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 |
|---|---|---|---|---|
| Amputation thru metatarsal CPT 28805 | not published | not published | $821.20 – $1,398.60 | 7 |
| Amputation toe interphalangeal joint CPT 28825 | $2,179.86 | $5,891.50 | $410.37 – $699.98 | 7 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $390.68 – $750.32 | 7 |
| Amylase CPT 82150 | $30.16 | $81.50 | $6.48 – $25.92 | 30 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $48.44 | 30 |
| Anal pressure record CPT 91122 | not published | not published | $111.52 – $1,184.84 | 30 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $31.98 – $595.32 | 30 |
| Anal/urinary muscle study CPT 51785 | $403.02 | $1,089.25 | $98.09 – $925.40 | 30 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $87.31 – $349.24 | 23 |
| Analysis gene f2 20210g>a variant CPT 81240 | $219.13 | $592.25 | $65.69 – $262.76 | 29 |
| Analysis gene f5 leiden variant CPT 81241 | $219.13 | $592.25 | $73.37 – $293.48 | 29 |
| Analysis nerve CPT 88356 | not published | not published | $50.82 – $577.21 | 30 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $35.47 – $141.88 | 23 |
| Analysis tumor CPT 88358 | not published | not published | $34.34 – $652.00 | 30 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $142.54 | $385.25 | $45.48 – $349.24 | 30 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $140.36 | 23 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,406.49 – $4,173.33 | 7 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,633.46 – $4,579.44 | 7 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,142.71 – $1,910.15 | 7 |
| Anca screen with reflex to titer -quest CPT 86021 | $118.40 | $320.00 | $13.55 – $60.20 | 30 |
| An cholangiogram percutaneous compl CPT 47531 | $375.64 | $1,015.25 | $80.35 – $186.23 | 6 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $115.32 | 30 |
| An fluoro guide for cvp CPT 77001 | $49.12 | $132.75 | $23.69 – $241.81 | 7 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,284.08 | $16,984.00 | $141.92 – $244.56 | 6 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $15,083.79 | $40,767.00 | $511.15 – $874.13 | 6 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $14,078.69 | $38,050.50 | $462.42 – $791.81 | 6 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $12,785.35 | $34,555.00 | $233.24 – $387.06 | 6 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $82.08 | 30 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $44,765.71 | $120,988.40 | $4.32 – $4.32 | 5 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $14,324.00 | $38,713.50 | $626.71 – $1,067.31 | 6 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,141.95 | $8,491.75 | $200.49 – $345.75 | 6 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,284.08 | $16,984.00 | $404.22 – $697.13 | 6 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,141.95 | $8,491.75 | $170.57 – $294.45 | 6 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,169.84 | $16,675.25 | $347.55 – $599.45 | 6 |
| Anidulafungin injection HCPCS J0348 | $81.60 | $220.55 | $1.84 – $1.84 | 5 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $741.69 – $1,261.19 | 7 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $719.19 – $1,150.98 | 7 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $549.52 – $963.24 | 7 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $527.91 – $896.57 | 7 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $555.89 – $954.39 | 7 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $624.44 – $1,055.07 | 7 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,150.35 – $1,946.88 | 7 |
| Ankle X-ray CPT 73610 | $269.73 | $729.00 | $10.66 – $335.00 | 30 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $52.16 – $1,141.12 | 29 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $83.97 – $172.83 | 7 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $94.62 – $188.48 | 7 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $94.62 – $190.61 | 7 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $116.11 – $230.43 | 7 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $5.90 – $10.89 | 7 |
