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
Remove pelvis lymph nodes 38770 CPT 38770 not published not published $909.10 – $1,485.66 7
Remove pilonidal cyst compl CPT 11772 not published not published $582.36 – $1,061.87 7
Remove pilonidal cyst exten CPT 11771 not published not published $448.80 – $798.62 7
Remove prostate regrowth CPT 52630 not published not published $446.97 – $735.35 7
Remove renal tube w/fluoro CPT 50389 $365.28 $987.25 $61.77 – $2,539.64 30
Remove/repair hearing aid CPT 69711 not published not published $937.41 – $1,621.71 7
Remove/replace penis prosth CPT 54410 not published not published $965.91 – $1,583.63 7
Remove/replace ur sphincter CPT 53447 not published not published $908.34 – $1,489.76 7
Remove/revise male sling CPT 53442 not published not published $877.53 – $1,440.77 7
Remove sacrum pressure sore close 15936 CPT 15936 not published not published $969.11 – $1,661.18 7
Remove sacrum pressure sore ostc 15937 CPT 15937 not published not published $1,131.60 – $1,929.87 7
Remove sciatic nerve lesion CPT 64786 not published not published $1,192.42 – $1,995.18 7
Remove self-contd penis pros CPT 54415 not published not published $591.66 – $972.08 7
Remove shoulder blade lesion CPT 23172 not published not published $590.06 – $1,040.79 7
Remove shoulder fb deep CPT 23333 not published not published $494.87 – $797.25 6
Remove shoulder foreign body subq 23330 CPT 23330 $1,234.14 $3,335.50 $160.09 – $305.43 7
Remove skin nerve lesion CPT 64774 not published not published $447.63 – $776.85 7
Remove skin nerve lesion 64788 CPT 64788 not published not published $419.08 – $740.79 7
Remove skull plate/flap 62142 CPT 62142 not published not published $937.11 – $1,624.44 7
Remove sperm pouch lesion CPT 55680 not published not published $405.52 – $635.36 7
Remove spinal canal catheter 62355 CPT 62355 not published not published $294.96 – $489.11 7
Remove spinal cord lesion CPT 63600 not published not published $939.02 – $1,736.69 7
Remove spinal lamina add-on 63048 CPT 63048 not published not published $239.84 – $391.14 7
Remove spine eltrd perq aray CPT 63661 not published not published $358.02 – $603.38 6
Remove spine eltrd plate CPT 63662 not published not published $929.67 – $1,442.81 6
Remove spine fixation device CPT 22850 not published not published $783.56 – $1,329.89 7
Remove spine fixation device CPT 22852 not published not published $748.89 – $1,273.43 7
Remove spine infusion device CPT 62365 not published not published $328.55 – $544.88 7
Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 not published not published $1,592.71 – $2,718.96 7
Remove spine lamina 1/2 crvl CPT 63001 not published not published $1,327.16 – $2,270.00 7
Remove spine lamina 1/2 lmbr CPT 63005 not published not published $1,264.32 – $2,165.24 7
Remove spine lamina 1/2 scrl CPT 63011 not published not published $1,197.92 – $2,014.91 7
Remove spine lamina 1/2 thrc CPT 63003 not published not published $1,335.27 – $2,271.36 7
Remove spine lamina >2 lmbr CPT 63017 not published not published $1,333.77 – $2,298.57 7
Remove spine lamina >2 thrc CPT 63016 not published not published $1,641.19 – $2,780.87 7
Remove stent via transureth CPT 50386 not published not published $185.56 – $326.52 7
Remove sympathetic nerves CPT 64804 not published not published $1,008.23 – $1,621.04 7
Remove sympathetic nerves CPT 64821 not published not published $743.53 – $1,283.63 7
Remove sympathetic nerves CPT 64822 not published not published $735.33 – $1,283.63 7
Remove tear gland lesion CPT 68540 not published not published $933.33 – $1,745.52 7
Remove tear gland lesion CPT 68550 not published not published $1,149.08 – $2,139.39 7
Remove thyroid duct lesion CPT 60280 not published not published $482.47 – $829.91 7
Remove thyroid duct lesion CPT 60281 not published not published $648.24 – $1,105.41 7
Remove thyroid lesion 60200 CPT 60200 not published not published $723.50 – $1,232.61 7
Remove tonsils and adenoids CPT 42820 not published not published $319.64 – $548.28 7
Remove tonsils and adenoids CPT 42821 not published not published $333.27 – $569.37 7
Remove/transplant tendon CPT 23440 not published not published $831.55 – $1,393.83 7
Remove/tx lung lesions 32141 CPT 32141 not published not published $1,720.29 – $2,868.62 7
Remove ureter calculus CPT 51065 not published not published $648.98 – $1,065.27 7
Remove ureter stent percut CPT 50384 $2,412.22 $6,519.50 $265.66 – $466.65 7
