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
Pin hand dislocation CPT 26676 not published not published $525.25 – $916.98 7
Pin knuckle dislocation CPT 26706 not published not published $457.65 – $807.45 7
Pinworm exam CPT 87172 $17.58 $47.50 $4.27 – $17.08 30
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $47.75 $129.05 $2.22 – $2.22 5
Place breast rad tube/caths CPT 19298 not published not published $354.09 – $601.34 7
Place cath intracranial art CPT 36228 $6,283.90 $16,983.50 $269.80 – $418.35 6
Place cath xtrnl carotid CPT 36227 $7,292.70 $19,710.00 $131.84 – $205.44 6
Place cecostomy tube perc CPT 49442 not published not published $236.34 – $410.19 7
Place duod/jej tube perc CPT 49441 $2,056.74 $5,558.75 $275.06 – $481.62 7
Place gastrostomy tube open 43832 CPT 43832 not published not published $1,156.41 – $1,940.76 7
Place gastrostomy tube perc CPT 49440 $832.96 $2,251.25 $235.80 – $423.12 7
Placement bile duct support CPT 47801 not published not published $1,128.63 – $1,899.26 7
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $541.31 $1,463.00 $115.01 – $146.29 6
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $98.24 $265.50 $57.68 – $146.29 6
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $515.23 $1,392.50 $98.47 – $2,677.08 29
Placement nephrostomy catheter (both sides) CPT 50432 $4,236.50 $11,450.00 $235.76 – $428.69 6
Placement of seton CPT 46020 not published not published $234.64 – $438.08 7
Placement stent(s) intravascular transcatheter artery initial CPT 37236 $29,290.87 $79,164.50 $507.39 – $840.11 6
Place ndl musc/tis for right CPT 20555 not published not published $367.07 – $619.71 7
Place needles h&n for right CPT 41019 not published not published $533.03 – $865.28 7
Place needles pelvic for right CPT 55920 not published not published $504.68 – $825.15 7
Place non-slctv cath thoracic arta CPT 36221 $3,711.84 $10,032.00 $230.68 – $406.11 6
Placental lactogen CPT 83632 not published not published $20.22 – $80.88 30
Place po breast cath for rad CPT 19296 not published not published $233.39 – $387.75 7
Place right device/marker pros CPT 55876 $1,549.84 $4,188.75 $113.00 – $185.03 7
Place slctv cath carotd art uni CPT 36224 $14,091.08 $38,084.00 $401.95 – $646.92 6
Place slctv cath carotid/inom art excrn uni CPT 36222 $8,205.12 $22,176.00 $321.56 – $548.96 6
Place slctv cath carotid/inom art intcrn uni CPT 36223 $8,205.12 $22,176.00 $354.79 – $593.87 6
Place slctv cath subclavian art CPT 36225 $8,205.12 $22,176.00 $353.38 – $591.83 6
Place slctv cath vertebral art uni CPT 36226 $8,615.45 $23,285.00 $396.86 – $647.60 6
Plasma volume multiple CPT 78111 not published not published $14.20 – $150.33 7
Plasma volume single CPT 78110 not published not published $11.99 – $163.94 7
Platelet aggregation each agent teg CPT 85576 $66.88 $180.75 $14.92 – $99.64 30
Platelet automated CPT 85049 $24.33 $65.75 $4.48 – $17.92 30
Platelet deplete of harvest CPT 38213 not published not published $14.11 – $1,663.40 30
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $2,028.90 $5,483.50 $2,278.61 – $2,278.61 5
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $1,855.09 $5,013.75 $2,278.61 – $2,278.61 5
Platelet survival CPT 78191 not published not published $38.25 – $1,528.92 30
Plcmnt biliary drainage cath w/img ext CPT 47533 $2,915.42 $7,879.50 $307.19 – $596.64 6
Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 $12,700.44 $34,325.50 $212.74 – $366.84 6
Plcmnt ureteral stent pq w/img exstng trct CPT 50693 $5,022.20 $13,573.50 $233.41 – $424.46 6
Plcmnt ureteral stent pq w/img new w/cath CPT 50695 $6,640.58 $17,947.50 $392.39 – $696.42 6
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 $711.33 $1,922.50 $100.67 – $2,677.08 29
Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 $711.33 $1,922.50 $50.16 – $85.04 6
Plc pq device breast ea addl lesion MRI guide CPT 19288 $98.24 $265.50 $73.41 – $146.29 6
Plc pq device breast ea addl lesion stereo guide CPT 19284 $98.24 $265.50 $58.43 – $146.29 6
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $98.24 $265.50 $49.42 – $146.29 6
Plethysmography lung volumes/airway resistance CPT 94726 $104.16 $281.50 $40.96 – $1,184.84 29
Pleurectomy parietal ; separate 32310 CPT 32310 not published not published $1,025.88 – $1,721.72 7
Plmt access bil tree sm bwl CPT 47541 not published not published $383.20 – $551.66 6
