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 |
|---|---|---|---|---|
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $564.90 | $1,526.75 | $426.14 – $2,048.04 | 29 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $818.07 | $2,211.00 | $76.54 – $2,048.04 | 30 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $703.19 | $1,900.50 | $297.51 – $2,048.04 | 29 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $302.48 | $817.50 | $228.52 – $1,528.92 | 29 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $352.15 | $951.75 | $50.31 – $852.80 | 30 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $30.74 – $1,528.92 | 30 |
| Non-imaging heart function CPT 78414 | not published | not published | $26.87 – $2,048.04 | 29 |
| Noninv pace analysis CPT 93724 | not published | not published | $28.39 – $1,141.12 | 30 |
| Noonan spectrum disorders CPT 81442 | $944.06 | $2,551.50 | $683.38 – $683.38 | 1 |
| Npm1 gene CPT 81310 | $209.88 | $567.25 | $246.52 – $986.08 | 29 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $504.72 – $2,018.88 | 23 |
| Nras gene variants exon 2&3 CPT 81311 | $190.00 | $513.50 | $295.79 – $1,183.16 | 29 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,206.50 | $5,963.50 | $1,388.73 – $2,170.68 | 7 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,237.72 – $2,070.68 | 7 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,159.70 – $1,996.53 | 7 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,206.35 – $1,993.82 | 7 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,246.67 – $2,187.00 | 7 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,405.56 – $2,386.32 | 7 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,531.76 – $2,621.01 | 7 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,454.19 – $2,499.24 | 7 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,599.69 – $2,716.92 | 7 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,200.67 – $2,027.82 | 7 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,104.18 – $1,866.60 | 7 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $218.07 – $375.50 | 6 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $181.76 – $313.59 | 6 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,389.66 – $2,321.70 | 7 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $178.23 – $308.16 | 6 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $675.73 – $1,287.03 | 7 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $2,073.12 | 24 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $550.25 – $2,201.00 | 23 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $779.59 | $2,107.00 | $550.25 – $2,201.00 | 28 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $33.41 – $1,528.92 | 30 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $87.12 | 29 |
| Nuclear rx intra-arterial CPT 79445 | $230.05 | $621.75 | $110.52 – $852.80 | 29 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $51.74 – $852.80 | 30 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $55.71 – $852.80 | 30 |
| Nuclear rx IV admin CPT 79101 | $960.06 | $2,594.75 | $48.87 – $852.80 | 30 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,001.05 | $5,408.25 | $414.64 – $874.80 | 6 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $60.54 – $852.80 | 29 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $1,165.44 | 28 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $93.61 – $116.66 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $71.59 – $80.58 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $142.75 | $385.80 | $85.96 – $92.10 | 5 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.71 – $420.33 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $147.90 – $259.60 | 7 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.47 – $325.03 | 7 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,039.17 – $1,959.80 | 7 |
| Obstetrics panel CPT 80055 | $76.04 | $205.50 | $42.47 – $191.24 | 30 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $62.52 – $404.60 | 30 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $30.54 – $169.27 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $273.34 – $459.17 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $19,859.75 | $53,675.00 | $77.35 – $82.88 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $240.50 | $650.00 | $1.79 – $1.79 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,488.73 | $17,537.10 | $185.43 – $185.43 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $2,087.36 | 30 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,479.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,479.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,479.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $106.63 | $288.20 | $185.43 – $185.43 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $1,109.67 | $2,999.10 | $19.78 – $19.78 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $19.22 – $19.78 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $2,696.51 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $655.76 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $2,035.48 | 29 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $2,317.84 | 29 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $710.24 | 29 |
| Oncology prostate prob score CPT 81539 | not published | not published | $683.38 – $3,040.00 | 29 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $74.21 – $3,588.00 | 29 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $74.21 – $1,042.00 | 29 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $257.64 | 30 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $257.64 | 30 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.36 | $3.68 | $0.05 – $0.05 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.25 | $25.00 | $0.13 – $0.13 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $163.00 – $1,274.52 | 28 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $2,140.74 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $2,663.87 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $3,429.83 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $3,688.32 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $1,471.38 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $438.08 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $1,573.43 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $1,388.39 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $1,275.47 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $3,799.20 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $526.52 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $872.09 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $1,048.95 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $1,354.38 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $996.57 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $1,193.84 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,631.24 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $1,016.97 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $1,521.05 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $490.44 | 30 |
| Ophthalmic mitomycin HCPCS J7315 | $516.61 | $1,396.25 | $185.43 – $185.43 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $149.36 | 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.