Remove uro sphincter CPT 53446 not published not published $719.59 – $1,182.27 7
Remove vaginal foreign body 57415 CPT 57415 $1,159.40 $3,133.50 $176.02 – $298.64 7
Remove vagina tissue part CPT 57107 not published not published $1,615.97 – $2,659.10 7
Remove vagus n eltrd CPT 64570 not published not published $729.49 – $1,253.70 6
Remove vc lesion scope/graft CPT 31546 not published not published $618.31 – $1,040.79 7
Remove vc lesion w/scope 31545 CPT 31545 not published not published $406.38 – $685.01 7
Remove ventilating tube CPT 69424 not published not published $68.12 – $117.00 7
Remove ventricular device 33977 CPT 33977 not published not published $1,282.52 – $2,138.03 7
Remove vert bodycerv 63081 CPT 63081 not published not published $1,941.84 – $3,251.60 7
Remove windpipe lesion CPT 31785 not published not published $1,206.94 – $2,028.51 7
Remove wrist/forearm lesion CPT 25115 not published not published $831.98 – $1,391.12 7
Remove wrist/forearm lesion CPT 25116 not published not published $654.91 – $1,101.33 7
Remove wrist joint cartilage CPT 25107 not published not published $657.74 – $1,127.18 7
Remove wrist joint implant CPT 25449 not published not published $1,140.07 – $1,913.55 7
Remove wrist joint lining CPT 25105 not published not published $525.52 – $885.69 7
Remove wrist joint lining CPT 26130 not published not published $484.64 – $838.07 7
Remove wrist tendon lesion CPT 25110 not published not published $370.99 – $622.43 7
Remove wrist tendon lesion CPT 25111 not published not published $333.10 – $585.69 7
Remov/replc penis pros comp CPT 54411 not published not published $1,154.57 – $1,891.77 7
Remvl peritoneal fb frm cavity CPT 49402 not published not published $932.47 – $1,587.03 7
Remv/replc penis pros compl CPT 54417 not published not published $1,011.35 – $1,657.77 7
Remv/repl penis contain pros CPT 54416 not published not published $795.91 – $1,308.80 7
Renal abscess open drng 50020 CPT 50020 not published not published $1,141.79 – $1,970.69 7
Renal cyst study s&i CPT 74470 not published not published $34.28 – $2,086.20 29
Renal endoscopy 50572 CPT 50572 not published not published $604.13 – $2,539.64 30
Renal function panel CPT 80069 $26.55 $71.75 $8.68 – $34.72 30
Renal scope w/tumor resect CPT 50562 not published not published $657.20 – $1,074.80 7
Renal venogram bil s&i CPT 75833 $1,329.50 $3,593.25 $93.23 – $386.90 7
Reopen fallopian tube CPT 58350 not published not published $85.67 – $147.62 7
Reopening of recent laparotomy 49002 CPT 49002 not published not published $1,112.62 – $1,940.76 7
Reoperation bypass graft 35700 CPT 35700 not published not published $176.27 – $296.60 7
Reoperation carotid add-on 35390 CPT 35390 not published not published $183.99 – $308.16 7
Repair achilles tendon CPT 27650 not published not published $724.32 – $1,233.98 7
Repair anal fistula CPT 46288 not published not published $563.45 – $1,019.70 7
Repair anorectal fist w/plug CPT 46707 not published not published $519.90 – $863.24 6
Repair aortic valve supraval stenosis 33417 CPT 33417 not published not published $1,891.41 – $3,145.47 7
Repair arm/leg nerve CPT 64857 not published not published $1,171.06 – $1,948.92 7
Repair artery rupture thigh 35142 CPT 35142 not published not published $1,518.77 – $2,565.23 7
Repair art rupture aorta 35082 CPT 35082 not published not published $2,520.97 – $4,230.48 7
Repair art rupture arm 35013 CPT 35013 not published not published $1,434.45 – $2,408.76 7
Repair art rupture chest 35022 CPT 35022 not published not published $1,626.14 – $2,729.85 7
Repair art rupture groin 35132 CPT 35132 not published not published $1,882.78 – $3,165.89 7
Repair av fistula ext 35190 CPT 35190 $1,880.62 $5,082.75 $866.52 – $1,457.10 7
Repair biceps tendon CPT 23430 not published not published $812.10 – $1,380.92 7
Repair bladder defect CPT 57288 not published not published $793.31 – $1,328.54 7
Repair bladder neck CPT 51845 not published not published $654.63 – $1,087.73 7
Repair bladder & vagina CPT 57289 not published not published $818.46 – $1,342.14 7
Repair bladder-vagina lesion CPT 57320 not published not published $591.34 – $982.28 7
Repair bladder-vagina lesion CPT 57330 not published not published $840.33 – $1,361.87 7
Repair blood ves direct neck 35201 CPT 35201 not published not published $1,076.45 – $1,809.47 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.