Plmt biliary drainage cath CPT 47534 $3,383.19 $9,143.75 $428.27 – $792.00 6
Plmt nephroureteral catheter CPT 50433 $4,681.80 $12,653.50 $294.42 – $529.88 6
Plmt ureteral stent prq CPT 50694 $6,640.58 $17,947.50 $305.81 – $549.56 6
Pm device progr eval dual CPT 93280 $39.59 $107.00 $20.12 – $141.88 30
Pm device progr eval multi CPT 93281 $41.44 $112.00 $23.72 – $141.88 30
Pml/raralpha 1 breakpoint CPT 81316 not published not published $207.31 – $875.55 29
Pmp22 gene dup/delet CPT 81324 not published not published $758.36 – $3,033.44 29
Pmp22 gene full sequence CPT 81325 not published not published $74.21 – $3,078.32 29
Pmp22 gene known fam variant CPT 81326 not published not published $46.60 – $186.40 29
Pm phone r-strip device eval CPT 93293 not published not published $20.77 – $141.88 30
Pms2 gene dup/delet variants CPT 81319 not published not published $203.50 – $814.00 29
Pms2 gene full seq analysis CPT 81317 not published not published $676.50 – $2,706.00 29
Pms2 known familial variants CPT 81318 not published not published $210.68 – $1,324.00 29
Pneumothrx tx-intraplrl inj ai CPT 32960 not published not published $105.24 – $2,352.40 30
#pnh-flow cytometry interp CPT 88187 not published not published $52.57 – $149.76 7
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $83.34 $225.25 $20.33 – $104.28 30
Polysom <6 yrs cpap/bilvl CPT 95783 not published not published $967.76 – $3,871.04 29
Polysom any age 1-3> param CPT 95808 not published not published $159.16 – $3,871.04 30
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $2,339.60 $6,323.25 $225.64 – $3,871.04 30
Positional change of finger CPT 26555 not published not published $1,393.84 – $2,497.20 7
Positional nystagmus test CPT 92532 not published not published $30.14 – $120.40 6
Post non-seg/spine instrumentation 22840 CPT 22840 not published not published $862.61 – $1,404.72 7
Postpartum Care Only CPT 59430 not published not published $146.05 – $301.86 7
Post seg spine instrument/3-6 seg 22842 CPT 22842 not published not published $866.06 – $1,406.07 7
Potassium 24 hour urine CPT 84133 $25.16 $68.00 $4.43 – $18.92 30
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $48.56 $131.25 $1.84 – $1.84 5
Potassium serum/plasma/whole blood CPT 84132 $24.79 $67.00 $4.76 – $19.04 30
Pq biliary strict dil s&i CPT 74363 $369.91 $999.75 $55.99 – $93.60 6
Pq dr cath chg w cont s&i CPT 75984 $391.18 $1,057.25 $45.80 – $230.89 7
Pq kyphplsty 1 bdy lumb w/img CPT 22514 $9,071.01 $24,516.25 $544.64 – $12,277.16 6
Pq thr inj ext pse CPT 36002 $843.97 $2,281.00 $120.64 – $2,352.40 30
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $1,035.91 $2,799.75 $237.73 – $1,642.13 6
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $2,318.70 $6,266.75 $492.41 – $2,974.05 6
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $2,318.70 $6,266.75 $461.62 – $2,942.09 6
Pralatrexate injection HCPCS J9307 $328.13 $886.85 $185.43 – $185.43 5
Pralidoxime 1 gram solution for injection HCPCS J2730 $160.65 $434.20 $185.43 – $185.43 5
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 $1,301.20 $3,516.75 $646.27 – $1,179.56 7
Pr application of long arm splint CPT 29105 $225.33 $609.00 $65.44 – $600.36 30
Pr application splint static short arm CPT 29125 $222.37 $601.00 $43.05 – $490.44 30
Pr assessment emotional/behavioral per instrument brief CPT 96127 not published not published $5.75 – $149.36 24
Pr biopsy skin punch single lesion CPT 11104 not published not published $380.04 – $1,520.16 23
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published $668.75 – $1,097.25 7
Pr correction hammertoe CPT 28285 not published not published $368.48 – $703.38 7
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $91.48 $247.25 $13.74 – $113.36 30
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published $175.82 – $287.07 7
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $125.71 $339.75 $26.17 – $756.04 30
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 not published not published $79.86 – $81.81 2
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 not published not published $118.44 – $119.04 2
Prealbumin CPT 84134 $68.45 $185.00 $14.59 – $58.36 30
Pr ecg 12 lead report only CPT 93010 $12.86 $34.75 $9.44 – $17.94 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.