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/graft kneecap tendon CPT 27381 | not published | not published | $875.40 – $1,470.02 | 7 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $473.08 – $796.58 | 7 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $460.79 – $771.41 | 7 |
| Repair/graft of thigh CPT 27472 | not published | not published | $1,399.34 – $2,338.02 | 7 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $907.52 – $1,534.65 | 7 |
| Repair/graft of tibia CPT 27722 | not published | not published | $971.31 – $1,638.05 | 7 |
| Repair/graft of tibia CPT 27724 | not published | not published | $1,404.40 – $2,346.18 | 7 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $1,144.83 – $1,906.07 | 7 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $1,062.80 – $1,770.69 | 7 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $1,285.38 – $2,150.96 | 7 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $1,210.86 – $2,067.96 | 7 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $846.02 – $1,412.21 | 7 |
| Repair hand joint CPT 26540 | not published | not published | $693.28 – $1,188.39 | 7 |
| Repair hand joint with graft CPT 26541 | not published | not published | $852.78 – $1,446.21 | 7 |
| Repair hand joint with graft CPT 26542 | not published | not published | $717.74 – $1,227.86 | 7 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $2,086.02 – $3,471.99 | 7 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $2,005.11 – $3,447.51 | 7 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $1,869.08 – $3,126.44 | 7 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $4,621.85 – $7,753.49 | 7 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,169.82 – $1,984.97 | 7 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $615.55 – $1,060.52 | 7 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $509.74 – $997.25 | 7 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $616.95 – $1,217.66 | 7 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $202.44 – $1,937.64 | 30 |
| Repair leg fascia defect CPT 27656 | not published | not published | $383.96 – $727.19 | 7 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $605.41 | $1,636.25 | $379.24 – $1,937.64 | 30 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $890.87 | $2,407.75 | $461.12 – $797.25 | 7 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,489.18 – $2,540.73 | 7 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $2,030.76 – $3,476.09 | 7 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $662.55 – $1,150.31 | 7 |
| Repair lower leg tendons CPT 27675 | not published | not published | $541.53 – $914.25 | 7 |
| Repair lower leg tendons CPT 27676 | not published | not published | $669.18 – $1,153.02 | 7 |
| Repair lumbar hernia CPT 49540 | not published | not published | $729.39 – $1,251.66 | 7 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $1,061.03 – $1,769.33 | 7 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,567.83 – $2,631.21 | 7 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | not published | $1,199.09 – $1,989.05 | 7 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,286.41 – $2,300.61 | 7 |
| Repair middle ear structures CPT 69666 | not published | not published | $875.27 – $1,519.01 | 7 |
| Repair middle ear structures CPT 69667 | not published | not published | $878.13 – $1,520.36 | 7 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $888.22 – $1,455.74 | 7 |
| Repair muscles of hand CPT 26591 | not published | not published | $449.80 – $789.09 | 7 |
| Repair nasal septum defect CPT 30630 | not published | not published | $666.63 – $1,165.95 | 7 |
| Repair nasal stenosis CPT 30465 | not published | not published | $1,057.91 – $1,827.15 | 7 |
| Repair nerve add-on CPT 64837 | not published | not published | $427.45 – $693.18 | 7 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $379.25 – $625.83 | 7 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $859.48 – $1,450.29 | 7 |
| Repair nonunion hand CPT 26546 | not published | not published | $1,031.03 – $1,800.62 | 7 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $761.27 – $1,322.40 | 7 |
| Repair of achilles tendon CPT 27654 | not published | not published | $782.45 – $1,313.57 | 7 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,169.30 – $2,055.72 | 7 |
| Repair of anal sphincter CPT 46761 | not published | not published | $1,013.08 – $1,739.40 | 7 |
