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 |
|---|---|---|---|---|
| Explore/treat finger joint CPT 26075 | not published | not published | $335.44 – $599.99 | 7 |
| Explore/treat finger joint CPT 26080 | not published | not published | $403.17 – $713.58 | 7 |
| Explore/treat knee joint CPT 27331 | not published | not published | $509.68 – $876.17 | 7 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $433.99 – $741.48 | 7 |
| Explore wound abdomen 20102 CPT 20102 | $2,158.77 | $5,834.50 | $275.73 – $470.73 | 7 |
| Explore woundchest 20101 CPT 20101 | $2,158.77 | $5,834.50 | $226.08 – $385.70 | 7 |
| Explore wound neck 20100 CPT 20100 | $1,086.14 | $2,935.50 | $484.41 – $1,937.64 | 30 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,338.57 – $2,489.04 | 7 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,436.31 – $2,697.20 | 7 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $563.29 – $943.50 | 7 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $312.90 – $529.23 | 7 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $449.88 – $758.48 | 7 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $282.43 – $476.85 | 6 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $372.33 – $621.08 | 6 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $122.61 – $490.44 | 23 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $122.61 – $490.44 | 23 |
| Extended culture of oocytes CPT 89272 | not published | not published | $777.05 – $3,108.20 | 28 |
| Extended visual field xm CPT 92083 | not published | not published | $31.31 – $490.44 | 30 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,143.31 – $1,953.68 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,829.10 – $3,129.15 | 7 |
| Extensive hand surgery CPT 26250 | not published | not published | $628.18 – $1,971.36 | 7 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,333.52 – $2,305.37 | 7 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,809.26 – $3,092.42 | 7 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,057.11 – $1,874.09 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,490.77 – $2,572.71 | 7 |
| Extensive testis surgery CPT 54535 | not published | not published | $844.53 – $1,371.39 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,866.62 – $3,123.03 | 7 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,468.47 – $2,488.35 | 7 |
| External cannula declotting CPT 36860 | $791.25 | $2,138.50 | $124.58 – $296.90 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $272.41 | $736.25 | $131.59 – $578.44 | 30 |
| External ocular photography CPT 92285 | not published | not published | $12.86 – $149.36 | 30 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $16.65 | $45.00 | $16.42 – $213.28 | 29 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,908.21 – $3,908.21 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $280.09 | $757.00 | $133.16 – $575.00 | 30 |
| Extnd color vision xm CPT 92283 | not published | not published | $10.66 – $226.00 | 30 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $76.50 | $206.75 | $17.93 – $71.72 | 30 |
| Extraction of lens CPT 66930 | not published | not published | $863.22 – $1,577.51 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $782.59 – $1,489.07 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $759.09 – $1,388.39 | 7 |
| Eye allergy tests CPT 95060 | not published | not published | $25.30 – $490.44 | 30 |
| F-18 fdg pet diag HCPCS A9552 | $609.85 | $1,648.25 | $430.00 – $430.00 | 5 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $5,863.67 | $15,847.75 | $3,235.44 – $3,235.44 | 5 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,400.00 | 29 |
| Face bone graft CPT 21210 | not published | not published | $902.71 – $1,591.79 | 7 |
| Facial bones <3 CPT 70140 | $60.03 | $162.25 | $11.59 – $335.00 | 30 |
| Facial nerve function test CPT 92516 | not published | not published | $25.45 – $1,184.84 | 30 |
| Factor ix CPT 85250 | $104.16 | $281.50 | $19.04 – $76.16 | 30 |
| Factor ix complex HCPCS J7194 | $9.25 | $25.00 | $19.78 – $19.78 | 5 |
| Factor ix recombinant nos HCPCS J7195 | $21.16 | $57.20 | $1.84 – $1.84 | 5 |
| Factor viii CPT 85240 | $117.57 | $317.75 | $17.90 – $71.60 | 30 |
| Factor viii HCPCS J7190 | $1.61 | $4.35 | $1.29 – $1.29 | 5 |
| Factor viii recombinant nos HCPCS J7192 | $9.25 | $25.00 | $1.57 – $1.57 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | $23.98 | $64.80 | $8.63 – $8.63 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $306.45 – $525.84 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | $210.44 | $568.75 | $106.51 – $611.32 | 30 |
| Family therapy with patient 50 min 90847 CPT 90847 | $210.44 | $568.75 | $118.79 – $611.32 | 30 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $228.36 | 29 |
| Fat/lipids feces qualitative CPT 82705 | $50.04 | $135.25 | $5.10 – $20.40 | 30 |
| Fatty acids nonesterified CPT 82725 | $43.85 | $118.50 | $14.07 – $75.08 | 30 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $18.24 | 30 |
| #fecal-sodium CPT 84302 | $101.84 | $275.25 | $4.86 – $19.44 | 30 |
| Feeding tube reposition CPT 74355 | not published | not published | $48.07 – $81.91 | 6 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $112.24 – $825.56 | 30 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $50.69 | $137.00 | $18.64 – $74.56 | 24 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $272.43 – $458.49 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $28,500.73 | $77,029.00 | $602.30 – $978.89 | 6 |
| Feno poc CPT 95012 | not published | not published | $19.41 – $149.36 | 30 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $96.11 | $259.75 | $8.63 – $8.63 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $10.34 | $27.95 | $1.68 – $1.80 | 5 |
| Ferritin CPT 82728 | $44.40 | $120.00 | $13.63 – $54.52 | 30 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $9.71 | $26.25 | $1.84 – $1.84 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $64.25 – $404.60 | 30 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $3,036.20 | 24 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $101.47 | $274.25 | $34.03 – $765.44 | 30 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $228.79 – $1,157.40 | 30 |
| Fetal fibronectin CPT 82731 | $214.97 | $581.00 | $64.41 – $257.64 | 30 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $289.35 – $1,157.40 | 30 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $46.99 | $127.00 | $7.73 – $30.92 | 30 |
| Fetal hemoglobin rosette CPT 85461 | $45.79 | $123.75 | $7.04 – $37.44 | 30 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $62.90 | $170.00 | $19.32 – $77.28 | 30 |
| Fetal non stress test CPT 59025 | $76.68 | $207.25 | $16.93 – $765.44 | 30 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $113.50 – $1,157.40 | 30 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $289.35 – $1,157.40 | 30 |
| Fibrin degradation d dimer quantitative CPT 85379 | $58.28 | $157.50 | $10.18 – $40.72 | 30 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $27.56 | 30 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.56 – $38.88 | 30 |
| Fibrinogen activity CPT 85384 | $31.17 | $84.25 | $8.86 – $38.88 | 30 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $5.47 – $61.92 | 30 |
| Fibrinolytic antiplasmin CPT 85410 | $93.24 | $252.00 | $7.71 – $30.84 | 30 |
| Fibrinolytic plasminogen CPT 85415 | $112.02 | $302.75 | $17.19 – $68.76 | 30 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $47.08 | $127.25 | $6.53 – $26.12 | 30 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $683.63 | $1,847.65 | $1.84 – $1.84 | 5 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $762.45 – $1,321.73 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $17.52 – $149.36 | 30 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $891.95 – $1,528.52 | 7 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $669.27 – $2,677.08 | 23 |
| Fine needle asp without image guide 10021 CPT 10021 | $191.94 | $518.75 | $78.09 – $1,520.16 | 30 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $7,356.19 | $19,881.60 | $496.55 – $562.15 | 6 |
| Finger tendon transfer CPT 26497 | not published | not published | $916.28 – $1,561.17 | 7 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,225.72 – $2,076.81 | 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.