healthcosts.net

Ascension St. John Medical Center (St. John Medical Center, Inc.)

1923 S Utica Ave, Tulsa, OK · Ascension · · NPI 1154417368

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 not published not published $21.05 – $84.20 23
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $33.02 $89.25 $27.21 – $108.84 30
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $31.17 $84.25 $30.27 – $121.08 30
Ot training self care/home management direct contact each 15 minutes CPT 97535 $42.55 $115.00 $30.09 – $120.36 30
Outflow tarct agmntj heart chamber 33478 CPT 33478 not published not published $1,782.61 – $2,979.50 7
Ovarian cystectomy 58925 CPT 58925 not published not published $826.40 – $1,394.52 7
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $26.95 $72.85 $8.63 – $8.63 5
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $33.86 $91.50 $19.78 – $19.78 5
Oxytocin 10 unit/ml injection solution HCPCS J2590 $58.28 $157.50 $0.59 – $0.59 5
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $1.05 $2.85 $0.25 – $0.27 5
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $38.81 $104.90 $19.78 – $19.78 5
Palb2 gene full gene seq CPT 81307 not published not published $676.50 – $2,706.00 24
Palb2 gene known famil vrnt CPT 81308 not published not published $301.35 – $1,205.40 24
Paliperidone 117 mg/0.75 ml inj HCPCS J2426 $1,118.68 $3,023.45 $8.63 – $8.63 5
Palivizumab 50 mg/0.5 ml inj CPT 90378 $1,633.27 $4,414.25 $669.46 – $2,879.48 29
Palonosetron hcl HCPCS J2469 $372.41 $1,006.50 $46.95 – $46.95 5
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $647.48 $1,749.95 $19.78 – $19.78 5
Pancreatectomy 48153 CPT 48153 not published not published $3,408.62 – $5,728.38 7
Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 not published not published $1,704.81 – $2,892.42 7
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 $187.16 $505.85 $185.43 – $185.43 5
Papaverin hcl injection HCPCS J2440 $39.86 $107.73 $8.63 – $8.63 5
Parathormone (pth) intact CPT 83970 $139.49 $377.00 $41.28 – $165.12 30
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 not published not published $1,548.50 – $2,606.72 7
Parathyrd planar w/spect&ct CPT 78072 not published not published $354.63 – $2,048.04 29
Parathyroid autotransplantation 60512 CPT 60512 not published not published $274.57 – $453.05 7
Parathyroid planar imaging CPT 78070 $402.84 $1,088.75 $51.98 – $1,528.92 30
Parathyroid planar img w/tomo spect CPT 78071 not published not published $315.47 – $1,528.92 29
Paravaginal defect repair 57284 CPT 57284 not published not published $904.35 – $1,531.92 7
Parial mast w/lymph removal 19302 CPT 19302 not published not published $956.77 – $1,657.77 7
Paricalcitol HCPCS J2501 $41.14 $111.20 $19.78 – $19.78 5
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $182.78 $494.00 $18.23 – $756.04 30
Parotid duct diversion CPT 42507 not published not published $551.29 – $971.40 7
Parotid duct diversion CPT 42509 not published not published $924.28 – $1,524.44 7
Parotid duct diversion CPT 42510 not published not published $695.23 – $1,189.08 7
Part exc/post vert comp/sng/thorac 22101 CPT 22101 not published not published $887.10 – $1,597.23 7
Part hymenectomy/revi hymenal ring 56700 CPT 56700 not published not published $205.76 – $351.69 7
Partial complicated cystectomy 51555 CPT 51555 not published not published $1,429.51 – $2,348.91 7
Partial exc bone humerus CPT 24140 not published not published $772.65 – $1,290.44 7
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 not published not published $488.19 – $825.83 7
Partial excision of lip CPT 40500 not published not published $388.89 – $683.66 7
Partial hip replacement CPT 27125 not published not published $1,251.63 – $2,093.13 7
Partial hysterectomy CPT 58180 not published not published $1,066.91 – $1,808.10 7
Partial proctectomy; perineal 45123 CPT 45123 not published not published $1,216.01 – $2,102.66 7
Partial removal finger bone CPT 26235 not published not published $530.53 – $901.34 7
Partial removal finger bone CPT 26236 $767.01 $2,073.00 $468.88 – $806.78 7
Partial removal foot fascia CPT 28060 not published not published $394.96 – $665.97 7
Partial removal leg bone(s) CPT 27360 not published not published $928.13 – $1,572.06 7
Partial removal of bladder CPT 51550 not published not published $1,086.13 – $1,787.70 7
Partial removal of esophagus 43117 CPT 43117 not published not published $2,790.05 – $4,608.69 7
