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
Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 not published not published $734.69 – $1,222.41 6
Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 not published not published $374.48 – $654.41 7
Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 not published not published $769.20 – $1,276.83 6
Exc intracard tumor/resect/bypass 33120 CPT 33120 not published not published $1,846.11 – $3,964.50 7
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 not published not published $1,779.00 – $3,042.77 7
Exc ischial pr ulc prim sutr CPT 15940 not published not published $748.87 – $1,291.80 7
Exc isch pr ulc prm sut ostc CPT 15941 not published not published $967.43 – $1,684.98 7
Exc isch pr ulc skn flp clsr CPT 15944 not published not published $954.19 – $1,674.78 7
Exc isch pr ulc skn flp ostc CPT 15945 not published not published $1,059.68 – $1,837.35 7
Excise anal ext tag/papilla CPT 46220 not published not published $122.12 – $221.76 7
Excise epiphyseal bar CPT 20150 not published not published $1,050.02 – $1,859.81 7
Excise foot tendon sheath CPT 28086 not published not published $396.35 – $671.40 7
Excise foot tendon sheath CPT 28088 not published not published $311.18 – $563.93 7
Excise inferior turbinate CPT 30130 not published not published $392.97 – $704.06 7
Excise intestine lesion(s) 44110 CPT 44110 not published not published $922.09 – $1,578.86 7
Excise intraspinl lesion crv CPT 63265 not published not published $1,798.62 – $3,061.13 7
Excise intrspinl lesion lmbr CPT 63267 not published not published $1,487.35 – $2,528.49 7
Excise intrspinl lesion scrl CPT 63268 not published not published $1,494.48 – $2,659.10 7
Excise lesion testis CPT 54512 not published not published $606.12 – $993.17 7
Excise lip or cheek fold CPT 40819 $1,028.05 $2,778.50 $247.74 – $442.17 7
Excise lwr jaw cyst w/repair CPT 21047 not published not published $1,447.51 – $2,424.41 7
Excise mandible lesion CPT 21040 not published not published $429.84 – $774.12 7
Excise max/zygoma b9 tumor CPT 21030 not published not published $432.23 – $773.45 7
Excise max/zygoma mal tumor CPT 21034 not published not published $1,288.01 – $2,173.40 7
Excise oral mucosa for graft 40818 CPT 40818 not published not published $287.54 – $1,937.64 30
Excise parotid gland/lesion CPT 42410 not published not published $691.28 – $1,174.11 7
Excise parotid gland/lesion CPT 42415 not published not published $1,178.31 – $1,993.14 7
Excise parotid gland/lesion CPT 42420 not published not published $1,323.60 – $2,238.71 7
Excise parotid gland/lesion CPT 42425 not published not published $931.80 – $1,578.86 7
Excise pharynx lesion CPT 42808 not published not published $179.68 – $306.80 7
Excise/repair mouth lesion CPT 40812 not published not published $210.73 – $370.05 7
Excise sacral spine tumor CPT 49215 not published not published $2,435.32 – $4,095.11 7
Excise sublingual gland CPT 42450 not published not published $394.24 – $678.89 7
Excise submaxillary gland CPT 42440 not published not published $456.63 – $778.20 7
Excise subq tumor/abd wall <3 cm 22902 CPT 22902 not published not published $363.64 – $601.34 6
Excise tendon forearm/wrist CPT 25109 not published not published $564.72 – $985.01 7
Excise wrist tendon sheath CPT 25118 not published not published $409.76 – $697.26 7
Excision addl breast lesion 19126 CPT 19126 not published not published $182.42 – $298.64 7
Excision aural polyp CPT 69540 not published not published $135.07 – $238.77 7
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 $134.77 $364.25 $135.92 – $2,677.08 30
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 $940.45 $2,541.75 $141.45 – $251.01 7
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 $463.33 $1,252.25 $118.22 – $2,677.08 30
Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 not published not published $253.01 – $453.72 7
Excision breast lesion CPT 19125 not published not published $476.37 – $845.55 7
Excision floor mouth lesion 41116 CPT 41116 not published not published $234.56 – $417.00 7
Excision graft extremity CPT 35903 not published not published $639.84 – $1,094.52 7
Excision graft thorax 35905 CPT 35905 not published not published $2,030.61 – $3,269.96 7
Excision gum each quadrant CPT 41820 not published not published $269.10 – $352.50 6
Excision hand/finger tendon CPT 26415 not published not published $731.48 – $1,449.62 7
Excision lesion mouth roof CPT 42106 not published not published $194.03 – $335.37 7
