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 |
|---|---|---|---|---|
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,247.44 – $2,063.21 | 7 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,943.75 – $4,966.50 | 7 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,710.48 – $4,544.75 | 7 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,413.73 – $2,400.60 | 7 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,609.29 – $2,724.41 | 7 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,436.77 – $2,444.82 | 7 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,526.65 – $2,580.87 | 7 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.19 | $1,430.25 | $58.42 – $97.28 | 7 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,528.32 – $2,555.70 | 7 |
| Artery to vein shunt CPT 36835 | not published | not published | $542.57 – $807.45 | 7 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $906.15 – $1,524.44 | 7 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $762.58 – $1,258.47 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | $705.87 | $1,907.75 | $23.05 – $205.14 | 7 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,633.29 | $7,117.00 | $72.46 – $371.30 | 7 |
| Artery x-rays adrenal gland CPT 75731 | $1,134.14 | $3,065.25 | $75.94 – $344.77 | 7 |
| Artery x-rays adrenals CPT 75733 | $2,119.92 | $5,729.50 | $88.29 – $427.45 | 7 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,500.35 | $4,055.00 | $72.65 – $370.51 | 7 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,674.84 | $9,932.00 | $83.41 – $442.26 | 7 |
| Artery x-rays chest CPT 75756 | $2,895.07 | $7,824.50 | $76.55 – $390.78 | 7 |
| Artery x-rays lung CPT 75741 | $1,190.85 | $3,218.50 | $83.51 – $336.97 | 7 |
| Artery x-rays lung CPT 75746 | $703.56 | $1,901.50 | $72.06 – $350.23 | 7 |
| Artery x-rays lungs CPT 75743 | $1,898.93 | $5,132.25 | $89.11 – $393.12 | 7 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $1,274.28 | $3,444.00 | $73.15 – $359.58 | 7 |
| Artery x-rays spine CPT 75705 | $2,633.29 | $7,117.00 | $133.67 – $514.04 | 7 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $239.98 – $468.02 | 6 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,399.63 – $2,329.17 | 7 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,679.35 – $2,847.53 | 7 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,917.78 – $3,148.88 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,077.98 – $3,386.97 | 6 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,010.28 – $1,750.29 | 7 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,089.09 – $1,843.49 | 7 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,380.35 – $2,364.56 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,688.28 – $2,838.69 | 7 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $761.24 – $1,027.19 | 6 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $804.57 – $1,344.18 | 7 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $660.25 – $1,128.54 | 7 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $815.15 – $1,387.71 | 7 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $930.44 – $1,552.34 | 7 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $946.63 – $1,593.83 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $269.82 | $729.25 | $41.77 – $1,123.16 | 30 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $599.31 | $1,619.75 | $59.51 – $2,634.96 | 29 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $227.37 | $614.50 | $69.00 – $1,123.16 | 29 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $196.38 | $530.75 | $39.87 – $1,123.16 | 30 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $382.30 | $1,033.25 | $51.67 – $1,123.16 | 30 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $197.77 | $534.50 | $52.49 – $1,123.16 | 29 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $452.39 – $725.82 | 6 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $645.35 – $1,072.76 | 7 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $372.92 – $616.31 | 7 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $563.75 – $913.58 | 6 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $872.04 – $1,525.13 | 7 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $1,123.77 – $1,889.06 | 7 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $1,390.08 – $2,394.48 | 7 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $365.14 – $587.73 | 7 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,133.87 – $2,854.34 | 6 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,369.64 – $2,364.56 | 7 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $444.41 – $720.39 | 7 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $859.66 – $1,441.46 | 7 |
| Arthrodesis triple CPT 28715 | not published | not published | $1,036.91 – $1,735.32 | 7 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $431.58 – $767.33 | 7 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $731.07 – $1,250.99 | 7 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $317.33 – $567.33 | 7 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $509.43 – $875.48 | 7 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $526.54 – $919.02 | 7 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $692.77 – $1,174.79 | 7 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $514.22 – $911.54 | 7 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $889.53 – $1,517.64 | 7 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $844.38 – $1,435.34 | 7 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $1,030.41 – $1,693.83 | 7 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $880.61 – $1,450.29 | 7 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $1,297.26 – $2,147.55 | 7 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $900.28 – $1,460.49 | 7 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $788.93 – $1,323.09 | 7 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $812.83 – $1,386.35 | 7 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $484.29 – $818.34 | 7 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $621.11 – $1,046.22 | 7 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $667.52 – $1,131.93 | 7 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $775.32 – $1,310.84 | 7 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $534.92 – $918.35 | 7 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $433.84 – $766.64 | 7 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $784.70 – $1,324.44 | 7 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $720.28 – $1,217.66 | 7 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $1,075.46 – $1,794.50 | 7 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $616.20 – $1,032.62 | 7 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $198.08 – $735.71 | 7 |
| Artificial insemination CPT 58321 | not published | not published | $54.45 – $1,157.40 | 30 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $65.38 – $765.44 | 30 |
| Art pressure waveform analys CPT 93050 | not published | not published | $8.99 – $93.20 | 29 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,136.74 – $1,920.35 | 7 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $3,668.34 – $3,867.89 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,865.35 – $3,099.90 | 7 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $410.91 | 29 |
| Asp core fat pad CPT 17999 | not published | not published | $189.01 – $756.04 | 28 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $175.89 – $2,677.08 | 30 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $588.10 – $2,352.40 | 28 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,063.32 | $8,279.25 | $163.36 – $270.06 | 7 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $277.59 | $750.25 | $46.55 – $1,123.16 | 30 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,523.29 | $4,117.00 | $101.93 – $2,352.40 | 29 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | not published | not published | $669.27 – $2,677.08 | 23 |
| Aspiration orbital contents CPT 67415 | $1,115.00 | $3,013.50 | $112.67 – $199.32 | 7 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $181.50 – $3,867.85 | 29 |
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.