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
Implant tcat pulm vlv perq CPT 33477 not published not published $1,489.13 – $2,521.47 6
Implant ureth bulk agent HCPCS L8606 $2,342.17 $6,330.20 $324.34 – $367.19 6
Impl ear abutment ba300 9mm HCPCS L8693 $2,446.55 $6,612.30 $2,558.43 – $2,558.43 1
Impl neurostim electr perc CPT 63650 not published not published $459.53 – $7,541.00 8
Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 not published not published $241.86 – $427.45 6
Implnt spinl canal catheter 62350 CPT 62350 not published not published $434.45 – $750.99 7
Impl oi implt skull perq esp CPT 69714 not published not published $1,179.36 – $2,024.43 7
Implt brain chemotx add-on 61517 CPT 61517 not published not published $97.71 – $159.18 7
Impltj ntrstrml crnl rng seg CPT 65785 not published not published $422.36 – $724.53 6
Impres&prep auricular prosth CPT 21086 not published not published $1,739.79 – $2,867.94 7
Impres&prep def obt prosth CPT 21080 not published not published $1,749.93 – $2,871.33 7
Impres&prep facial prosth CPT 21088 not published not published $6,662.60 – $7,138.50 5
Impres&prep intrm obt prosth CPT 21079 not published not published $1,570.15 – $2,581.55 7
Impres&prep mndbl res prosth CPT 21081 not published not published $1,608.10 – $2,635.29 7
Impres&prep nasal prosth CPT 21087 not published not published $1,733.45 – $2,814.87 7
Impres&prep oral surg splint CPT 21085 not published not published $220.89 – $1,159.83 30
Impres&prep orbital prosth CPT 21077 not published not published $2,357.94 – $3,888.32 7
Impres&prep paltl aug prosth CPT 21082 not published not published $1,488.50 – $2,480.19 7
Impres&prep paltl lft prosth CPT 21083 not published not published $1,377.83 – $2,248.91 7
Impres&prep sp aid prosth CPT 21084 not published not published $1,577.90 – $2,665.91 7
Impres&prep surg obt prosth CPT 21076 not published not published $931.14 – $1,538.73 7
In-111 autol wbc diag per dose HCPCS A9570 $4,097.94 $11,075.50 $4,450.29 – $4,450.29 5
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $5,512.17 $14,897.75 $2,225.15 – $2,225.15 5
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $4,266.29 $11,530.50 $514.18 – $514.18 5
In-111 pentetreotide HCPCS A9572 $6,865.44 $18,555.25 $7,063.21 – $7,063.21 5
In-111 satumomab pend HCPCS A4642 $3,089.69 $8,350.50 $2,736.95 – $2,736.95 5
Inc dp bone crtx f/arm&/wrst CPT 25035 not published not published $637.82 – $1,072.08 7
Inc dp opn b1 crtx hum/elbw CPT 23935 not published not published $535.67 – $933.30 7
Incis 1 vertebral seg lumbar CPT 22214 not published not published $1,615.94 – $2,725.76 7
Incise diaphragm nerve CPT 64746 not published not published $471.92 – $805.41 7
Incise/drain eyelid lining CPT 68020 not published not published $111.57 – $3,685.16 30
Incise flexor carpi radialis CPT 25001 not published not published $349.72 – $629.91 7
Incise hand/finger tendon CPT 26460 not published not published $404.25 – $710.87 7
Incise hip/thigh nerve CPT 64763 not published not published $533.10 – $1,026.50 7
Incise hip/thigh nerve CPT 64766 not published not published $628.62 – $1,104.05 7
Incise inner ear CPT 69801 not published not published $140.17 – $807.37 7
Incise inner ear nerve CPT 69915 not published not published $1,721.32 – $2,895.83 7
Incise inner eye adhesions CPT 65860 not published not published $262.68 – $2,087.36 30
Incise inner eye adhesions CPT 65865 not published not published $474.87 – $868.68 7
Incise inner eye adhesions CPT 65870 not published not published $587.88 – $1,125.81 7
Incise inner eye adhesions CPT 65875 not published not published $624.07 – $1,185.00 7
Incise inner eye adhesions CPT 65880 not published not published $658.71 – $1,220.37 7
Incise inner eye strands CPT 67030 not published not published $514.91 – $976.85 7
Incise nerve back of head CPT 64744 not published not published $451.58 – $902.69 7
Incise perq finger tendon 26060 CPT 26060 not published not published $275.98 – $485.70 7
Incise skull/brain surgery CPT 61720 not published not published $1,261.76 – $2,319.66 7
Incise skull for treatment CPT 61770 not published not published $1,644.09 – $2,956.37 7
Incise sperm duct pouch CPT 55600 not published not published $471.49 – $775.49 7
Incise tear duct opening 68440 CPT 68440 not published not published $95.10 – $1,137.40 30
