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 of rectum CPT 45505 | not published | not published | $602.64 – $1,105.41 | 7 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $1,386.06 – $2,361.15 | 7 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $853.80 – $1,431.93 | 7 |
| Repair of shoulder CPT 23420 | not published | not published | $1,067.97 – $1,787.70 | 7 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $1,123.06 – $1,902.66 | 7 |
| Repair of sperm duct CPT 55400 | not published | not published | $559.07 – $916.98 | 7 |
| Repair of thigh muscle CPT 27385 | not published | not published | $625.31 – $1,059.83 | 7 |
| Repair of tibia CPT 27720 | not published | not published | $964.74 – $1,621.71 | 7 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $609.61 – $1,076.84 | 7 |
| Repair of toe dislocation CPT 28675 | $1,633.64 | $4,415.25 | $437.81 – $760.52 | 7 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $888.19 – $1,535.33 | 7 |
| Repair of urethra defect CPT 53275 | not published | not published | $295.40 – $484.34 | 7 |
| Repair of urethra defect CPT 53520 | not published | not published | $622.96 – $1,023.09 | 7 |
| Repair of urethra injury CPT 53505 | not published | not published | $544.06 – $893.85 | 7 |
| Repair of urethra injury CPT 53510 | not published | not published | $708.16 – $1,161.87 | 7 |
| Repair of urethra injury CPT 53515 | not published | not published | $888.97 – $1,465.26 | 7 |
| Repair of urethra injury 53502 CPT 53502 | $2,738.46 | $7,401.25 | $544.79 – $894.53 | 7 |
| Repair of urethral lesion CPT 57230 | not published | not published | $433.93 – $744.20 | 7 |
| Repair of web finger CPT 26560 | not published | not published | $596.02 – $1,068.68 | 7 |
| Repair of web finger CPT 26561 | not published | not published | $971.52 – $1,715.60 | 7 |
| Repair of web finger CPT 26562 | not published | not published | $1,417.45 – $2,338.70 | 7 |
| Repair of windpipe CPT 31750 | $2,894.60 | $7,823.25 | $1,442.90 – $2,557.74 | 7 |
| Repair of windpipe CPT 31755 | not published | not published | $1,814.74 – $3,206.70 | 7 |
| Repair of windpipe defect CPT 31825 | not published | not published | $526.94 – $900.65 | 7 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $467.85 – $798.62 | 7 |
| Repair palate CPT 42182 | not published | not published | $284.86 – $484.34 | 7 |
| Repair palate CPT 42235 | not published | not published | $796.69 – $1,382.27 | 7 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $771.52 – $1,333.29 | 7 |
| Repair paravag defect lap CPT 57423 | not published | not published | $1,010.64 – $1,731.24 | 7 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $744.75 – $1,265.94 | 7 |
| Repair penis CPT 54380 | not published | not published | $898.86 – $1,673.42 | 7 |
| Repair penis CPT 54385 | not published | not published | $1,088.81 – $1,821.71 | 7 |
| Repair pm/icd lead dual CPT 33220 | $1,873.22 | $5,062.75 | $434.97 – $731.27 | 7 |
| Repair pm/icd lead sgl CPT 33218 | $2,027.05 | $5,478.50 | $434.22 – $725.15 | 7 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,893.41 – $3,162.48 | 7 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,651.11 – $2,744.13 | 7 |
| Repair radius or ulna CPT 25400 | not published | not published | $884.22 – $1,476.15 | 7 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,067.86 – $1,778.85 | 7 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,605.15 – $2,742.09 | 7 |
| Repair rectum & vagina CPT 57250 | not published | not published | $746.80 – $1,274.12 | 7 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $607.60 – $1,046.22 | 7 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,021.67 – $1,742.81 | 7 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $644.36 – $1,105.41 | 7 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $1,024.05 – $1,741.44 | 7 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $831.35 – $1,422.41 | 7 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $1,457.93 – $3,299.90 | 7 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,042.26 – $1,812.18 | 7 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $904.99 – $1,514.91 | 7 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $938.54 – $1,572.74 | 7 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $821.03 | $2,219.00 | $220.89 – $883.56 | 30 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $890.87 | $2,407.75 | $311.71 – $1,937.64 | 30 |
| Repair salivary duct CPT 42500 | not published | not published | $374.56 – $648.29 | 7 |
| Repair salivary duct CPT 42505 | not published | not published | $500.61 – $859.16 | 7 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,302.14 – $2,234.63 | 7 |
| Repair shoulder capsule CPT 23450 | not published | not published | $1,049.43 – $1,747.56 | 7 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,101.18 – $1,850.28 | 7 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,202.50 – $2,007.42 | 7 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,169.61 – $1,969.32 | 7 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,229.58 – $2,061.84 | 7 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,226.54 – $2,071.37 | 7 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $613.35 – $1,061.19 | 7 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $977.54 – $1,684.98 | 7 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,103.62 – $3,712.50 | 6 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,452.41 – $4,174.50 | 6 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,754.58 – $2,957.04 | 7 |
| Repair stomach opening CPT 43870 | not published | not published | $766.05 – $1,323.09 | 7 |
| Repair tear ducts CPT 68700 | not published | not published | $602.17 – $1,160.51 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $346.45 – $575.49 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,279.59 | $8,863.75 | $687.49 – $1,157.10 | 7 |
| Repair testis injury CPT 54670 | $1,709.40 | $4,620.00 | $457.54 – $744.87 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,045.18 – $1,780.89 | 7 |
| Repair throat wound CPT 42900 | not published | not published | $376.63 – $640.80 | 7 |
| Repair toe dislocation CPT 28645 | not published | not published | $529.46 – $907.46 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $365.47 | $987.75 | $179.99 – $883.56 | 30 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,119.79 – $1,874.78 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $528.17 – $880.92 | 7 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $338.08 – $616.31 | 7 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $469.62 – $823.11 | 7 |
| Repair umbilical lesion CPT 49600 | not published | not published | $739.75 – $1,351.65 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,245.56 – $2,095.85 | 7 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $781.28 – $1,376.82 | 7 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $546.37 – $933.30 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $515.23 – $845.55 | 7 |
| Repair uro sphincter CPT 53449 | not published | not published | $685.73 – $1,125.81 | 7 |
| Repair vagina CPT 57335 | not published | not published | $1,341.98 – $2,186.33 | 7 |
| Repair vagina/perineum CPT 57210 | not published | not published | $402.69 – $686.37 | 7 |
| Repair valve femoral vein CPT 34501 | not published | not published | $1,026.57 – $1,737.36 | 7 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $1,013.64 – $1,723.08 | 7 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $801.88 – $1,365.26 | 7 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,225.35 – $2,167.95 | 7 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $412.97 – $685.70 | 7 |
| Repair windpipe opening CPT 31614 | not published | not published | $789.60 – $1,412.88 | 7 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,221.59 – $2,041.43 | 7 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,571.23 – $4,282.86 | 7 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $3,263.32 – $5,453.57 | 7 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,808.94 – $6,363.74 | 7 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,775.76 – $2,848.20 | 6 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,688.99 – $2,750.93 | 6 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,843.60 – $3,027.80 | 6 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $2,028.69 – $3,318.26 | 6 |
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.