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 |
|---|---|---|---|---|
| Hepatitis b core antibody igm CPT 86705 | $50.97 | $137.75 | $11.77 – $47.08 | 30 |
| Hepatitis b core antibody total CPT 86704 | $46.25 | $125.00 | $12.05 – $48.20 | 30 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $113.34 – $669.46 | 29 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $101.28 | 23 |
| Hepatitis b surface antibody CPT 86706 | $41.26 | $111.50 | $10.74 – $42.96 | 30 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $107.06 – $130.36 | 6 |
| Hepatitis c antibody CPT 86803 | $53.10 | $143.50 | $14.27 – $57.08 | 30 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $21.11 – $124.88 | 30 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $171.36 | 23 |
| Hepatobiliary system imaging CPT 78226 | $528.18 | $1,427.50 | $310.43 – $1,528.92 | 29 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $910.64 – $910.64 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $556.37 – $963.92 | 7 |
| Herpes simplex 1 ag if CPT 87274 | $50.97 | $137.75 | $11.98 – $47.92 | 30 |
| Herpes simplex 2 ag if CPT 87273 | $47.45 | $128.25 | $11.98 – $47.92 | 30 |
| Herpes simplex type 1 antibody igg CPT 86695 | $60.68 | $164.00 | $13.19 – $52.76 | 30 |
| Herpes simplex type 2 antibody igg CPT 86696 | $77.52 | $209.50 | $19.35 – $77.40 | 30 |
| Herpes simplex virus isolation CPT 87255 | $59.44 | $160.65 | $33.86 – $135.44 | 30 |
| Heterophile antibodies screening CPT 86308 | $24.14 | $65.25 | $5.18 – $20.72 | 30 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $25.88 | 30 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $29.48 | 30 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $486.21 | 29 |
| Hhv-6 dna quant CPT 87533 | $184.63 | $499.00 | $19.90 – $167.04 | 30 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $249.97 – $424.47 | 7 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $881.60 – $1,510.83 | 7 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $872.53 – $1,512.20 | 7 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,120.11 – $1,906.07 | 6 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $711.58 – $1,229.21 | 7 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $790.65 – $1,342.82 | 7 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,099.49 – $1,867.97 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,121.19 – $1,908.11 | 6 |
| Hip X-ray CPT 73502 | $122.10 | $330.00 | $30.54 – $335.00 | 29 |
| Histamine CPT 83088 | $162.62 | $439.50 | $29.53 – $118.12 | 30 |
| Histochemical stains add-on CPT 88314 | $57.07 | $154.25 | $27.66 – $142.86 | 7 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $4.81 – $149.36 | 30 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $18.50 – $96.24 | 30 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.11 – $87.68 | 30 |
| Hla class i high defin qual CPT 86832 | $264.18 | $714.00 | $197.54 – $1,295.00 | 29 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $179.58 – $1,303.20 | 29 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $61.62 – $256.76 | 29 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $46.21 – $256.76 | 29 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $327.52 | 29 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $1,291.84 | 29 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $382.08 | 29 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $1,430.24 | 29 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $374.74 – $1,618.08 | 29 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $1,382.28 | 29 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $1,608.48 | 29 |
| Hla ii typing 1 loc hr CPT 81382 | $658.39 | $1,779.42 | $123.68 – $494.72 | 29 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $882.96 | 29 |
| Hla i low res one antigen equiv ea CPT 81374 | $100.73 | $272.25 | $74.33 – $297.32 | 29 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $709.00 | 29 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $1,341.52 | 29 |
| Hla i typing complete lr CPT 81372 | $2,871.02 | $7,759.50 | $343.93 – $1,614.36 | 29 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $153.00 | $413.50 | $147.25 – $679.60 | 29 |
| Hla i typing low res one locus ea CPT 81373 | $978.84 | $2,645.50 | $127.43 – $509.72 | 29 |
| Hla typing a b or c CPT 86813 | $100.73 | $272.25 | $40.55 – $232.00 | 30 |
| Hla typing dr/dq CPT 86816 | not published | not published | $29.45 – $120.68 | 30 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $146.12 | 29 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $437.96 | 29 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $87.99 – $351.96 | 23 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $28.34 – $113.36 | 23 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $28.34 – $113.36 | 23 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $152.83 – $611.32 | 23 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $70.69 | $191.05 | $0.22 – $0.22 | 5 |
| Home sleep test/type 3 porta HCPCS G0399 | $424.58 | $1,147.50 | $135.60 – $573.75 | 6 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $93.08 – $98.02 | 2 |
| Homocysteine CPT 83090 | $142.54 | $385.25 | $17.72 – $71.68 | 30 |
| Homogenization tissue CPT 87176 | $15.45 | $41.75 | $5.88 – $23.52 | 30 |
| Homovanillic acid (hva) CPT 83150 | $76.87 | $207.75 | $20.33 – $89.64 | 30 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $488.88 | 29 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $488.88 | 29 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $140.36 | 29 |
| Hpv types 16 & 18 only CPT 87625 | $140.32 | $379.25 | $36.43 – $162.20 | 29 |
| H pylori ag ia CPT 87339 | not published | not published | $12.77 – $64.00 | 30 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $269.44 | 30 |
| H pylori (c-13) breath CPT 83013 | $74.77 | $202.08 | $67.36 – $269.44 | 30 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $31.44 | 30 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $2,339.60 | 29 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $2,339.60 | 29 |
| Htt gene detc abnor alleles CPT 81271 | $152.07 | $411.00 | $137.00 – $548.00 | 28 |
| Human epididymis protein 4 (he4) CPT 86305 | $98.51 | $266.25 | $20.81 – $83.24 | 29 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $110.65 | $299.06 | $0.73 – $0.73 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $87.69 | $237.00 | $0.73 – $0.73 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $9.70 | $26.22 | $19.78 – $19.78 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $67.06 | $181.25 | $15.89 – $175.56 | 30 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $144.67 | $391.00 | $59.41 – $801.64 | 30 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $64.01 | $173.00 | $19.78 – $19.78 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $75.95 | $205.28 | $8.63 – $8.63 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $71.60 | 30 |
| Hymenotomy CPT 56442 | not published | not published | $52.19 – $89.79 | 7 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,098.35 – $1,868.64 | 7 |
| Hyoscyamine sulfate inj HCPCS J1980 | $106.63 | $288.20 | $19.78 – $19.78 | 5 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $40.72 | 30 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $126.61 – $2,639.88 | 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.