23 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $37.34 – $149.36 | 23 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $856.37 | $2,314.50 | $88.03 – $2,086.20 | 30 |
| Echocardiography doppler color flow mapping CPT 93325 | $250.21 | $676.25 | $4.77 – $34.70 | 7 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,110.09 | $3,000.25 | $314.27 – $336.72 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $375.46 | $1,014.75 | $35.80 – $919.72 | 30 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $355.57 | $961.00 | $165.07 – $176.87 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $87.04 | $235.25 | $10.12 – $42.18 | 7 |
| Echo exam of eye CPT 76516 | not published | not published | $33.98 – $404.60 | 30 |
| Echo exam of eye CPT 76519 | not published | not published | $34.38 – $404.60 | 30 |
| Echo exam of eye CPT 76529 | not published | not published | $36.08 – $335.00 | 30 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.88 – $142.19 | 30 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $102.28 – $2,086.20 | 30 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $50.16 – $919.72 | 30 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $35.35 – $404.60 | 30 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $25.88 – $404.60 | 30 |
| Echo exam uterus 76831- CPT 76831 | $242.07 | $654.25 | $43.81 – $919.72 | 30 |
| Echograp trans r pros study CPT 76873 | $193.14 | $522.00 | $94.85 – $404.60 | 30 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.44 – $190.32 | 7 |
| Echo guide for amniocentesis CPT 76946 | $264.92 | $716.00 | $13.30 – $67.85 | 7 |
| Echo guide for artery repair CPT 76936 | $699.76 | $1,891.25 | $126.22 – $1,184.84 | 30 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $44.76 – $70.21 | 6 |
| Echo guide for transfusion CPT 76941 | not published | not published | $62.13 – $148.99 | 6 |
| Echo guide villus sampling CPT 76945 | not published | not published | $41.06 – $74.10 | 6 |
| Echo stress CPT 93350 | $640.10 | $1,730.00 | $98.62 – $2,086.20 | 30 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $30.59 – $2,086.20 | 30 |
| Echo tee guidance CPT 93355 | not published | not published | $255.08 – $419.72 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $847.95 | $2,291.75 | $138.33 – $2,086.20 | 30 |
| Echo transesophageal CPT 93313 | not published | not published | $13.12 – $2,086.20 | 30 |
| Echo transesophageal CPT 93314 | not published | not published | $80.91 – $499.31 | 7 |
| Echo transesophageal CPT 93315 | $855.35 | $2,311.75 | $162.00 – $2,086.20 | 29 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $123.07 – $2,086.20 | 29 |
| Echo transthoracic CPT 93303 | $890.41 | $2,406.50 | $84.85 – $2,086.20 | 30 |
| Echo transthoracic CPT 93304 | $314.69 | $850.50 | $48.11 – $2,086.20 | 30 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $535.39 | $1,447.00 | $61.15 – $919.72 | 30 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $267.01 – $443.52 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $272.63 – $454.41 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $390.70 – $646.92 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $351.97 – $592.50 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $954.40 – $1,667.97 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $951.80 – $1,584.99 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $544.80 – $824.46 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $487.63 – $740.12 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $545.41 – $805.41 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $488.16 – $723.11 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $590.30 – $1,167.32 | 6 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $596.95 – $1,116.98 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $314.85 – $629.91 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $212.30 – $529.92 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $327.16 – $619.04 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $270.65 – $592.50 | 6 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $552.10 – $1,049.63 | 6 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $538.51 – $1,033.31 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $269.11 – $622.43 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $212.30 – $535.35 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $269.39 – $595.91 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $207.67 – $523.80 | 6 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.47 – $141.88 | 23 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $50.64 | 30 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $629.69 – $1,180.23 | 7 |
| Edetate calcium disodium inj HCPCS J0600 | $141.69 | $382.95 | $185.43 – $185.43 | 5 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $13.04 | $35.25 | $26.20 – $62.25 | 7 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $461.85 | $1,248.25 | $66.35 – $1,184.84 | 30 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $45.44 – $2,018.88 | 29 |
| Eeg during surgery CPT 95955 | $744.81 | $2,013.00 | $61.18 – $419.04 | 7 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $182.76 – $3,871.04 | 30 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $141.01 – $2,018.88 | 30 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $245.31 | $663.00 | $66.35 – $1,184.84 | 30 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $660.27 | $1,784.50 | $105.68 – $1,184.84 | 30 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $245.31 | $663.00 | $66.35 – $1,184.84 | 30 |
| Eeg recording awake and asleep CPT 95819 | $245.31 | $663.00 | $66.35 – $1,184.84 | 30 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $296.21 – $1,184.84 | 23 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $296.21 – $1,184.84 | 23 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $504.72 – $2,018.88 | 23 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $504.72 – $2,018.88 | 23 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $296.21 – $1,184.84 | 23 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $504.72 – $2,018.88 | 23 |
| E equine encephalitis igg CPT 86652 | $48.38 | $130.75 | $13.19 – $52.76 | 30 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $260.33 – $419.04 | 6 |
| Egd control bleeding any CPT 43255 | not published | not published | $229.78 – $530.60 | 7 |
| Egd dilate stricture CPT 43245 | not published | not published | $200.52 – $353.73 | 7 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $309.86 – $504.75 | 6 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $249.90 – $417.68 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $491.98 – $829.25 | 6 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $891.83 – $3,567.32 | 23 |
| Egd guide wire insertion CPT 43248 | not published | not published | $189.59 – $3,567.32 | 30 |
| Egd injection varices CPT 43243 | not published | not published | $271.34 – $502.71 | 7 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $162.76 – $293.19 | 7 |
| Egd lesion ablation CPT 43270 | not published | not published | $257.13 – $438.77 | 6 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $192.37 – $322.44 | 6 |
| Egd remove foreign body CPT 43247 | $871.07 | $2,354.25 | $202.09 – $3,567.32 | 30 |
| Egd remove lesion snare CPT 43251 | not published | not published | $223.96 – $410.87 | 7 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $194.24 – $355.77 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $258.71 – $570.74 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $266.49 – $546.92 | 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.