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 |
|---|---|---|---|---|
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $800.41 – $1,343.49 | 7 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $2,016.00 | 24 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,532.47 – $1,532.47 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $1,395.06 | 29 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $3,120.00 | 29 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $1,983.16 | 29 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $11.51 – $364.44 | 30 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $75.89 – $131.30 | 7 |
| Apheresis plasma CPT 36514 | $4,467.75 | $12,075.00 | $105.14 – $176.87 | 7 |
| Apheresis platelets CPT 36513 | $1,629.39 | $4,403.75 | $109.14 – $1,663.40 | 30 |
| Apheresis rbc CPT 36512 | $2,015.21 | $5,446.50 | $106.17 – $175.50 | 7 |
| Apheresis wbc CPT 36511 | $3,793.52 | $10,252.75 | $105.10 – $180.27 | 7 |
| Apl(pml-rara) quant - sendout CPT 81315 | $300.35 | $811.75 | $207.31 – $829.24 | 29 |
| Appendectomy CPT 44950 | not published | not published | $700.74 – $1,190.45 | 7 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $95.26 – $155.78 | 7 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $944.60 – $1,619.67 | 7 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $642.08 – $1,113.57 | 7 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,255.13 | $3,392.25 | $256.12 – $406.79 | 6 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $504.77 | $1,364.25 | $64.96 – $98.64 | 6 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $185.56 | $501.50 | $28.67 – $48.98 | 6 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $1,738.54 | $4,698.75 | $228.19 – $362.58 | 6 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $336.42 | $909.25 | $51.76 – $78.23 | 6 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $123.77 | $334.50 | $19.59 – $31.97 | 6 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $150.09 – $600.36 | 30 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $182.84 – $1,010.52 | 30 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $161.42 – $1,010.52 | 30 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $152.99 – $1,010.52 | 30 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $62.57 – $1,010.52 | 30 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $92.72 – $1,010.52 | 30 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $147.67 – $1,010.52 | 30 |
| Appl halo type body cast CPT 29000 | not published | not published | $187.69 – $1,010.52 | 30 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $194.66 – $1,010.52 | 30 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $172.02 – $1,010.52 | 30 |
| Application clubfoot cast CPT 29450 | not published | not published | $127.26 – $600.36 | 30 |
| Application finger splntstatic 29130 CPT 29130 | $201.47 | $544.50 | $31.92 – $490.44 | 30 |
| Application halo femoral CPT 20663 | not published | not published | $482.83 – $861.20 | 7 |
| Application halo pelvic CPT 20662 | not published | not published | $478.98 – $790.46 | 7 |
| Application long leg splint 29505 CPT 29505 | $190.37 | $514.50 | $52.64 – $600.36 | 30 |
| Application lower leg splint 29515 CPT 29515 | $251.42 | $679.50 | $54.95 – $600.36 | 30 |
| Application multi layer compression below knee (both sides) CPT 29581 | $303.03 | $819.00 | $14.51 – $600.36 | 29 |
| Application of body cast CPT 29010 | not published | not published | $153.09 – $1,010.52 | 30 |
| Application of body cast CPT 29015 | not published | not published | $179.02 – $1,010.52 | 30 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $96.37 – $1,010.52 | 30 |
| Application of forearm cast 29075 CPT 29075 | $386.10 | $1,043.50 | $66.63 – $1,010.52 | 30 |
| Application of long arm cast 29065 CPT 29065 | $116.55 | $315.00 | $73.90 – $1,010.52 | 30 |
| Application of long leg cast CPT 29355 | not published | not published | $117.86 – $1,010.52 | 30 |
| Application of long leg cast 29345 CPT 29345 | $165.48 | $447.25 | $111.47 – $1,010.52 | 30 |
| Application of paste boot 29580 CPT 29580 | $255.30 | $690.00 | $39.34 – $600.36 | 30 |
| Application short leg cast 29405 CPT 29405 | $349.47 | $944.50 | $66.09 – $1,010.52 | 30 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,192.42 | $3,222.75 | $108.09 – $194.55 | 6 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,063.20 | $2,873.50 | $95.02 – $161.22 | 6 |
| Appl long leg cast brace CPT 29358 | not published | not published | $114.25 – $1,010.52 | 30 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,125.39 – $2,067.96 | 7 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $17.58 | $47.50 | $5.66 – $22.64 | 30 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $21.55 | $58.25 | $10.98 – $43.92 | 30 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.34 – $149.36 | 23 |
| Appl multlay comprs arm/hand CPT 29584 | $166.69 | $450.50 | $17.85 – $600.36 | 29 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $92.05 – $1,010.52 | 30 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $602.25 – $1,092.48 | 7 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $52.65 – $600.36 | 30 |
| Apply forearm splintdynamic 29126 CPT 29126 | $62.16 | $168.00 | $52.91 – $490.44 | 30 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $499.68 – $923.78 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | $168.17 | $454.50 | $72.01 – $600.36 | 30 |
| Apply interstit radiat compl CPT 77778 | $2,614.70 | $7,066.75 | $281.33 – $2,639.88 | 30 |
| Apply intrcav radiat compl CPT 77763 | $2,409.72 | $6,512.75 | $270.19 – $2,639.88 | 30 |
| Apply intrcav radiat interm CPT 77762 | $2,401.67 | $6,491.00 | $210.03 – $2,201.00 | 30 |
| Apply intrcav radiat simple CPT 77761 | $2,393.99 | $6,470.25 | $176.68 – $2,201.00 | 30 |
| Apply of finger splint 29131 CPT 29131 | $48.19 | $130.25 | $36.63 – $226.00 | 30 |
| Apply rem fixation device CPT 20660 | $657.03 | $1,775.75 | $268.66 – $446.25 | 7 |
| Apply rigid leg cast 29445 CPT 29445 | $335.59 | $907.00 | $116.12 – $1,010.52 | 30 |
| Apply short leg castambul type 29425 CPT 29425 | $66.79 | $180.50 | $62.48 – $1,010.52 | 30 |
| Apply surf ldr radionuclide CPT 77789 | $122.66 | $331.50 | $51.60 – $416.64 | 30 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,213.39 – $2,144.84 | 7 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,318.65 – $3,759.06 | 7 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $140.36 | 30 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $37.73 – $150.92 | 23 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $48.20 | 23 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $46.12 | 23 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $40.33 | $109.00 | $34.23 – $136.92 | 30 |
| Aquatic exercise - group charge CPT 97150 | $32.75 | $88.50 | $16.56 – $66.24 | 30 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,184.88 – $2,195.16 | 7 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,165.25 – $1,630.56 | 6 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $190.57 | $515.05 | $6.51 – $6.98 | 5 |
| Aripiprazole injection HCPCS J0400 | $21.79 | $58.90 | $0.73 – $0.73 | 5 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $102.12 | $276.00 | $46.95 – $46.95 | 5 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,132.62 – $3,578.79 | 7 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,787.23 – $3,021.68 | 7 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,994.17 – $3,358.40 | 7 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,800.84 – $3,020.31 | 7 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,974.41 – $3,330.51 | 7 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,026.75 – $3,420.30 | 7 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,263.63 – $2,134.62 | 7 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,576.44 – $2,650.26 | 7 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,349.40 – $2,282.93 | 7 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,611.31 – $2,738.01 | 7 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,451.65 – $2,467.95 | 7 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,246.58 – $2,109.45 | 7 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,245.03 – $2,103.33 | 7 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,347.74 – $2,282.24 | 7 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,127.88 – $2,033.27 | 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.