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
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 not published not published $29.82 – $56.16 7
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.55 $4.20 $1.84 – $1.84 5
Prednisone 1 mg tablet HCPCS J7512 $10.80 $29.20 $0.29 – $0.32 5
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $1,105.28 $2,987.25 $228.77 – $473.46 7
Pregnancy associated plasma protein-a CPT 84163 $64.47 $174.25 $15.05 – $60.20 30
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $566.29 $1,530.50 $61.14 – $404.60 30
Pregnancy Ultrasound (first trimester) CPT 76801 $488.77 $1,321.00 $61.54 – $404.60 30
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 not published not published $94.62 – $198.44 7
Prenatal Care Only (4-6 visits) CPT 59425 not published not published $397.68 – $772.23 7
Prenatal Care Only (7+ visits) CPT 59426 not published not published $703.77 – $1,361.91 7
Preparation palate mold CPT 42280 not published not published $115.79 – $1,937.64 30
Prepare embryo for transfer CPT 89255 not published not published $50.82 – $1,050.92 28
Prepare penis study CPT 54230 not published not published $89.19 – $146.94 7
Prep skin to 100cm2 other CPT 15004 $892.44 $2,412.00 $301.99 – $2,329.08 30
Prep skin to 100cm2 trk/ext CPT 15002 $937.12 $2,532.75 $253.33 – $425.16 7
Prep skn trk/ext adl 100cm2 CPT 15003 not published not published $51.38 – $85.04 7
Pressure max expiratory/inspiratory CPT 94799 $232.27 $627.75 $5.50 – $595.32 29
Pressure velocity wire add ves CPT 93572 $173.07 $467.75 $95.79 – $134.01 6
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 not published not published $14.59 – $652.00 29
Pretreat rbc absorption reference CPT 86978 $19.61 $53.00 $14.59 – $226.00 29
Pretreat rbc density gradient separation reference CPT 86972 $119.51 $323.00 $17.46 – $652.00 29
Pretreat rbc w chem/drugs reference CPT 86970 $207.39 $560.50 $10.94 – $226.00 29
Pretreat rbc w enzyme reference CPT 86971 not published not published $10.94 – $652.00 29
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 not published not published $152.83 – $611.32 29
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 $1,907.07 $5,154.25 $86.60 – $151.02 7
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 not published not published $167.86 – $299.31 7
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $503.29 $1,360.25 $124.09 – $1,520.16 30
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 not published not published $1,447.30 – $2,519.64 7
Prgrmg dev eval impltbl sys CPT 93260 not published not published $21.57 – $141.88 29
Prgrmg dev eval pm/ldls pm CPT 93279 $39.59 $107.00 $17.97 – $141.88 30
Prgrmg dev eval scrms ip CPT 93285 not published not published $16.17 – $141.88 30
Prgrmg eval implantable dfb CPT 93282 $41.44 $112.00 $20.85 – $141.88 30
Prgrmg eval implantable dfb CPT 93283 $41.44 $112.00 $24.07 – $141.88 30
Prgrmg eval implantable dfb CPT 93284 $41.44 $112.00 $27.67 – $141.88 30
Prgr stim/pace a/iv drug CPT 93623 $1,267.53 $3,425.75 $58.65 – $8,798.00 7
Pr hospital ip/obs care initial high level per day CPT 99223 not published not published $224.49 – $224.63 2
Pr hospital ip/obs care initial moderate level per day CPT 99222 not published not published $151.74 – $152.46 2
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 not published not published $111.73 – $112.48 2
Pr hospital ip/obs care subsequent high level per day CPT 99233 not published not published $115.70 – $119.05 2
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 not published not published $80.04 – $83.09 2
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 not published not published $43.57 – $46.08 2
Prim art mech thrmbc non-intracranial CPT 37184 $4,659.97 $12,594.50 $514.14 – $861.87 7
Prim art mech thrmbc non-intracranial add-on CPT 37185 $2,329.98 $6,297.25 $193.03 – $316.32 7
Pr incision & drainage abscess complicated/multiple CPT 10061 $313.30 $846.75 $180.89 – $1,520.16 30
Pr incision & drainage abscess simple/single CPT 10060 $238.65 $645.00 $100.77 – $756.04 30
Pr incision & drainage abscess vulva/perineal CPT 56405 $168.72 $456.00 $118.31 – $1,157.40 30
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $429.94 $1,162.00 $99.06 – $1,520.16 30
Pr management transitional care high w/in 7 days of discharge CPT 99496 $149.11 $403.00 $122.58 – $490.32 29
