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 |
|---|---|---|---|---|
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | not published | not published | $1,664.01 – $2,755.70 | 7 |
| Repair blood vessel direct hand finger CPT 35207 | $2,453.56 | $6,631.25 | $829.61 – $1,397.24 | 7 |
| Repair blood vessel direct intrathoracic without bypass 35216 CPT 35216 | not published | not published | $2,307.15 – $3,871.31 | 7 |
| Repair blood vessel dir lower extr CPT 35226 | $1,377.70 | $3,723.50 | $669.27 – $2,677.08 | 30 |
| Repair blood vessel dir upper extr CPT 35206 | $4,596.33 | $12,422.50 | $885.79 – $1,491.11 | 7 |
| Repair blood vessel lesion CPT 35180 | not published | not published | $1,018.92 – $1,738.04 | 7 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $1,239.84 – $2,010.14 | 7 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $1,035.76 – $1,765.94 | 7 |
| Repair blood vessel lesion CPT 35261 | not published | not published | $1,212.07 – $2,013.54 | 7 |
| Repair blood vessel lesion CPT 35266 | not published | not published | $990.93 – $1,655.73 | 7 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $1,561.32 – $2,614.20 | 7 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $1,785.96 – $2,780.18 | 7 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | not published | not published | $1,166.85 – $1,969.32 | 7 |
| Repair blood vessel w/vein graft lower extremity 35256 CPT 35231 | not published | not published | $1,398.27 – $2,292.45 | 7 |
| Repair bowel-bladder fistula 44660 CPT 44660 | not published | not published | $1,510.88 – $2,484.27 | 7 |
| Repair bowel-bladder fistula 44661 CPT 44661 | not published | not published | $1,751.13 – $2,886.98 | 7 |
| Repair bowel fistula 44650 CPT 44650 | not published | not published | $1,612.88 – $2,702.64 | 7 |
| Repair brow defect CPT 67900 | not published | not published | $520.52 – $970.04 | 7 |
| Repair cardiac wound without bypass CPT 33300 | not published | not published | $2,764.40 – $4,626.38 | 7 |
| Repair carpal bone shorten CPT 25394 | not published | not published | $850.59 – $1,440.77 | 7 |
| Repair cleft hand CPT 26580 | not published | not published | $1,519.63 – $2,756.37 | 7 |
| Repair cleft lip/nasal CPT 40700 | not published | not published | $1,029.26 – $1,844.16 | 7 |
| Repair cleft lip/nasal CPT 40701 | not published | not published | $1,277.01 – $2,027.15 | 7 |
| Repair cleft lip/nasal CPT 40702 | not published | not published | $996.09 – $1,793.15 | 7 |
| Repair cleft lip/nasal CPT 40720 | not published | not published | $1,093.73 – $1,935.32 | 7 |
| Repair cleft lip/nasal CPT 40761 | not published | not published | $1,085.56 – $2,042.12 | 7 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $342.25 | $925.00 | $297.38 – $2,329.08 | 30 |
| Repair corporeal tear CPT 54437 | not published | not published | $759.71 – $1,301.49 | 6 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | $1,128.88 – $1,901.30 | 7 |
| Repair defect of artery CPT 35131 | not published | not published | $1,594.64 – $2,682.90 | 7 |
| Repair defect of artery 35011 CPT 35011 | not published | not published | $1,151.24 – $1,925.12 | 7 |
| Repair defect of artery 35081 CPT 35081 | not published | not published | $2,003.04 – $3,393.77 | 7 |
| Repair defect of artery 35102 CPT 35102 | not published | not published | $2,166.31 – $3,668.60 | 7 |
| Repair defect of artery 35121 CPT 35121 | not published | not published | $1,895.67 – $3,177.45 | 7 |
| Repair defect of artery aneurysm 35151 CPT 35151 | not published | not published | $1,425.38 – $2,412.17 | 7 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | not published | not published | $1,277.23 – $2,189.73 | 7 |
| Repair deformity of toe CPT 28313 | not published | not published | $394.90 – $664.61 | 7 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $908.14 – $1,534.65 | 7 |
| Repair dental ellis ii fx CPT 41899 | not published | not published | $220.89 – $3,867.85 | 29 |
| Repair detached retina CPT 67107 | not published | not published | $1,226.05 – $2,326.46 | 7 |
| Repair detached retina CPT 67108 | not published | not published | $1,306.92 – $3,033.24 | 7 |
| Repair detached retina CPT 67110 | not published | not published | $774.07 – $1,455.74 | 7 |
| Repair detached retina crtx CPT 67101 | not published | not published | $306.94 – $1,287.72 | 7 |
| Repair detached retina pc CPT 67105 | not published | not published | $296.71 – $2,087.36 | 30 |
| Repair eardrum structures CPT 69631 | not published | not published | $947.02 – $1,662.53 | 7 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $710.73 – $1,212.89 | 7 |
