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 |
|---|---|---|---|---|
| Estradiol total CPT 82670 | $88.43 | $239.00 | $27.94 – $111.76 | 30 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $137.64 | $372.00 | $19.78 – $19.78 | 5 |
| Estrogens total-sendout CPT 82672 | $83.71 | $226.25 | $21.70 – $86.80 | 30 |
| Etanercept injection HCPCS J1438 | $2,306.67 | $6,234.25 | $185.43 – $185.43 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $922.29 – $1,681.58 | 7 |
| Ethylene glycol -sendout CPT 82693 | $64.75 | $175.00 | $14.90 – $59.60 | 30 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $20.35 | $55.00 | $19.78 – $19.78 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | $110.87 | $299.65 | $0.46 – $46.95 | 6 |
| Euglobulin lysis CPT 85360 | $84.92 | $229.50 | $8.41 – $33.64 | 30 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $522.15 – $880.92 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $84.73 – $595.32 | 30 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $119.60 | $323.25 | $114.21 – $456.84 | 30 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $122.29 | $330.50 | $98.11 – $392.44 | 29 |
| Evaluation heart device CPT 93640 | $553.06 | $1,494.75 | $96.64 – $8,798.00 | 7 |
| Evaluation of speech fluency 92521 CPT 92521 | $76.41 | $206.50 | $121.29 – $496.84 | 29 |
| Evaluation psychiatric diagnostic CPT 90791 | $123.95 | $335.00 | $142.40 – $611.32 | 29 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,025.92 | $2,772.75 | $609.12 – $1,033.74 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,025.92 | $2,772.75 | $258.97 – $439.92 | 6 |
| Event monitor CPT 93270 | $120.81 | $326.50 | $9.35 – $296.90 | 30 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $3.96 – $1,184.84 | 30 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.25 – $1,184.84 | 30 |
| Evoked potentials upper limbs CPT 95925 | $188.70 | $510.00 | $33.67 – $1,184.84 | 30 |
| Evoked potential visual not glaucoma CPT 95930 | $452.97 | $1,224.25 | $21.78 – $1,184.84 | 30 |
| Evok oa screening qual CPT 92558 | not published | not published | $25.27 – $27.08 | 5 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $102.72 – $1,157.40 | 30 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $119.24 – $201.36 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $514.24 – $1,001.33 | 7 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $767.02 – $1,273.43 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $486.28 – $805.41 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $450.51 – $1,040.79 | 7 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $741.15 – $1,227.86 | 6 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,324.49 – $1,346.22 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,941.75 – $1,982.35 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $447.95 – $749.64 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $335.24 – $610.19 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,118.48 – $1,946.88 | 7 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,698.86 – $2,937.32 | 7 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $402.10 – $676.85 | 7 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $820.23 – $1,363.91 | 6 |
| Exc bartholins gland/cyst CPT 56740 | $2,463.18 | $6,657.25 | $332.23 – $561.21 | 7 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $225.70 | $610.00 | $243.46 – $419.72 | 7 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $312.37 | $844.25 | $346.15 – $600.66 | 7 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $191.57 – $332.64 | 7 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $289.06 | $781.25 | $79.62 – $2,677.08 | 30 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $108.41 | $293.00 | $102.78 – $2,677.08 | 30 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,006.31 | $2,719.75 | $152.04 – $2,677.08 | 30 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $854.98 | $2,310.75 | $188.90 – $329.93 | 7 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $673.49 | $1,820.25 | $117.57 – $2,677.08 | 30 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,635.88 | $7,124.00 | $165.62 – $291.83 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $294.42 – $506.79 | 7 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $346.88 | $937.50 | $106.58 – $1,520.16 | 30 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $150.44 – $2,677.08 | 30 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $310.48 – $577.53 | 7 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,568.40 – $2,605.37 | 7 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $622.75 – $1,063.91 | 7 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $923.69 – $1,551.65 | 7 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $663.79 – $1,132.62 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $807.94 – $1,453.02 | 7 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $636.28 – $1,127.18 | 7 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $786.57 – $1,385.00 | 7 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $563.75 – $972.77 | 7 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $798.25 – $1,355.75 | 7 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $951.57 – $1,585.67 | 7 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $652.69 – $1,139.42 | 7 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $692.88 – $1,191.80 | 7 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $479.04 – $852.36 | 7 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $629.71 – $1,078.88 | 7 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,694.45 – $1,725.62 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $965.94 – $1,746.89 | 7 |
| Exc excessive skin hip CPT 15834 | not published | not published | $913.04 – $1,654.37 | 7 |
| Exc excessive skin leg CPT 15833 | not published | not published | $914.79 – $1,623.08 | 7 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $971.50 – $1,734.65 | 7 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $727.09 – $1,335.33 | 7 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $625.38 – $1,065.95 | 7 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $350.46 – $606.11 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $441.34 – $740.12 | 6 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $574.14 – $961.88 | 6 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $169.06 – $2,677.08 | 30 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,006.31 | $2,719.75 | $250.54 – $429.24 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $507.66 – $865.28 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $291.63 – $493.19 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $469.07 – $785.69 | 6 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $474.77 – $948.95 | 7 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $586.08 – $978.20 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $361.60 – $608.82 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $600.72 – $1,004.06 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $508.52 – $965.28 | 7 |
| Exchange biliary drg cath CPT 47536 | $3,383.19 | $9,143.75 | $152.11 – $287.43 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $231.90 | $626.75 | $142.61 – $1,663.40 | 30 |
| Exchange drainage catheter CPT 49423 | $881.16 | $2,381.50 | $81.84 – $136.73 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $936.40 – $1,708.11 | 7 |
| Exchange nephrostomy cath CPT 50435 | $1,762.31 | $4,763.00 | $114.14 – $195.36 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $240.37 – $443.52 | 7 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $360.94 – $646.92 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $285.79 – $520.40 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $517.50 – $1,126.50 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $829.80 – $1,376.82 | 6 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $77.66 – $756.04 | 30 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $74.55 – $756.04 | 30 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $135.20 – $1,520.16 | 30 |
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.