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 |
|---|---|---|---|---|
| Aspir/inj thyroid cyst 60300 CPT 60300 | $386.65 | $1,045.00 | $56.48 – $2,677.08 | 30 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $743.05 | $2,008.25 | $291.48 – $3,387.44 | 30 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $30.56 | 30 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $7.82 – $33.04 | 30 |
| Assay blood catecholamines CPT 82383 | not published | not published | $26.32 – $116.32 | 30 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $82.60 | 30 |
| Assay dir meas fr estradiol CPT 82681 | $67.62 | $182.75 | $27.94 – $111.76 | 24 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $28.80 | 30 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $90.60 | 30 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $29.48 | 30 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $13.55 – $203.44 | 30 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $103.20 | 30 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $102.20 | 30 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.25 – $51.00 | 30 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $20.64 | 30 |
| Assay of breath ethanol CPT 82075 | not published | not published | $12.77 – $120.00 | 30 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $72.24 | 30 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $50.68 | 30 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $90.08 | 30 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $53.12 | 29 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $55.24 – $284.92 | 30 |
| Assay of estrogen CPT 84233 | not published | not published | $68.01 – $351.52 | 30 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $24.76 – $104.96 | 30 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $8.08 – $39.72 | 30 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $26.84 – $156.44 | 30 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $13.29 – $67.20 | 30 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $74.16 | 30 |
| Assay of galactose CPT 82760 | $49.21 | $133.00 | $11.20 – $44.80 | 30 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $8.08 – $52.60 | 30 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $85.92 | 30 |
| Assay of glutathione CPT 82978 | not published | not published | $15.11 – $61.80 | 30 |
| Assay of haptoglobins CPT 83012 | not published | not published | $18.24 – $107.56 | 30 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $35.40 | 30 |
| Assay of interleukin-6 (il-6) CPT 83529 | not published | not published | $17.27 – $69.08 | 23 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $16.68 – $79.28 | 30 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.64 – $39.24 | 30 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $154.28 | 24 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $68.76 | 30 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $42.96 | 30 |
| Assay of neonatal thyroxine CPT 84437 | $19.06 | $51.50 | $5.09 – $25.88 | 30 |
| Assay of osteocalcin CPT 83937 | $54.58 | $147.50 | $29.85 – $119.40 | 30 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.91 – $15.92 | 30 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.06 – $85.08 | 30 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.06 – $84.20 | 30 |
| Assay of procainamide w/metab CPT 80192 | $42.64 | $115.25 | $16.75 – $67.00 | 30 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $259.52 | 30 |
| Assay of prostaglandin CPT 84150 | $462.96 | $1,251.25 | $26.32 – $167.08 | 30 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $73.56 | 30 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $46.52 | 30 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.04 – $37.76 | 30 |
| Assay of salicylate CPT 80179 | not published | not published | $18.64 – $74.56 | 24 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $69.36 | 30 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $53.76 | 30 |
| Assay of silica CPT 84285 | not published | not published | $24.76 – $100.84 | 30 |
| Assay of somatostatin CPT 84307 | $131.91 | $356.50 | $18.28 – $73.12 | 30 |
| Assay of thiocyanate CPT 84430 | $62.72 | $169.50 | $11.63 – $46.52 | 30 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.08 – $40.36 | 30 |
| Assay of tyrosine CPT 84510 | $67.53 | $182.50 | $10.63 – $42.52 | 30 |
| Assay of urine sulfate CPT 84392 | $19.52 | $52.75 | $4.95 – $21.96 | 30 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $7.56 – $38.20 | 30 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.21 – $24.20 | 30 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $66.08 | 30 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $42.92 | 30 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.30 – $37.76 | 30 |
| Assay toxin or antitoxin CPT 87230 | $57.54 | $155.50 | $19.74 – $78.96 | 30 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $119.60 | $323.25 | $79.42 – $358.40 | 25 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $87.99 – $351.96 | 23 |
| Assess cyst contrast inject CPT 49424 | $81.77 | $221.00 | $43.58 – $72.78 | 7 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $22.94 | $62.00 | $4.27 – $17.08 | 30 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $69.52 – $595.32 | 30 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $217.38 – $353.06 | 7 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $35.57 – $142.28 | 30 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $777.05 – $4,441.04 | 28 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $163.00 – $5,190.96 | 28 |
| Ast/sgot CPT 84450 | $37.93 | $102.50 | $5.18 – $20.72 | 30 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $25,251.95 | $68,248.50 | $697.13 – $1,178.88 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $23,037.13 | $62,262.50 | $815.41 – $1,376.15 | 6 |
| Atomic absorption CPT 82190 | $45.42 | $122.75 | $15.63 – $63.60 | 30 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $9.25 | $25.00 | $0.06 – $0.06 | 5 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $878.25 – $1,463.22 | 7 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $735.67 – $1,229.90 | 7 |
| Attach ocular implant CPT 65140 | not published | not published | $802.41 – $1,509.48 | 7 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $85.60 – $88.04 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $94.35 – $595.32 | 30 |
| Audiometry air + bone CPT 92553 | not published | not published | $30.86 – $595.32 | 30 |
| Auditory function 60 min CPT 92620 | not published | not published | $89.04 – $595.32 | 30 |
| Augmentation cheek bone CPT 21270 | not published | not published | $771.47 – $1,378.19 | 7 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $815.80 – $1,448.25 | 7 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $958.53 – $1,658.45 | 7 |
| Augmentation of facial bones CPT 21208 | not published | not published | $901.56 – $1,596.54 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $3,314.37 | $8,957.75 | $254.80 – $7,441.26 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,207.06 | $22,181.25 | $585.64 – $12,328.17 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,144.98 – $1,935.32 | 7 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,835.94 – $3,052.97 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $670.34 – $3,362.60 | 24 |
| Autologous blood op salvage CPT 86891 | not published | not published | $68.01 – $3,108.20 | 29 |
| Autologous blood process CPT 86890 | not published | not published | $43.52 – $652.00 | 29 |
| Automated diff wbc count CPT 85004 | $32.65 | $88.25 | $6.47 – $25.88 | 30 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $43.23 – $490.44 | 30 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $30.88 – $595.32 | 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.