healthcosts.net

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

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
Enteroenterostomy fusion 44130 CPT 44130 not published not published $1,396.69 – $2,440.74 7
Enterorrhaphy 1perforation 44602 CPT 44602 not published not published $1,518.90 – $2,619.65 7
Enterorrhaphy multiple perforations 44603 CPT 44603 not published not published $1,739.67 – $3,008.75 7
Enterostomy/cecostomy tube open 44300 CPT 44300 not published not published $914.20 – $1,565.94 7
Enzyme cell activity ra CPT 82658 not published not published $19.02 – $176.12 30
Enzyme histochemistry CPT 88319 $145.60 $393.50 $32.21 – $3,108.20 30
Ep & ablate supravent arrhyt CPT 93653 $17,899.12 $48,376.00 $948.21 – $11,094.00 7
Ep & ablate ventric tachy CPT 93654 $17,004.28 $45,957.50 $1,269.86 – $11,094.00 7
Epidrm a-grft face/nck/hf/g 15115 CPT 15115 $2,386.96 $6,451.25 $774.96 – $1,408.13 7
Epidrm a-grft f/n/hf/g addl CPT 15116 $548.34 $1,482.00 $166.08 – $252.38 7
Epidrm agrft t/a/l 1st 100 CPT 15110 $1,641.97 $4,437.75 $766.81 – $1,406.07 7
Epidrm autogrft t/a/l add-on CPT 15111 $857.75 $2,318.25 $116.61 – $191.15 7
Epidural/lumbar/sacral/ea add level64484 CPT 64484 not published not published $58.40 – $99.32 7
Epidural lysis mult sessions CPT 62263 not published not published $358.44 – $3,387.44 30
Epidural lysis on single day 62264 CPT 62264 not published not published $266.54 – $3,387.44 30
Epiglottidectomy CPT 31420 not published not published $909.07 – $1,556.42 7
Epilepsy gen seq alys panel CPT 81419 $1,163.17 $3,143.70 $2,779.12 – $2,779.12 1
Ep induct arrhy by elect pacing CPT 93618 $1,382.88 $3,737.50 $175.85 – $8,798.00 7
Epiphysl arrst dstl rds&ulna CPT 25455 not published not published $753.51 – $1,104.72 7
Epiphysl arrst dstl rds/ulna CPT 25450 not published not published $573.06 – $1,130.58 7
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 $656.07 $1,773.15 $19.78 – $19.78 5
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 $1,428.39 $3,860.50 $165.78 – $278.91 7
Epoetin alfa, 100 units esrd HCPCS Q4081 $34.97 $94.50 $0.96 – $4.32 6
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 $536.54 $1,450.10 $18.54 – $19.86 4
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 $417.79 $1,129.17 $19.78 – $19.78 5
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 $27.27 $73.70 $19.78 – $19.78 5
Epstein barr early antigen antibody CPT 86663 $46.44 $125.50 $13.12 – $52.48 30
Epstein barr nuclear antigen antibody CPT 86664 $42.83 $115.75 $15.29 – $61.16 30
Epstein barr viral capsid antigen antibody igm CPT 86665 $43.38 $117.25 $18.14 – $72.56 30
Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 $66.06 $178.55 $38.31 – $38.31 5
Ercp biliary & pancreas CPT 74330 $421.80 $1,140.00 $56.92 – $97.51 6
Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 not published not published $530.87 – $865.28 6
Ercp ea duct/ampulla dilate CPT 43277 not published not published $434.04 – $717.66 6
Ercp lesion ablate w/dilate 43278 CPT 43278 not published not published $496.52 – $816.30 6
Ercp lithotripsy calculi CPT 43265 $2,717.19 $7,343.75 $496.91 – $1,080.24 7
Ercp remove duct calculi 43264 CPT 43264 not published not published $417.26 – $962.55 7
Ercp remove forgn body duct 43275 CPT 43275 not published not published $431.69 – $712.91 6
Ercp sphincter pressure meas CPT 43263 not published not published $410.17 – $793.85 7
Ercp stent exchange w/dilate CPT 43276 not published not published $552.75 – $899.97 6
Ercp w/specimen collection CPT 43260 not published not published $369.24 – $650.33 7
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 $1,346.95 $3,640.40 $185.43 – $185.43 5
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 $64.55 $174.45 $40.76 – $40.76 5
ER Visit (level 1, minor) CPT 99281 $141.62 $382.75 $23.74 – $335.00 30
ER Visit (level 2) CPT 99282 $314.96 $851.25 $46.32 – $602.56 30
ER Visit (level 3) CPT 99283 $529.47 $1,431.00 $69.41 – $1,053.52 30
ER Visit (level 4) CPT 99284 $757.95 $2,048.50 $131.75 – $1,620.20 30
ER Visit (level 5, high severity) CPT 99285 $1,152.46 $3,114.75 $194.56 – $2,332.76 29
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 $107.65 $290.95 $7.57 – $19.78 6
Esophageal dilat s&i CPT 74360 not published not published $35.07 – $60.84 6
Esophageal lengthening add on code 43338 CPT 43338 not published not published $132.43 – $249.61 6