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 $149.11 $403.00 $122.33 – $490.32 29
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $66.51 $179.75 $13.79 – $13.79 1
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published $610.17 – $1,090.44 7
Probe nasolacrimal duct CPT 68810 not published not published $137.54 – $1,137.40 30
Probe nasolacrimal duct CPT 68811 not published not published $147.50 – $394.55 7
Probe nasolacrimal duct CPT 68815 not published not published $239.11 – $491.15 7
Probe nl duct w/balloon CPT 68816 not published not published $176.55 – $479.58 7
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $9.25 $25.00 $4.93 – $19.78 6
Procalcitonin CPT 84145 $101.10 $273.25 $27.22 – $108.88 29
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $12.52 $33.84 $8.63 – $8.63 5
Proctectomy combined abd pull-thru px 45112 CPT 45112 not published not published $2,095.60 – $3,533.22 7
Proctectomy complete abd w/clst 45110 CPT 45110 not published not published $2,023.89 – $3,462.48 7
Proctosigmoidoscopy ablate CPT 45320 not published not published $117.22 – $201.36 7
Proctosigmoidoscopy control bleed 45317 CPT 45317 not published not published $126.48 – $223.80 7
Proctosigmoidoscopy dilate 45303 CPT 45303 not published not published $95.31 – $173.46 7
Proctosigmoidoscopy dx 45300 CPT 45300 $346.88 $937.50 $55.42 – $3,468.96 30
Proctosigmoidoscopy removal CPT 45308 not published not published $91.80 – $164.63 7
Proctosigmoidoscopy removal CPT 45309 not published not published $100.39 – $174.83 7
Proctosigmoidoscopy tumor removal 45315 CPT 45315 not published not published $118.39 – $206.79 7
Proctosigmoidoscopy volvul CPT 45321 not published not published $114.16 – $203.40 7
Proctosigmoidoscopy w/bx 45305 CPT 45305 not published not published $82.21 – $149.66 7
Proctosigmoidoscopy w/fb remove 45307 CPT 45307 $2,773.89 $7,497.00 $108.45 – $195.23 7
Proctosigmoidoscopy w/stent CPT 45327 not published not published $127.88 – $240.14 7
Progesterone CPT 84144 $66.14 $178.75 $20.86 – $83.44 30
Prolactin CPT 84146 $101.75 $275.00 $19.38 – $77.52 30
Promethazine hcl injection HCPCS J2550 $10.51 $28.40 $19.78 – $19.78 5
Proph rta dtchmnt crtx dthrm CPT 67141 not published not published $284.35 – $1,137.40 30
Proph rta dtchmnt pc CPT 67145 not published not published $492.91 – $2,087.36 30
Proph tx w/wo mthylmthcrylt CPT 24498 not published not published $953.22 – $1,597.91 7
Prophylactic tx radius CPT 25490 not published not published $790.12 – $1,287.72 7
Prophylactic tx radius&ulna CPT 25492 not published not published $996.86 – $1,469.34 7
Prophylactic tx ulna CPT 25491 not published not published $813.76 – $1,358.46 7
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 $20.85 $56.35 $8.63 – $8.63 5
Prostate biopsy, any mthd HCPCS G0416 $599.68 $1,620.75 $305.04 – $1,350.22 7
Prostatectomy (turp) CPT 52601 not published not published $952.29 – $1,559.82 7
Prostate laser enucleation CPT 52649 not published not published $925.15 – $1,502.67 7
Prostatic microwave thermotx CPT 53850 not published not published $678.34 – $1,116.29 7
Prostatic rf thermotx CPT 53852 not published not published $698.55 – $1,146.90 7
Protamine 10 mg/ml intravenous solution HCPCS J2720 $27.48 $74.27 $0.73 – $0.73 5
Protector nerve neurawrap 4cm HCPCS C9353 $2,931.49 $7,922.95 $642.29 – $642.29 5
Protein c activity CPT 85303 $91.85 $248.25 $13.84 – $55.36 30
Protein electrophoretic fractionation & quantitation serum CPT 84165 $47.82 $129.25 $10.74 – $42.96 30
Protein s total CPT 85305 $85.10 $230.00 $11.61 – $46.44 30
Protein total 24 hour urine CPT 84156 $32.10 $86.75 $3.67 – $14.68 30
Protein total body fluid CPT 84157 $27.94 $75.50 $3.91 – $16.00 30
Protein total serum plasma whole blood CPT 84155 $40.70 $110.00 $3.67 – $14.68 30
Prothrombin time substitution plasma fractions each CPT 85611 $17.48 $47.25 $3.94 – $15.76 30
Proton treatment complex CPT 77525 not published not published $2,430.40 – $2,604.00 5
Proton trmt intermediate CPT 77523 not published not published $10,428.60 – $11,173.50 5
Proton trmt simple w/comp CPT 77522 not published not published $10,075.80 – $10,795.50 5
Proton trmt simple without comp CPT 77520 not published not published $550.25 – $5,103.00 28
Protoporphyrin rbc screen CPT 84203 not published not published $9.12 – $38.96 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.