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 |
|---|---|---|---|---|
| Removal of implant deep CPT 20680 | not published | not published | $454.10 – $789.09 | 7 |
| Removal of infusion pump CPT 36262 | not published | not published | $316.16 – $569.37 | 7 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $975.53 – $1,810.14 | 7 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $478.53 – $2,087.36 | 30 |
| Removal of intranasal lesion CPT 30117 | $1,733.17 | $4,684.25 | $350.17 – $627.87 | 7 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $832.80 – $1,421.04 | 7 |
| Removal of iris CPT 66605 | not published | not published | $1,066.75 – $1,945.52 | 7 |
| Removal of iris CPT 66625 | not published | not published | $428.33 – $806.78 | 7 |
| Removal of iris CPT 66630 | not published | not published | $565.19 – $1,082.96 | 7 |
| Removal of iris CPT 66635 | not published | not published | $571.00 – $1,057.79 | 7 |
| Removal of ischial bursa CPT 27060 | not published | not published | $466.69 – $854.40 | 7 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $966.11 – $1,648.25 | 7 |
| Removal of jaw joint CPT 21050 | not published | not published | $920.76 – $1,607.43 | 7 |
| Removal of kneecap CPT 27350 | not published | not published | $706.49 – $1,201.32 | 7 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $387.68 – $682.29 | 7 |
| Removal of knee cartilage CPT 27332 | not published | not published | $694.11 – $1,178.88 | 7 |
| Removal of knee cartilage CPT 27333 | not published | not published | $627.72 – $1,076.16 | 7 |
| Removal of knee cyst CPT 27345 | not published | not published | $515.82 – $883.65 | 7 |
| Removal of larynx lesion CPT 31300 | not published | not published | $1,364.40 – $2,341.43 | 7 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $144.53 – $244.89 | 7 |
| Removal of lens lesion CPT 66830 | not published | not published | $713.84 – $1,311.53 | 7 |
| Removal of lens material CPT 66840 | not published | not published | $695.54 – $1,340.78 | 7 |
| Removal of lens material CPT 66850 | not published | not published | $794.41 – $1,495.19 | 7 |
| Removal of lens material CPT 66852 | not published | not published | $851.05 – $1,614.24 | 7 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,951.12 – $3,243.44 | 7 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $1,128.44 – $1,884.98 | 7 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $879.92 – $1,514.24 | 7 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,590.16 – $2,731.89 | 7 |
| Removal of metatarsal CPT 28140 | not published | not published | $489.42 – $827.87 | 7 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $918.08 – $1,560.50 | 7 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $1,281.00 – $1,372.50 | 6 |
| Removal of nerve lesion CPT 64790 | not published | not published | $907.02 – $1,523.76 | 7 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,176.84 – $2,172.72 | 7 |
| Removal of nose CPT 30160 | not published | not published | $836.26 – $1,440.77 | 7 |
| Removal of nose lesion CPT 30124 | not published | not published | $289.68 – $531.96 | 7 |
| Removal of nose lesion CPT 30125 | not published | not published | $653.44 – $1,131.93 | 7 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $453.75 – $800.66 | 7 |
| Removal of ocular implant CPT 65175 | not published | not published | $649.72 – $1,225.13 | 7 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $853.46 – $1,470.02 | 7 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $572.86 – $976.16 | 7 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $817.29 – $1,364.58 | 7 |
| Removal of palm tendon each CPT 26170 | not published | not published | $428.01 – $742.16 | 7 |
| Removal of rib CPT 21615 | not published | not published | $698.31 – $1,196.57 | 7 |
| Removal of salivary stone CPT 42340 | not published | not published | $373.47 – $636.03 | 7 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $283.56 – $487.07 | 7 |
| Removal of scrotum CPT 55150 | not published | not published | $550.00 – $906.09 | 7 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $401.29 – $661.89 | 7 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $361.74 – $608.82 | 7 |
| Removal of shunt CPT 49429 | $3,075.44 | $8,312.00 | $146.29 – $515.27 | 7 |