| Anogenital exam child w imag CPT 99170 | $71.50 | $193.25 | $98.31 – $765.44 | 30 |
| Anora (draw only) CPT 99001 | not published | not published | $8.36 – $258.00 | 6 |
| Anorectal myomectomy CPT 45108 | not published | not published | $376.00 – $685.01 | 7 |
| Anoscopy CPT 46611 | not published | not published | $91.20 – $3,468.96 | 30 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $103.70 – $174.15 | 7 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $81.23 – $143.54 | 7 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $73.34 – $146.29 | 7 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $72.11 – $121.08 | 7 |
| Anoscopy remove fb 46608 CPT 46608 | $496.91 | $1,343.00 | $89.57 – $3,468.96 | 30 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $88.74 – $152.37 | 7 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $103.00 – $175.50 | 7 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $63.24 – $1,184.84 | 29 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $742.82 – $1,252.34 | 7 |
| Antibody CPT 86744 | not published | not published | $13.81 – $63.96 | 30 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $57.81 | $156.25 | $11.98 – $51.52 | 30 |
| Antibody elution rbc reference CPT 86860 | $107.12 | $289.50 | $13.03 – $652.00 | 29 |
| Antibody htlv/hiv confirm test CPT 86689 | $85.75 | $231.75 | $19.35 – $77.40 | 30 |
| Antibody htlv-i CPT 86687 | $41.44 | $112.00 | $8.86 – $36.36 | 30 |
| Antibody htlv-ii CPT 86688 | $66.60 | $180.00 | $7.96 – $56.00 | 30 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $218.30 | $590.00 | $15.93 – $73.48 | 30 |
| Antibody id rbc panel CPT 86870 | $90.47 | $244.50 | $20.06 – $1,368.68 | 29 |
| Antibody influenza virus CPT 86710 | $53.19 | $143.75 | $13.55 – $54.20 | 30 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $64.01 | $173.00 | $12.87 – $51.48 | 30 |
| Antibody screen rbc CPT 86850 | $34.13 | $92.25 | $5.96 – $203.28 | 30 |
| Antibody tetanus CPT 86774 | $87.41 | $236.25 | $14.80 – $59.20 | 30 |
| Antigen therapy services CPT 95145 | not published | not published | $3.53 – $175.56 | 25 |
| Antigen therapy services CPT 95146 | not published | not published | $3.53 – $175.56 | 25 |
| Antigen therapy services CPT 95147 | not published | not published | $3.53 – $270.80 | 25 |
| Antigen therapy services CPT 95148 | not published | not published | $3.53 – $270.80 | 25 |
| Antigen therapy services CPT 95149 | not published | not published | $3.53 – $270.80 | 25 |
| Antigen therapy services CPT 95165 | not published | not published | $3.53 – $175.56 | 25 |
| Antigen therapy services CPT 95170 | not published | not published | $3.53 – $175.56 | 25 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $20.44 | $55.25 | $19.78 – $19.78 | 5 |
| Anti-inhibitor HCPCS J7198 | $21.65 | $58.50 | $2.27 – $2.27 | 5 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $48.20 | 23 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $48.20 | 23 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $48.20 | 23 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $829.71 – $1,353.02 | 7 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $861.48 – $1,404.03 | 7 |
| Antinuclear antibodies CPT 86038 | $43.48 | $117.50 | $12.09 – $48.36 | 30 |
| Antinuclear antibodies titer CPT 86039 | $60.87 | $164.50 | $11.16 – $44.64 | 30 |
| Antiphosphatidylserine antibody CPT 86148 | $55.13 | $149.00 | $16.07 – $64.28 | 30 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $23.08 | 30 |
| Antistreptolysin o titer CPT 86060 | $47.27 | $127.75 | $7.30 – $29.20 | 30 |
| Antithrombin iii activity CPT 85300 | $107.67 | $291.00 | $11.85 – $47.40 | 30 |
| Antithrombin iii injection HCPCS J7197 | $9.25 | $25.00 | $4.32 – $4.32 | 5 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $920.93 | $2,489.00 | $648.99 – $648.99 | 5 |
| Antithymocyte globuln rabbit HCPCS J7511 | $942.89 | $2,548.35 | $422.41 – $648.99 | 6 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,009.96 – $1,719.68 | 7 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $13.33 – $490.44 | 30 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $16.54 – $490.44 | 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.