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 |
|---|---|---|---|---|
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $29.83 – $141.88 | 30 |
| Rem interrog evl pm/ids CPT 93296 | $29.42 | $79.50 | $26.59 – $141.88 | 30 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $35.47 – $141.88 | 23 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $122.58 – $490.32 | 23 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $35.47 – $141.88 | 23 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $296.21 – $1,259.15 | 29 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $780.18 – $1,297.92 | 7 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $93.74 – $169.38 | 7 |
| Removal biliary drg cath CPT 47537 | $653.79 | $1,767.00 | $110.28 – $3,567.32 | 29 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $871.17 | $2,354.50 | $153.83 – $2,352.40 | 30 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,296.20 | $3,503.25 | $213.99 – $387.06 | 7 |
| Removal cerclage w/anes CPT 59871 | $1,394.81 | $3,769.75 | $150.40 – $251.70 | 7 |
| Removal cerclage without anes CPT 59899 | not published | not published | $191.36 – $3,954.28 | 28 |
| Removal cerumen impacted (both sides) CPT 69210 | $113.96 | $308.00 | $36.75 – $226.00 | 30 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $680.64 – $1,153.71 | 7 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,086.67 – $1,836.68 | 7 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $112.85 | $305.00 | $40.63 – $756.04 | 29 |
| Removal duct glbldr calculi CPT 47544 | $245.22 | $662.75 | $185.25 – $412.52 | 6 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $838.33 | $2,265.75 | $125.30 – $3,567.32 | 30 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,036.83 | $2,802.25 | $109.82 – $189.80 | 7 |
| Removal foreign body foot cmplx CPT 28193 | $1,907.07 | $5,154.25 | $410.64 – $696.57 | 7 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,433.57 | $3,874.50 | $148.12 – $2,677.08 | 30 |
| Removal foreign body gum 41805 CPT 41805 | $1,079.48 | $2,917.50 | $170.64 – $319.04 | 7 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $271.19 – $494.54 | 7 |
| Removal foreign body mouth CPT 40805 | not published | not published | $245.01 – $1,937.64 | 30 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,510.80 | $4,083.25 | $363.65 – $632.64 | 7 |
| Removal implant superficial separate procedure CPT 20670 | $1,108.06 | $2,994.75 | $160.42 – $273.47 | 7 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $678.31 – $1,176.84 | 7 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $522.19 – $942.15 | 7 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,091.57 – $1,763.21 | 7 |
| Removal of adenoids CPT 42830 | not published | not published | $226.62 – $393.18 | 7 |
| Removal of adenoids CPT 42831 | not published | not published | $244.21 – $423.12 | 7 |
| Removal of adenoids CPT 42836 | not published | not published | $265.35 – $455.09 | 7 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $199.94 – $364.62 | 7 |
| Removal of anal fissure CPT 46200 | not published | not published | $314.52 – $604.07 | 7 |
| Removal of anal tags CPT 46230 | not published | not published | $184.06 – $323.12 | 7 |
| Removal of ankle bone CPT 28130 | not published | not published | $711.29 – $1,340.78 | 7 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $455.40 – $770.04 | 7 |
| Removal of ankle implant CPT 27704 | not published | not published | $625.86 – $1,082.28 | 7 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $684.52 – $1,161.87 | 7 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $684.89 – $1,161.18 | 7 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,607.42 – $2,708.07 | 7 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,107.06 – $1,865.25 | 7 |
| Removal of bladder lesion CPT 51520 | not published | not published | $667.87 – $1,093.16 | 7 |
| Removal of bladder stone CPT 51050 | not published | not published | $528.29 – $868.68 | 7 |
| Removal of bone for graft CPT 20900 | not published | not published | $210.97 – $389.79 | 7 |
| Removal of bone for graft CPT 20902 | not published | not published | $318.70 – $566.66 | 7 |
| Removal of bone lesion CPT 23140 | not published | not published | $559.29 – $978.20 | 7 |
| Removal of bone lesion CPT 23145 | not published | not published | $753.10 – $1,276.83 | 7 |
| Removal of bone lesion CPT 23146 | not published | not published | $653.62 – $1,140.11 | 7 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,340.08 – $3,995.79 | 7 |
