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 |
|---|---|---|---|---|
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $160.21 | $433.00 | $72.22 – $738.68 | 30 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $220.89 – $3,867.85 | 28 |
| Nasal function studies CPT 92512 | not published | not published | $31.77 – $1,184.84 | 30 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $257.76 – $435.36 | 7 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $178.39 – $339.45 | 7 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $299.08 – $504.75 | 7 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $178.09 – $301.35 | 7 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $303.75 – $511.55 | 7 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $445.50 – $749.64 | 7 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $562.20 – $946.23 | 7 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $151.18 – $1,477.48 | 30 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $178.93 – $302.72 | 7 |
| Nasal sinus therapy CPT 30210 | not published | not published | $105.63 – $146.29 | 7 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $116.18 | $314.00 | $41.77 – $738.68 | 30 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $39.09 | $105.65 | $8.13 – $19.78 | 6 |
| Natriuretic peptide CPT 83880 | $83.62 | $226.00 | $35.70 – $157.04 | 30 |
| Natural killer cells total count CPT 86357 | $106.28 | $287.25 | $37.73 – $150.92 | 30 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $111.08 – $209.05 | 6 |
| N block inj common digit CPT 64632 | not published | not published | $76.75 – $1,123.16 | 30 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $136.67 – $3,387.44 | 30 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $11.15 – $925.40 | 30 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $51.71 | $139.75 | $23.12 – $490.44 | 30 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $23.30 – $93.20 | 23 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $23.30 – $93.20 | 23 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $34.46 – $226.00 | 30 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $920.65 | $2,488.25 | $79.64 – $677.36 | 30 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $855.16 | $2,311.25 | $76.61 – $1,358.84 | 30 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $826.21 | $2,233.00 | $73.00 – $404.60 | 30 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,276.04 | $3,448.75 | $161.19 – $1,358.84 | 30 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $972.27 | $2,627.75 | $120.57 – $1,358.84 | 30 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $963.02 | $2,602.75 | $100.19 – $919.72 | 30 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $915.20 | $2,473.50 | $113.05 – $1,358.84 | 30 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $624.38 | $1,687.50 | $75.27 – $1,358.84 | 30 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $587.47 | $1,587.75 | $75.27 – $919.72 | 30 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,261.22 – $2,146.88 | 7 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $1,507.71 – $2,514.89 | 7 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $281.18 – $458.49 | 7 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $23.52 – $146.29 | 7 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $52.76 | 30 |
| Nelarabine injection HCPCS J9261 | $174.86 | $472.60 | $185.43 – $185.43 | 5 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $169.81 | $458.95 | $1.84 – $1.84 | 5 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $1,178.08 – $1,929.20 | 7 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $96.67 – $1,184.84 | 25 |
| Nerve conduction 7-8 studies CPT 95910 | $476.56 | $1,288.00 | $90.54 – $1,184.84 | 29 |
| Nerve conduction studies 11-12 CPT 95912 | $476.56 | $1,288.00 | $101.32 – $2,018.88 | 29 |
| Nerve conduction studies 1-2 CPT 95907 | $163.26 | $441.25 | $44.20 – $595.32 | 29 |
| Nerve conduction studies 13+ CPT 95913 | $476.56 | $1,288.00 | $110.66 – $2,018.88 | 29 |
| Nerve conduction studies 3-4 CPT 95908 | $230.23 | $622.25 | $58.57 – $1,184.84 | 29 |
| Nerve conduction studies 5-6 CPT 95909 | $453.53 | $1,225.75 | $69.35 – $1,184.84 | 29 |
| Nerve conduction studies 9-10 CPT 95911 | $476.56 | $1,288.00 | $101.68 – $2,018.88 | 29 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $1,263.65 – $2,117.63 | 7 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $1,448.92 – $2,433.26 | 7 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $1,106.67 – $1,897.91 | 7 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,721.06 – $4,937.94 | 7 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,770.24 – $2,998.55 | 7 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,121.73 – $1,923.06 | 7 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $1,476.22 – $2,335.98 | 7 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $897.17 – $1,516.97 | 7 |
| Nerve teasing preparations CPT 88362 | not published | not published | $120.37 – $3,108.20 | 30 |
| Nesiritide injection HCPCS J2325 | $96.76 | $261.50 | $40.76 – $40.76 | 5 |
| Neurectomy foot CPT 28055 | not published | not published | $420.40 – $706.79 | 7 |
| Neurectomy hamstring CPT 27325 | not published | not published | $563.29 – $1,023.09 | 7 |
| Neurectomy popliteal CPT 27326 | not published | not published | $527.83 – $942.83 | 7 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $34.19 – $1,123.16 | 29 |
| Neurolysis celiac plexus CPT 64680 | $664.89 | $1,797.00 | $182.08 – $3,387.44 | 30 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $240.37 – $3,387.44 | 30 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $164.74 | $445.25 | $24.50 – $595.32 | 30 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $499.62 – $921.74 | 7 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $352.00 – $589.77 | 7 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $1,086.27 – $1,903.34 | 7 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $994.50 – $1,695.87 | 7 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $168.52 | 23 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $318.44 | 23 |
| Neutron beam tx complex CPT 77423 | not published | not published | $99.82 – $2,201.00 | 30 |
| New Patient Office Visit (level 2) CPT 99202 | $131.07 | $354.25 | $55.48 – $96.73 | 7 |
| New Patient Office Visit (level 3) CPT 99203 | $165.39 | $447.00 | $83.81 – $147.94 | 7 |
| New Patient Office Visit (level 4) CPT 99204 | $228.20 | $616.75 | $140.86 – $252.48 | 7 |
| New Patient Office Visit (level 5) CPT 99205 | $277.69 | $750.50 | $183.33 – $325.03 | 7 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $1,051.96 | 24 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $967.76 – $3,871.04 | 23 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $734.36 – $1,253.70 | 7 |
| Nipple exploration CPT 19110 | not published | not published | $347.05 – $631.95 | 7 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $11.99 – $54.44 | 30 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $62.86 | $169.90 | $34.76 – $37.25 | 5 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $95.04 – $3,387.44 | 30 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $658.74 – $2,634.96 | 23 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,644.28 | $4,444.00 | $89.99 – $3,387.44 | 30 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $96.37 – $1,123.16 | 30 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $567.03 – $1,114.94 | 7 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $105.54 – $3,387.44 | 29 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $121.43 – $3,387.44 | 29 |
| Njx interlaminar lmbr/sac CPT 62326 | $675.53 | $1,825.75 | $103.19 – $3,387.44 | 29 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $109.90 – $3,387.44 | 29 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $702.35 | $1,898.25 | $174.36 – $2,539.64 | 29 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $595.68 – $978.89 | 7 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $591.91 | $1,599.75 | $64.14 – $1,528.92 | 30 |
| Nm imaging bone/joint whole body CPT 78306 | $606.15 | $1,638.25 | $54.25 – $1,528.92 | 30 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $515.41 | $1,393.00 | $63.46 – $1,528.92 | 30 |
| Nm imaging gastric emptying study CPT 78264 | $557.68 | $1,507.25 | $49.01 – $1,528.92 | 30 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $417.92 | $1,129.50 | $62.34 – $1,528.92 | 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.