Partial removal of esophagus 43122 CPT 43122 not published not published $2,885.30 – $4,772.64 7
Partial removal of eye fluid CPT 67005 not published not published $469.27 – $910.86 7
Partial removal of eye fluid CPT 67010 not published not published $545.02 – $1,022.42 7
Partial removal of fibula CPT 27641 not published not published $737.93 – $1,231.94 7
Partial removal of foot bone CPT 28288 not published not published $473.09 – $801.33 7
Partial removal of hand bone CPT 26230 not published not published $540.45 – $914.94 7
Partial removal of heart sac 33030 CPT 33030 not published not published $1,510.65 – $3,771.99 7
Partial removal of lip CPT 40530 not published not published $444.39 – $759.17 7
Partial removal of lung 32480 CPT 32480 not published not published $1,665.76 – $2,782.23 7
Partial removal of nose CPT 30150 not published not published $830.91 – $1,426.49 7
Partial removal of penis CPT 54120 not published not published $709.49 – $1,163.91 7
Partial removal of pharynx 42890 CPT 42890 not published not published $1,522.94 – $2,659.79 7
Partial removal of radius CPT 25151 not published not published $637.93 – $1,074.12 7
Partial removal of radius CPT 25230 not published not published $468.46 – $788.42 7
Partial removal of rib CPT 21600 not published not published $599.81 – $1,044.18 7
Partial removal of sternum CPT 21620 not published not published $557.81 – $950.99 7
Partial removal of thyroid CPT 60220 not published not published $785.33 – $1,322.40 7
Partial removal of thyroid CPT 60225 not published not published $1,024.58 – $1,738.73 7
Partial removal of tibia CPT 27640 not published not published $922.34 – $1,546.89 7
Partial removal of toe CPT 28160 not published not published $296.98 – $503.39 7
Partial removal of tongue CPT 41120 not published not published $1,119.01 – $1,966.61 7
Partial removal of ulna CPT 25119 not published not published $538.32 – $910.17 7
Partial removal of ulna CPT 25150 not published not published $617.83 – $1,036.02 7
Partial removal of ulna CPT 25240 not published not published $466.30 – $784.34 7
Partial removal of vaginal wall 57106 CPT 57106 not published not published $539.44 – $908.13 7
Partial removal tear gland CPT 68505 not published not published $981.02 – $1,865.25 7
Partial thyroid excision CPT 60210 not published not published $777.74 – $1,321.73 7
Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 not published not published $1,119.42 – $1,882.94 7
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 $1,048.08 $2,832.65 $3.98 – $3.98 5
Part removal of metatarsal CPT 28110 not published not published $320.21 – $540.12 7
Part removal of metatarsal CPT 28113 not published not published $469.54 – $797.94 7
Part removal of metatarsal 28112 CPT 28112 not published not published $346.67 – $589.77 7
Passy muir valve metal trach HCPCS L8501 $160.47 $433.70 $201.57 – $201.57 1
Path clin consltj high 41-60 CPT 80505 not published not published $163.00 – $652.00 23
Path clin consltj mod 21-40 CPT 80504 not published not published $163.00 – $652.00 23
Path clin consltj sf 5-20 CPT 80503 not published not published $50.82 – $203.28 23
Patient recorded spirometry CPT 94014 not published not published $22.89 – $1,518.28 30
Patient recorded spirometry CPT 94015 not published not published $25.80 – $1,184.84 30
Pdgfra gene CPT 81314 not published not published $329.51 – $1,318.04 29
Pdt dstr prmlg les phys/qhp CPT 96573 not published not published $189.01 – $756.04 28
Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 not published not published $830.22 – $1,425.81 7
Ped home apnea mntr att only CPT 94775 not published not published $148.83 – $595.32 28
Ped home apnea mntr dl&alys CPT 94776 not published not published $148.83 – $1,157.56 28
Pedicle enel/ntroral 15576 CPT 15576 not published not published $728.62 – $1,258.47 7
Pegaspargase injection HCPCS J9266 $3,604.91 $9,743.00 $6,421.31 – $6,421.31 5
Pelvic CT scan (with and without contrast) CPT 72194 $813.08 $2,197.50 $76.61 – $677.36 30
Pelvic CT scan (with contrast) CPT 72193 $971.25 $2,625.00 $73.00 – $677.36 30
Pelvic CT scan (without contrast) CPT 72192 $943.69 $2,550.50 $68.92 – $404.60 30
Pelvic MRI (with and without contrast) CPT 72197 $1,192.60 $3,223.25 $141.98 – $1,358.84 30
Pelvic MRI (with contrast) CPT 72196 $842.49 $2,277.00 $108.97 – $1,358.84 30
Pelvic MRI (without contrast) CPT 72195 $889.67 $2,404.50 $91.34 – $919.72 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.