| Removal of skin tags each add'l 10 CPT 11201 | $15.54 | $42.00 | $18.67 – $31.29 | 7 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $2,810.85 – $3,907.50 | 6 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,293.71 – $2,196.53 | 7 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $478.68 – $839.43 | 7 |
| Removal of spinal shunt CPT 63746 | not published | not published | $596.93 – $1,099.29 | 7 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $297.57 – $485.03 | 7 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,477.82 – $4,199.87 | 7 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,591.27 – $2,691.08 | 7 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $2,175.36 – $3,764.51 | 7 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $146.29 – $249.59 | 7 |
| Removal of tail bone CPT 27080 | not published | not published | $537.47 – $946.91 | 7 |
| Removal of tear gland CPT 68500 | not published | not published | $976.01 – $1,899.26 | 7 |
| Removal of tear sac CPT 68520 | not published | not published | $689.35 – $1,289.76 | 7 |
| Removal of tendon for graft CPT 20924 | not published | not published | $551.58 – $931.95 | 7 |
| Removal of tendon lesion CPT 27630 | not published | not published | $400.09 – $677.54 | 7 |
| Removal of testis CPT 54520 | not published | not published | $364.39 – $602.03 | 7 |
| Removal of testis CPT 54530 | not published | not published | $565.18 – $931.26 | 7 |
| Removal of thyroid CPT 60240 | not published | not published | $1,025.80 – $1,715.60 | 7 |
| Removal of thyroid CPT 60252 | not published | not published | $1,470.91 – $2,463.18 | 7 |
| Removal of thyroid CPT 60271 | not published | not published | $1,182.16 – $1,973.40 | 7 |
| Removal of toe lesions CPT 28092 | not published | not published | $297.22 – $505.43 | 7 |
| Removal of toe lesions CPT 28108 | not published | not published | $319.14 – $538.08 | 7 |
| Removal of ureter stone CPT 51060 | not published | not published | $648.92 – $1,070.04 | 7 |
| Removal of urethra CPT 53210 | not published | not published | $874.45 – $1,431.93 | 7 |
| Removal of urethra CPT 53215 | not published | not published | $1,046.30 – $1,710.15 | 7 |
| Removal of urethra gland CPT 53250 | not published | not published | $455.84 – $766.64 | 7 |
| Removal of urethra gland CPT 53270 | not published | not published | $206.13 – $348.98 | 7 |
| Removal of urethra lesion CPT 53230 | not published | not published | $679.40 – $1,123.77 | 7 |
| Removal of urethra lesion CPT 53235 | not published | not published | $711.58 – $1,164.59 | 7 |
| Removal of vein clot CPT 34421 | not published | not published | $829.20 – $1,407.44 | 7 |
| Removal of vein clot CPT 34471 | not published | not published | $588.10 – $2,352.40 | 30 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $693.80 – $1,189.76 | 7 |
| Removal of wrist bone CPT 25210 | not published | not published | $529.24 – $894.53 | 7 |
| Removal of wrist bones CPT 25215 | not published | not published | $676.47 – $1,129.89 | 7 |
| Removal of wrist lesion CPT 25130 | not published | not published | $481.79 – $819.71 | 7 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $564.74 – $972.08 | 7 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $775.20 – $1,321.73 | 7 |
| Removal prosth radial head CPT 24164 | not published | not published | $535.18 – $913.58 | 7 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $5,378.78 | $14,537.25 | $395.35 – $31,254.00 | 7 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $155.49 | $420.25 | $72.89 – $756.04 | 30 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $51.27 – $87.08 | 7 |
| Removal tunnled intprtnl cath CPT 49422 | $2,103.36 | $5,684.75 | $426.46 – $710.18 | 7 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | not published | not published | $197.98 – $1,518.28 | 30 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $1,153.81 – $1,899.95 | 7 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $302.72 – $493.86 | 7 |
| Remove anal fist complex CPT 46280 | not published | not published | $475.26 – $876.17 | 7 |
| Remove anal fist inter CPT 46275 | not published | not published | $413.71 – $771.41 | 7 |
| Remove anal fist subq CPT 46270 | not published | not published | $384.91 – $725.82 | 7 |
| Remove ankle joint lining CPT 27625 | not published | not published | $639.57 – $1,074.12 | 7 |
| Remove ankle joint lining CPT 27626 | not published | not published | $669.11 – $1,154.39 | 7 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $941.46 – $1,623.08 | 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.