| Repair elbow perc CPT 24357 | not published | not published | $460.76 – $809.51 | 7 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $560.88 – $961.20 | 7 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $436.27 – $772.77 | 7 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $542.96 – $955.76 | 7 |
| Repair esophagus opening CPT 43420 | not published | not published | $1,135.55 – $1,921.02 | 7 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $1,133.50 – $2,030.55 | 7 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $1,937.63 – $4,819.58 | 7 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,922.98 | $5,197.25 | $587.77 – $1,043.51 | 7 |
| Repair extra toe(s) CPT 28344 | not published | not published | $355.76 – $525.84 | 7 |
| Repair eyelid defect CPT 67901 | not published | not published | $584.12 – $1,107.45 | 7 |
| Repair eyelid defect CPT 67902 | not published | not published | $725.77 – $1,389.08 | 7 |
| Repair eyelid defect CPT 67903 | not published | not published | $504.53 – $929.90 | 7 |
| Repair eyelid defect CPT 67904 | not published | not published | $599.17 – $1,145.54 | 7 |
| Repair eyelid defect CPT 67906 | not published | not published | $523.93 – $936.71 | 7 |
| Repair eyelid defect CPT 67908 | not published | not published | $432.91 – $814.26 | 7 |
| Repair eyelid defect CPT 67914 | not published | not published | $293.05 – $550.32 | 7 |
| Repair eyelid defect CPT 67915 | not published | not published | $211.06 – $486.38 | 7 |
| Repair eyelid defect CPT 67916 | not published | not published | $436.17 – $821.75 | 7 |
| Repair eyelid defect CPT 67917 | not published | not published | $483.36 – $908.82 | 7 |
| Repair eyelid defect CPT 67921 | not published | not published | $273.75 – $521.07 | 7 |
| Repair eyelid defect CPT 67922 | not published | not published | $211.06 – $472.77 | 7 |
| Repair eyelid defect CPT 67923 | not published | not published | $465.67 – $892.49 | 7 |
| Repair eyelid defect CPT 67924 | not published | not published | $456.40 – $861.20 | 7 |
| Repair eyelid wound CPT 67930 | $1,154.86 | $3,121.25 | $254.23 – $465.98 | 7 |
| Repair eyelid wound CPT 67935 | $3,254.34 | $8,795.50 | $462.47 – $851.00 | 7 |
| Repair facial nerve CPT 69740 | not published | not published | $1,299.71 – $2,194.49 | 7 |
| Repair facial nerve CPT 69745 | not published | not published | $1,288.82 – $2,335.31 | 7 |
| Repair fibula nonunion CPT 27726 | not published | not published | $1,021.48 – $1,804.02 | 7 |
| Repair finger deformity CPT 26590 | not published | not published | $1,390.38 – $2,352.99 | 7 |
| Repair finger/hand tendon CPT 26350 | $1,492.40 | $4,033.50 | $740.77 – $1,286.36 | 7 |
| Repair finger/hand tendon CPT 26356 | $3,022.72 | $8,169.50 | $863.47 – $1,980.89 | 7 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $913.35 – $1,576.82 | 7 |
| Repair finger/hand tendon CPT 26370 | $1,627.63 | $4,399.00 | $804.09 – $1,369.35 | 7 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $887.13 – $1,538.73 | 7 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $546.41 – $917.66 | 7 |
| Repair finger tendon CPT 26433 | not published | not published | $553.35 – $958.47 | 7 |
| Repair foot dislocation CPT 28555 | not published | not published | $726.21 – $1,244.18 | 7 |
| Repair foot dislocation CPT 28585 | not published | not published | $753.81 – $1,291.11 | 7 |
| Repair foot dislocation CPT 28615 | not published | not published | $853.06 – $1,463.22 | 7 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $821.39 – $1,374.11 | 7 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $604.68 – $1,016.97 | 7 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $725.64 – $1,227.86 | 7 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $682.20 – $1,154.39 | 7 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $728.24 – $1,240.10 | 7 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $759.53 – $1,272.75 | 7 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $938.17 – $1,795.19 | 7 |
| Repair/graft finger tendon CPT 26420 | $1,492.40 | $4,033.50 | $748.63 – $1,281.59 | 7 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $786.57 – $1,350.30 | 7 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $668.40 – $1,171.40 | 7 |
| Repair/graft hand tendon CPT 26352 | $1,561.12 | $4,219.25 | $848.13 – $1,479.54 | 7 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $966.25 – $1,664.57 | 7 |
| Repair/graft hand tendon CPT 26372 | $5,703.55 | $15,415.00 | $918.26 – $1,604.03 | 7 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,029.01 – $1,750.97 | 7 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $718.94 – $1,247.58 | 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.