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 |
|---|---|---|---|---|
| J-tube placement CPT 44015 | not published | not published | $161.78 – $264.62 | 7 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,435.01 – $2,876.10 | 7 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $14.85 – $61.88 | 30 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $64.10 | $173.25 | $8.17 – $32.68 | 30 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $9.71 | $26.25 | $8.63 – $8.63 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $333.78 – $545.57 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $354.71 – $584.34 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $560.01 – $909.50 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $812.30 – $1,324.44 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $386.82 – $632.64 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $642.24 – $1,048.26 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $392.65 – $641.48 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $446.97 – $731.27 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $640.66 – $1,044.87 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $690.55 – $1,126.50 | 7 |
| Kidney function study CPT 78725 | not published | not published | $23.59 – $1,528.92 | 30 |
| Kidney imaging morphology CPT 78700 | $769.51 | $2,079.75 | $28.46 – $1,528.92 | 30 |
| Kidney imag w/bld flow multi CPT 78709 | $1,257.54 | $3,398.75 | $89.00 – $2,048.04 | 30 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $782.83 | $2,115.75 | $60.53 – $2,048.04 | 30 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $400.16 | $1,081.50 | $46.34 – $404.60 | 30 |
| Kit gene analys d816 variant CPT 81273 | $269.27 | $727.75 | $124.87 – $499.48 | 29 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $22,008.58 | $59,482.65 | $4,499.08 – $4,499.08 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $670.83 – $1,150.31 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $556.58 – $947.60 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $441.53 – $760.52 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $593.82 – $1,001.33 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $629.11 – $1,148.27 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $998.63 – $1,718.31 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $552.05 – $965.96 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $584.72 – $993.17 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $538.28 – $914.25 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $709.77 – $1,212.21 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $718.77 – $1,225.82 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $617.52 – $1,040.79 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $758.58 – $1,293.15 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $927.09 – $1,551.65 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $668.80 – $1,146.90 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $684.31 – $1,171.40 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $808.20 – $1,381.59 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,090.38 – $1,828.52 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,344.84 – $2,255.03 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $1,070.87 | $2,894.25 | $135.23 – $1,358.84 | 30 |
| Knee MRI (with contrast) CPT 73722 | $1,113.05 | $3,008.25 | $101.93 – $3,006.08 | 30 |
| Knee MRI (without contrast) CPT 73721 | $1,953.60 | $5,280.00 | $84.59 – $919.72 | 30 |
| Knee X-ray CPT 73564 | $303.22 | $819.50 | $13.80 – $404.60 | 30 |
| Kras gene addl variants CPT 81276 | $128.52 | $347.35 | $193.25 – $773.00 | 29 |
| Kras gene variants exon 2 CPT 81275 | $128.52 | $347.35 | $74.21 – $773.00 | 29 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $77.89 | $210.50 | $20.54 – $42.90 | 7 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $18.41 – $35.88 | 7 |
| Labioplasty 56800 CPT 56800 | not published | not published | $265.71 – $451.01 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $9.25 | $25.00 | $0.73 – $0.73 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $27.84 | $75.25 | $6.04 – $24.16 | 30 |
| Lactated ringers intravenous solution HCPCS J7120 | $48.56 | $131.25 | $19.78 – $19.78 | 5 |
| Lactic acid CPT 83605 | $163.91 | $443.00 | $11.20 – $46.28 | 30 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $19.70 – $78.80 | 30 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $78.52 | 30 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,372.47 – $2,336.66 | 7 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,194.65 – $2,029.86 | 7 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,311.87 – $2,225.78 | 7 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,131.47 – $3,606.00 | 7 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,259.68 – $3,826.41 | 7 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,850.15 – $3,152.96 | 7 |
| Laminotomy single cervical CPT 63040 | not published | not published | $1,536.89 – $2,574.75 | 7 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,436.98 – $2,394.48 | 7 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $648.00 – $2,457.00 | 6 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $8,377.30 | $22,641.35 | $40.76 – $40.76 | 5 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,363.63 – $2,297.21 | 7 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,036.28 – $1,697.91 | 7 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,314.80 – $2,153.00 | 7 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $973.90 – $1,665.93 | 7 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $949.78 – $2,064.56 | 7 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $799.73 – $1,324.44 | 7 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $699.54 – $1,201.32 | 7 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $479.61 – $787.73 | 7 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,242.18 – $2,129.19 | 7 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,567.47 – $2,558.42 | 7 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,442.17 – $2,355.03 | 7 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,702.29 – $2,870.66 | 7 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,678.48 – $2,749.58 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,514.34 – $2,478.83 | 7 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,000.39 – $1,690.43 | 7 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,356.23 – $2,218.29 | 7 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,263.96 – $2,161.83 | 7 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $882.81 – $1,510.16 | 7 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,342.85 – $2,208.09 | 7 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $411.91 – $690.45 | 7 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $378.51 – $644.19 | 7 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $786.43 – $1,330.58 | 7 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,191.55 – $2,008.10 | 7 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $600.75 – $1,064.60 | 7 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $753.65 – $1,460.49 | 7 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,053.45 – $1,775.46 | 7 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $565.66 – $987.72 | 7 |
| Laparoscopy lysis CPT 58660 | not published | not published | $745.96 – $1,267.98 | 7 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $742.73 – $1,367.31 | 7 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $897.23 – $1,492.47 | 7 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,408.69 – $2,304.00 | 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.