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 |
|---|---|---|---|---|
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $703.89 – $1,207.44 | 7 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $20.84 – $364.44 | 30 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $28.30 – $364.44 | 30 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $13.65 – $364.44 | 30 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $21.20 – $364.44 | 30 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $54.39 – $1,364.25 | 30 |
| Fixation of ankle joint CPT 27860 | not published | not published | $189.97 – $331.28 | 7 |
| Fixation of knee joint CPT 27570 | $1,188.07 | $3,211.00 | $158.29 – $276.86 | 7 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,043.67 – $1,787.01 | 7 |
| Fix g/colon tube w/device CPT 49460 | $714.47 | $1,931.00 | $54.63 – $3,567.32 | 30 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $710.94 – $1,214.93 | 7 |
| Flebogamma injection HCPCS J1572 | $68.52 | $185.20 | $92.63 – $92.63 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | $39.31 | $106.25 | $18.64 – $74.56 | 24 |
| Fl exam g/colon tube w contrast CPT 49465 | $219.78 | $594.00 | $35.36 – $919.72 | 30 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $63.05 – $3,468.96 | 30 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $782.59 – $1,319.01 | 7 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $855.42 – $1,446.21 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.95 – $170.75 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $82.89 – $233.23 | 7 |
| Flow cytometry marker each additional CPT 88185 | $58.92 | $159.25 | $33.48 – $92.52 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $174.83 | $472.50 | $56.41 – $1,368.68 | 30 |
| #flow interp 9 - 15 markers CPT 88188 | $82.90 | $224.05 | $64.77 – $190.32 | 7 |
| Floxuridine injection HCPCS J9200 | $82.29 | $222.40 | $92.63 – $92.63 | 5 |
| Flt3 gene CPT 81245 | $209.88 | $567.25 | $165.51 – $662.04 | 29 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $332.00 | 24 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $48.56 | $131.25 | $19.78 – $19.78 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $264.59 | $715.10 | $185.43 – $185.43 | 5 |
| Fluidotherapy charges pt CPT 97022 | $36.45 | $98.50 | $14.41 – $57.64 | 30 |
| Fluid pressure muscle 20950 CPT 20950 | $579.70 | $1,566.75 | $100.35 – $2,677.08 | 30 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $36.32 – $2,018.88 | 30 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $42.76 – $1,184.84 | 30 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $173.53 – $1,184.84 | 29 |
| Fluorescent antibody titer dna CPT 86256 | $183.15 | $495.00 | $12.05 – $48.20 | 30 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $45.79 | $123.75 | $33.54 – $195.01 | 7 |
| Fluoroguide needle placement CPT 77002 | $46.81 | $126.50 | $33.08 – $162.25 | 7 |
| Fluoro polarize fetal lung CPT 83663 | $62.81 | $169.75 | $18.91 – $75.64 | 30 |
| Fluoroscopy up to 1 hour CPT 76000 | $164.47 | $444.50 | $10.66 – $919.72 | 30 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $9.25 | $25.00 | $19.78 – $19.78 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $18.70 | $50.55 | $19.78 – $19.78 | 5 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $161.38 – $919.72 | 29 |
| Fmri brain by tech CPT 70554 | not published | not published | $133.75 – $919.72 | 30 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $669.27 – $2,677.08 | 23 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $669.27 – $2,677.08 | 23 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $75.64 | 30 |
| Folic acid CPT 82746 | $58.28 | $157.50 | $14.70 – $58.80 | 30 |
| Follow-up angiography CPT 75898 | $429.76 | $1,161.50 | $46.00 – $610.86 | 6 |
| Followup eval of foot pt lop HCPCS G0246 | $128.95 | $348.50 | $24.10 – $45.24 | 6 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $551.27 – $1,070.72 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $18.44 | $49.85 | $8.63 – $8.63 | 5 |
| Fondaparinux sodium HCPCS J1652 | $184.00 | $497.30 | $19.78 – $19.78 | 5 |
| Foot X-ray CPT 73630 | $273.99 | $740.50 | $10.66 – $335.00 | 30 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,104.98 – $1,887.69 | 7 |
| Forensic cytopathology CPT 88125 | not published | not published | $5.93 – $203.28 | 30 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $174.73 | $472.25 | $65.48 – $925.40 | 30 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $201.52 | $544.65 | $1.59 – $4.32 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $184.93 | $499.80 | $19.78 – $19.78 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $21.86 | $59.07 | $0.51 – $4.32 | 6 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.62 – $114.00 | 30 |
| Fracture assessment via dxa CPT 77086 | $87.14 | $235.50 | $26.96 – $335.00 | 29 |
| _fragile x methylation-sendout CPT 81244 | $105.10 | $284.06 | $44.89 – $179.56 | 29 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $636.60 – $1,045.55 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,197.98 – $2,031.23 | 7 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,796.11 – $3,003.30 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $159.95 – $276.86 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $36.02 – $1,937.64 | 30 |
| Frenulotomy of penis CPT 54164 | not published | not published | $214.63 – $354.41 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $100.73 | $272.25 | $7.04 – $652.00 | 29 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $37.34 – $631.24 | 29 |
| Frozen blood prep CPT 86930 | not published | not published | $54.46 – $652.00 | 29 |
| Frozen blood thaw CPT 86931 | not published | not published | $40.91 – $652.00 | 29 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.68 – $48.36 | 30 |
| Fructosamine glycated protein CPT 82985 | $59.76 | $161.50 | $15.90 – $67.04 | 30 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $74.21 – $614.00 | 29 |
| Full field erg w/i&r CPT 92273 | not published | not published | $158.73 – $1,184.84 | 27 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $13.80 – $919.72 | 30 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $926.95 – $1,604.72 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $668.45 – $1,144.86 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $80.24 – $133.34 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,291.76 | $3,491.25 | $853.66 – $1,492.47 | 7 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $27.30 – $490.44 | 30 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,438.51 – $6,004.56 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,188.77 – $2,027.82 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $764.17 – $1,308.12 | 7 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $866.20 – $1,474.10 | 7 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,140.92 – $1,921.02 | 7 |
| Fusion of big toe joint CPT 28750 | not published | not published | $651.35 – $1,112.21 | 7 |
| Fusion of big toe joint CPT 28755 | not published | not published | $365.49 – $616.31 | 7 |
| Fusion of finger joint CPT 26860 | not published | not published | $581.00 – $1,014.93 | 7 |
| Fusion of finger tendons CPT 26471 | not published | not published | $640.88 – $1,108.82 | 7 |
| Fusion of finger tendons CPT 26474 | not published | not published | $613.35 – $1,065.95 | 7 |
| Fusion of foot bones CPT 28730 | not published | not published | $809.95 – $1,366.62 | 7 |
| Fusion of foot bones CPT 28735 | not published | not published | $870.18 – $1,461.18 | 7 |
| Fusion of foot bones CPT 28740 | not published | not published | $689.73 – $1,165.95 | 7 |
| Fusion of hand joint CPT 26843 | not published | not published | $774.43 – $1,337.37 | 7 |
| Fusion of knuckle CPT 26850 | not published | not published | $732.21 – $1,248.26 | 7 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $740.63 – $1,266.63 | 7 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $838.52 – $1,485.66 | 7 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $882.71 – $1,516.28 | 7 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $843.14 – $1,433.28 | 7 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $938.38 – $1,457.10 | 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.