Esophageal motility CPT 78258 not published not published $47.14 – $1,528.92 30
Esophageal recording CPT 93615 $624.56 $1,688.00 $15.73 – $8,798.00 7
Esophageal recording CPT 93616 not published not published $25.19 – $8,798.00 7
Esophagomyotomy abdominal 43330 CPT 43330 not published not published $1,450.79 – $2,474.75 7
Esophagomyotomy thoracic 43331 CPT 43331 not published not published $1,509.35 – $2,518.97 7
Esophagosc dilate balloon 30 CPT 43214 not published not published $219.68 – $353.06 6
Esophagosc flex trnsn biopsy CPT 43198 not published not published $112.42 – $3,567.32 29
Esophagoscop mucosal resect CPT 43211 not published not published $269.56 – $438.77 6
Esophagoscop stent placement CPT 43212 not published not published $217.25 – $346.25 6
Esophagoscop ultrasound exam CPT 43231 not published not published $182.58 – $357.14 7
Esophagoscopy balloon <30mm CPT 43220 not published not published $134.13 – $239.45 7
Esophagoscopy control bleed CPT 43227 not published not published $188.42 – $399.99 7
Esophagoscopy flex biopsy CPT 43202 not published not published $117.31 – $218.36 7
Esophagoscopy/flex/diagnostic 43200 CPT 43200 not published not published $98.96 – $3,567.32 30
Esophagoscopy flex dx brush CPT 43197 not published not published $94.07 – $3,567.32 29
Esophagoscopy flex remove fb CPT 43215 not published not published $161.47 – $290.46 7
Esophagoscopy lesion ablate CPT 43229 not published not published $225.50 – $372.09 6
Esophagoscopy lesion removal CPT 43216 not published not published $153.19 – $279.59 7
Esophagoscopy retro balloon CPT 43213 not published not published $295.42 – $487.74 6
Esophagoscopy rigid balloon CPT 43195 not published not published $207.66 – $321.77 6
Esophagoscopy/rigid/diagnostic 43191 CPT 43191 not published not published $172.84 – $225.84 6
Esophagoscopy rigid trnso 43180 CPT 43180 not published not published $613.43 – $976.16 6
Esophagoscopy snare les remv CPT 43217 not published not published $183.35 – $324.48 7
Esophagoscopy w/us needle bx CPT 43232 not published not published $226.30 – $489.78 7
Esophagoscp guide wire dilat 43196 CPT 43196 not published not published $221.78 – $352.37 6
Esophagoscp rig trnso biopsy CPT 43193 not published not published $190.11 – $321.08 6
Esophagoscp rig trnso inject CPT 43192 not published not published $190.45 – $269.39 6
Esophagoscp rig trnso rem fb CPT 43194 not published not published $218.85 – $293.19 6
Esophagus endoscopy/ligation CPT 43205 not published not published $161.06 – $421.08 7
Esophagus motility study CPT 91010 not published not published $81.89 – $2,018.88 30
Esoph balloon distension tst CPT 91040 not published not published $65.98 – $2,018.88 30
Esoph egd dilation <30 mm CPT 43249 not published not published $175.48 – $326.52 7
Esoph endoscopy dilation CPT 43226 not published not published $148.62 – $265.31 7
Esoph fundoplasty lap 43327 CPT 43327 not published not published $920.09 – $1,513.56 6
Esoph fundoplasty thor 43328 CPT 43328 not published not published $1,274.24 – $2,161.83 6
Esophgl motil w/stim/perfus CPT 91013 not published not published $14.01 – $44.90 6
Esoph imped function test CPT 91037 not published not published $64.38 – $1,184.84 30
Esoph imped funct test > 1hr CPT 91038 not published not published $72.87 – $2,018.88 30
Esoph optical endomicroscopy CPT 43206 not published not published $152.06 – $257.13 6
Esoph scope w/sclerosis inj CPT 43204 not published not published $154.77 – $423.12 7
Esoph scope w/submucous inj CPT 43201 not published not published $116.95 – $240.14 7
Essure 58565 CPT 58565 not published not published $477.46 – $817.67 7
Establish access to aorta CPT 36160 $200.17 $541.00 $141.66 – $242.85 7
Establish access to artery CPT 36100 not published not published $175.58 – $302.72 7
Establish brain cavity shunt CPT 62223 not published not published $1,109.09 – $1,933.95 7
Established Patient Office Visit (level 1) CPT 99211 $92.87 $251.00 $10.21 – $17.78 7
Established Patient Office Visit (level 2) CPT 99212 $131.07 $354.25 $28.20 – $48.37 7
Established Patient Office Visit (level 3) CPT 99213 $165.39 $447.00 $55.58 – $98.14 7
Established Patient Office Visit (level 4) CPT 99214 $213.21 $576.25 $85.98 – $151.50 7
Established Patient Office Visit (level 5) CPT 99215 $264.46 $714.75 $122.03 – $213.37 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.