| Repair of anal stricture CPT 46700 | not published | not published | $681.16 – $1,222.41 | 7 |
| Repair of aneurysm CPT 35141 | not published | not published | $1,268.77 – $2,148.92 | 7 |
| Repair of ankle ligament CPT 27695 | not published | not published | $525.12 – $893.18 | 7 |
| Repair of ankle ligament CPT 27698 | not published | not published | $708.66 – $1,196.57 | 7 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $612.18 – $1,045.55 | 7 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,398.48 – $2,425.10 | 7 |
| Repair of bladder opening CPT 51880 | not published | not published | $523.59 – $865.28 | 7 |
| Repair of body cast CPT 29720 | not published | not published | $49.36 – $600.36 | 30 |
| Repair of bowel lesion CPT 44605 | not published | not published | $1,433.18 – $2,423.06 | 7 |
| Repair of circumcision CPT 54163 | not published | not published | $242.94 – $399.99 | 7 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $736.83 – $1,262.55 | 7 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $887.26 – $1,505.40 | 7 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $531.79 – $905.42 | 7 |
| Repair of eye socket wound CPT 65290 | $2,963.70 | $8,010.00 | $492.56 – $943.50 | 7 |
| Repair of eye wound CPT 65270 | not published | not published | $143.68 – $266.66 | 7 |
| Repair of eye wound CPT 65272 | not published | not published | $348.02 – $646.25 | 7 |
| Repair of eye wound CPT 65275 | not published | not published | $456.54 – $847.59 | 7 |
| Repair of eye wound CPT 65280 | not published | not published | $672.15 – $1,293.84 | 7 |
| Repair of eye wound CPT 65285 | not published | not published | $1,052.48 – $2,123.06 | 7 |
| Repair of eye wound CPT 65286 | not published | not published | $493.68 – $934.67 | 7 |
| Repair of facial nerve CPT 64864 | not published | not published | $971.16 – $1,634.64 | 7 |
| Repair of facial nerve CPT 64865 | not published | not published | $1,233.04 – $2,084.97 | 7 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $409.05 – $821.06 | 7 |
| Repair of foot bones CPT 28320 | not published | not published | $678.66 – $1,144.86 | 7 |
| Repair of foot tendon CPT 28200 | not published | not published | $356.19 – $593.87 | 7 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $819.63 – $1,373.43 | 7 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $888.76 – $1,500.63 | 7 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $1,999.05 – $3,332.55 | 7 |
| Repair of humerus CPT 24430 | not published | not published | $1,156.43 – $1,951.64 | 7 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $424.93 – $701.34 | 7 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $638.06 – $1,093.85 | 7 |
| Repair of knee cartilage CPT 27403 | not published | not published | $699.59 – $1,179.56 | 7 |
| Repair of knee ligament CPT 27405 | not published | not published | $737.09 – $1,247.58 | 7 |
| Repair of knee ligament CPT 27407 | not published | not published | $845.71 – $1,457.10 | 7 |
| Repair of knee ligaments CPT 27409 | not published | not published | $1,064.67 – $1,776.81 | 7 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $734.49 – $1,142.82 | 7 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $777.10 – $1,257.78 | 7 |
| Repair of leg nerve CPT 64840 | not published | not published | $1,013.41 – $1,729.20 | 7 |
| Repair of leg tendon each CPT 27658 | not published | not published | $409.55 – $701.34 | 7 |
| Repair of leg tendon each CPT 27659 | not published | not published | $528.09 – $906.09 | 7 |
| Repair of leg tendon each CPT 27665 | not published | not published | $450.58 – $770.73 | 7 |
| Repair of low back nerves CPT 64862 | not published | not published | $1,502.16 – $2,514.21 | 7 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $806.57 – $1,397.91 | 7 |
| Repair of metatarsals CPT 28322 | not published | not published | $638.30 – $1,076.16 | 7 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $3,096.26 – $5,186.22 | 7 |
| Repair of nasal septum CPT 30520 | not published | not published | $642.37 – $1,162.55 | 7 |
| Repair of penis CPT 54440 | not published | not published | $695.76 – $3,597.00 | 6 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $769.87 – $1,303.37 | 7 |
| Repair of rectum CPT 45500 | not published | not published | $550.44 – $987.72 | 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.