Incise tendon(s) & muscle(s) CPT 23406 not published not published $848.76 – $1,423.08 7
Incise thigh tendon & fascia CPT 27305 not published not published $506.53 – $889.08 7
Incise wrist/forearm tendon CPT 25290 not published not published $475.54 – $799.29 7
Incision anal septum infant CPT 46070 not published not published $241.48 – $407.48 7
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $1,272.52 $3,439.25 $129.17 – $219.05 7
Incision & drainage open of deep abscess (subfascial) pos CPT 22010 not published not published $986.84 – $1,739.40 7
Incision of achilles tendon CPT 27605 not published not published $205.39 – $346.94 7
Incision of achilles tendon CPT 27606 not published not published $311.60 – $530.60 7
Incision of anal sphincter CPT 46080 not published not published $171.87 – $297.27 7
Incision of ankle bone CPT 28302 not published not published $743.47 – $1,316.28 7
Incision of bile duct 47420 CPT 47420 not published not published $1,458.57 – $2,494.47 7
Incision of breast lesion CPT 19020 $3,863.36 $10,441.50 $306.55 – $563.93 7
Incision of brow nerve CPT 64732 not published not published $412.12 – $807.45 7
Incision of burn scab initi CPT 16035 not published not published $219.53 – $1,520.16 30
Incision of cheek nerve CPT 64734 not published not published $449.48 – $723.11 7
Incision of chin nerve CPT 64736 not published not published $423.60 – $784.34 7
Incision of eardrum CPT 69420 not published not published $129.10 – $883.56 30
Incision of eardrum CPT 69421 not published not published $161.43 – $279.59 7
Incision of esophagus CPT 43020 not published not published $593.75 – $997.25 7
Incision of eye CPT 65850 not published not published $856.34 – $1,605.39 7
Incision of eye CPT 66172 not published not published $1,284.30 – $2,840.04 7
Incision of eyelid CPT 67710 not published not published $95.27 – $3,685.16 30
Incision of facial nerve CPT 64742 not published not published $502.84 – $933.30 7
Incision of fibula CPT 27707 not published not published $425.82 – $744.87 7
Incision of finger tendon CPT 26455 not published not published $416.36 – $732.63 7
Incision of foot fascia CPT 28008 not published not published $325.93 – $548.28 7
Incision of foot tendon 28234 CPT 28234 not published not published $289.94 – $494.54 7
Incision of gallbladder 47480 CPT 47480 not published not published $920.33 – $1,625.12 7
Incision of heel bone CPT 28300 not published not published $720.77 – $1,223.09 7
Incision of hip bones CPT 27151 not published not published $1,719.79 – $2,937.32 7
Incision of hip tendon CPT 27000 not published not published $447.85 – $780.93 7
Incision of hip tendon CPT 27001 not published not published $587.79 – $998.61 7
Incision of hip tendon CPT 27003 not published not published $631.48 – $1,094.52 7
Incision of hip tendons CPT 27006 not published not published $807.68 – $1,359.14 7
Incision of iris CPT 66500 not published not published $348.10 – $650.33 7
Incision of iris CPT 66505 not published not published $381.25 – $712.22 7
Incision of jaw joint CPT 21010 not published not published $803.94 – $1,419.00 7
Incision of jaw nerve CPT 64738 not published not published $503.01 – $907.46 7
Incision of knee joint CPT 27435 not published not published $869.16 – $1,491.80 7
Incision of lymph channels CPT 38308 not published not published $486.00 – $839.43 7
Incision of metatarsal CPT 28306 not published not published $447.22 – $757.13 7
Incision of metatarsal CPT 28307 not published not published $487.75 – $863.93 7
Incision of metatarsal CPT 28308 not published not published $417.29 – $699.98 7
Incision of metatarsals CPT 28309 not published not published $1,000.80 – $1,665.26 7
Incision of midfoot bones CPT 28304 not published not published $674.87 – $1,113.57 7
Incision of palm tendon CPT 26450 not published not published $419.26 – $725.15 7
Incision of prostate CPT 52450 not published not published $525.20 – $863.93 7
Incision of pyloric muscle 43520 CPT 43520 not published not published $768.04 – $1,276.83 7
Incision of rectal abscess CPT 46060 not published not published $478.46 – $886.37 7
Incision of small bowel 44010 CPT 44010 not published not published $940.23 – $1,614.92 7
Incision of sperm duct CPT 55200 not published not published $306.06 – $511.55 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.