| Removal of breast lesion CPT 19120 | not published | not published | $428.79 – $761.21 | 7 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $961.50 – $1,146.00 | 6 |
| Removal of calcium deposits CPT 23000 | not published | not published | $385.31 – $682.97 | 7 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $2,294.90 – $3,986.94 | 7 |
| Removal of epididymis CPT 54860 | not published | not published | $468.32 – $770.73 | 7 |
| Removal of epididymis CPT 54861 | not published | not published | $634.09 – $1,040.79 | 7 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $560.80 – $1,057.79 | 7 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $784.04 – $1,380.92 | 7 |
| Removal of external ear CPT 69120 | not published | not published | $425.25 – $763.92 | 7 |
| Removal of eye CPT 65101 | not published | not published | $728.83 – $1,406.07 | 7 |
| Removal of eye CPT 65110 | not published | not published | $1,236.60 – $2,289.05 | 7 |
| Removal of eye lesion CPT 65400 | not published | not published | $591.99 – $3,685.16 | 30 |
| Removal of eye lesion CPT 65420 | not published | not published | $371.16 – $702.71 | 7 |
| Removal of eye lesion CPT 65426 | not published | not published | $476.29 – $900.65 | 7 |
| Removal of face wrinkles CPT 15828 | not published | not published | $2,515.07 – $3,907.50 | 6 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $862.03 – $1,462.55 | 7 |
| Removal of fascia for graft CPT 20920 | not published | not published | $433.79 – $737.39 | 7 |
| Removal of fascia for graft CPT 20922 | not published | not published | $539.52 – $923.78 | 7 |
| Removal of finger lesion CPT 26210 | not published | not published | $465.58 – $808.14 | 7 |
| Removal of finger tendon CPT 26180 | not published | not published | $467.88 – $810.86 | 7 |
| Removal of foot fascia CPT 28062 | not published | not published | $454.36 – $763.25 | 7 |
| Removal of foot joint lining CPT 28070 | not published | not published | $396.41 – $662.57 | 7 |
| Removal of foot joint lining CPT 28072 | not published | not published | $368.00 – $621.75 | 7 |
| Removal of foot lesion CPT 28080 | not published | not published | $391.25 – $686.37 | 7 |
| Removal of foot lesion CPT 28090 | not published | not published | $340.87 – $576.86 | 7 |
| Removal of foot lesion CPT 28104 | not published | not published | $391.45 – $649.64 | 7 |
| Removal of forearm lesion CPT 25120 | not published | not published | $542.58 – $912.90 | 7 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $1,183.70 – $1,590.00 | 6 |
| Removal of foreign body CPT 27372 | not published | not published | $435.33 – $744.87 | 7 |
| Removal of frontal sinus CPT 31080 | not published | not published | $1,092.40 – $1,914.90 | 7 |
| Removal of frontal sinus CPT 31081 | not published | not published | $1,328.35 – $2,731.20 | 7 |
| Removal of frontal sinus CPT 31084 | not published | not published | $1,275.74 – $2,143.47 | 7 |
| Removal of frontal sinus CPT 31086 | not published | not published | $1,208.68 – $2,082.93 | 7 |
| Removal of frontal sinus CPT 31087 | not published | not published | $1,183.70 – $2,009.46 | 7 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $1,349.48 – $2,899.23 | 7 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $1,150.95 – $1,980.89 | 7 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $1,368.35 – $2,325.78 | 7 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,501.61 – $2,554.34 | 7 |
| Removal of gum tissue CPT 41830 | not published | not published | $300.94 – $530.60 | 7 |
| Removal of head of humerus CPT 23195 | not published | not published | $822.52 – $1,389.08 | 7 |
| Removal of heel bone CPT 28118 | not published | not published | $455.37 – $772.08 | 7 |
| Removal of heel spur CPT 28119 | not published | not published | $400.38 – $676.17 | 7 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $681.40 – $1,160.51 | 7 |
| Removal of humerus lesion CPT 23150 | not published | not published | $712.38 – $1,216.29 | 7 |
| Removal of humerus lesion CPT 23155 | not published | not published | $864.30 – $1,458.45 | 7 |
| Removal of humerus lesion CPT 23156 | not published | not published | $733.42 – $1,245.54 | 7 |
| Removal of hydrocele CPT 55040 | not published | not published | $377.32 – $624.47 | 7 |
| Removal of hydrocele CPT 55500 | not published | not published | $440.86 – $734.00 | 7 |
| Removal of hydroceles CPT 55041 | not published | not published | $570.98 – $940.11 | 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.