Excision lesion mouth roof CPT 42107 not published not published $376.02 – $653.72 7
Excision nasal polyp(s) simple 30110 CPT 30110 not published not published $141.18 – $243.53 7
Excision of anal lesion(s) CPT 46922 not published not published $141.64 – $253.05 7
Excision of gum flap CPT 41821 not published not published $60.70 – $105.00 6
Excision of gum lesion CPT 41822 not published not published $191.43 – $342.17 7
Excision of gum lesion CPT 41823 not published not published $341.44 – $605.43 7
Excision of gum lesion CPT 41826 not published not published $218.24 – $397.95 7
Excision of gum lesion CPT 41827 not published not published $324.99 – $576.17 7
Excision of gum lesion CPT 41828 not published not published $238.86 – $398.63 7
Excision of gum lesion 41825 CPT 41825 not published not published $134.66 – $229.92 7
Excision of lesion of mesentery 44820 CPT 44820 not published not published $914.17 – $1,559.82 7
Excision of lingual tonsil CPT 42870 not published not published $613.53 – $1,090.44 7
Excision of meckels diverticulum 44800 CPT 44800 not published not published $825.42 – $1,418.33 7
Excision of mouth lesion complex 40816 CPT 40816 not published not published $339.87 – $597.26 7
Excision of neck cyst CPT 42815 not published not published $610.39 – $1,055.75 7
Excision of neck cyst confined 42810 CPT 42810 not published not published $309.12 – $548.28 7
Excision of penis lesion(s) 54060 CPT 54060 not published not published $144.77 – $239.45 7
Excision of rectal lesion CPT 45160 not published not published $1,079.35 – $1,895.18 7
Excision of rectal stricture CPT 45150 not published not published $402.96 – $737.39 7
Excision of salivary cyst CPT 42408 not published not published $362.41 – $617.67 7
Excision of skull tumor CPT 61563 not published not published $2,088.19 – $3,612.81 7
Excision of stomach lesion CPT 43610 not published not published $1,068.89 – $1,818.99 7
Excision of tongue lesion CPT 41112 not published not published $267.63 – $476.18 7
Excision of tongue lesion CPT 41114 not published not published $699.00 – $1,191.80 7
Excision of tongue lesion w/closure 41113 CPT 41113 not published not published $298.54 – $526.52 7
Excision of tonsil tags CPT 42860 not published not published $204.44 – $356.45 7
Excision of umbilicus 49250 CPT 49250 not published not published $627.40 – $1,082.96 7
Excision of uvula CPT 42140 not published not published $165.28 – $295.23 7
Excision of vaginal septum 57130 CPT 57130 not published not published $174.06 – $299.31 7
Excision olecranon bursa CPT 24105 not published not published $355.40 – $642.15 7
Excision radial head CPT 24130 not published not published $543.23 – $931.26 7
Excision tongue lesion without closure 41110 CPT 41110 $1,245.05 $3,365.00 $141.32 – $250.34 7
Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 not published not published $521.03 – $870.05 6
Excis partial tal calc CPT 28120 not published not published $448.88 – $931.95 7
Excis uppr jaw cyst w/repair CPT 21049 not published not published $1,344.44 – $2,279.52 7
Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 not published not published $759.01 – $1,265.27 6
Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 not published not published $516.87 – $887.04 7
Exc les conjunctiva <1 cm CPT 68110 not published not published $148.74 – $285.03 7
Exc les conjunctiva >1 cm CPT 68115 not published not published $186.46 – $346.25 7
Exc les conjunctiva adj scl CPT 68130 not published not published $411.99 – $757.80 7
Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 not published not published $134.33 – $241.49 7
Exc malig feenl <0.5cm 11640 CPT 11640 not published not published $129.41 – $2,677.08 30
Exc malig feenl 1.1-2 11642 CPT 11642 $513.38 $1,387.50 $199.81 – $2,677.08 30
Exc malig feenl 3.1-4.0 11644 CPT 11644 not published not published $312.85 – $531.27 7
Exc malig feenl >4cm 11646 CPT 11646 not published not published $441.14 – $736.04 7
Exc malig snhfg 0.5cm or less 11620 CPT 11620 not published not published $123.03 – $225.17 7
Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 not published not published $158.49 – $2,677.08 30
Exc malig snhfg 2.1-3 cm 11623 CPT 11623 $1,006.31 $2,719.75 $226.27 – $394.55 7
Exc malig tal <0.5cm 11600 CPT 11600 not published not published $121.26 – $2,677.08 30
Exc malig tal 0.6-1.0cm 11601 CPT 11601 not published not published $156.82 – $2,677.08 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.