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 |
|---|---|---|---|---|
| Revise eyelid lining CPT 68360 | not published | not published | $407.37 – $789.77 | 7 |
| Revise eyelid lining CPT 68362 | not published | not published | $655.18 – $1,263.23 | 7 |
| Revise eye muscle CPT 67311 | not published | not published | $598.69 – $1,138.74 | 7 |
| Revise eye muscle CPT 67314 | not published | not published | $671.68 – $1,282.95 | 7 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $702.48 – $1,294.52 | 7 |
| Revise eye socket implant CPT 67560 | not published | not published | $992.67 – $1,848.92 | 7 |
| Revise eye sockets CPT 21260 | not published | not published | $1,380.57 – $2,308.77 | 7 |
| Revise eye sockets CPT 21261 | not published | not published | $2,352.24 – $4,031.16 | 7 |
| Revise eye sockets CPT 21263 | not published | not published | $2,170.17 – $3,525.06 | 7 |
| Revise eye sockets CPT 21267 | not published | not published | $1,686.61 – $3,075.41 | 7 |
| Revise eye with implant CPT 65093 | not published | not published | $630.63 – $1,195.88 | 7 |
| Revise finger joint each CPT 26135 | not published | not published | $592.15 – $1,008.14 | 7 |
| Revise finger joint each CPT 26140 | not published | not published | $537.15 – $923.78 | 7 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $355.72 – $673.46 | 7 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $529.48 – $1,031.94 | 7 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $661.66 – $1,263.90 | 7 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $643.98 – $1,240.77 | 7 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $720.18 – $1,361.87 | 7 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $646.15 – $1,246.22 | 7 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,058.40 – $1,800.62 | 7 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,171.16 – $1,985.66 | 7 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $882.98 – $1,508.79 | 7 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,055.96 – $1,796.54 | 7 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $581.88 – $998.61 | 7 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,137.70 – $3,552.95 | 7 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,703.84 – $2,837.33 | 7 |
| Revise/implant finger joint CPT 26536 | not published | not published | $702.80 – $1,285.68 | 7 |
| Revise kneecap CPT 27437 | not published | not published | $720.38 – $1,214.93 | 7 |
| Revise kneecap with implant CPT 27438 | not published | not published | $926.11 – $1,553.01 | 7 |
| Revise knuckle joint CPT 26530 | not published | not published | $573.90 – $982.28 | 7 |
| Revise knuckle with implant CPT 26531 | not published | not published | $668.86 – $1,140.78 | 7 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $724.94 – $1,195.20 | 7 |
| Revise lower leg tendon CPT 27690 | not published | not published | $698.50 – $1,176.15 | 7 |
| Revise lower leg tendon CPT 27691 | not published | not published | $823.77 – $1,394.52 | 7 |
| Revise lower leg tendons CPT 27686 | not published | not published | $615.23 – $1,021.74 | 7 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,011.17 – $1,742.12 | 7 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,316.95 – $2,271.36 | 7 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,270.53 – $2,177.48 | 7 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,132.87 – $1,957.08 | 7 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,455.84 – $2,514.21 | 7 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,333.68 – $2,299.25 | 7 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,602.55 – $2,766.57 | 7 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,674.96 – $2,883.59 | 7 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,574.14 – $2,711.48 | 7 |
| Revise ocular implant CPT 65125 | not published | not published | $287.00 – $557.81 | 7 |
| Revise ocular implant CPT 65150 | not published | not published | $579.23 – $1,059.15 | 7 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $848.72 – $1,416.29 | 7 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,004.07 – $1,653.02 | 7 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,075.38 – $1,731.92 | 7 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,188.84 – $1,870.01 | 7 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,340.12 – $2,281.56 | 7 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $931.14 – $1,596.54 | 6 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,109.61 – $1,850.28 | 7 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,009.20 – $1,682.27 | 7 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,051.92 – $1,687.02 | 7 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $1,722.76 – $2,850.93 | 6 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $1,983.72 – $3,287.66 | 6 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $579.74 – $1,046.91 | 7 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $425.19 – $718.35 | 7 |
| Revise/remove sling repair CPT 57287 | not published | not published | $752.95 – $1,263.90 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,513.78 – $2,508.08 | 7 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,561.73 – $2,604.68 | 7 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,956.75 – $3,257.72 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $871.75 – $1,431.93 | 6 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $392.78 – $649.64 | 7 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $481.34 – $791.13 | 7 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $502.49 – $7,541.00 | 7 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $960.65 – $7,541.00 | 7 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,796.22 – $3,030.51 | 7 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $744.93 – $1,276.16 | 7 |
| Revise thumb tendon CPT 26490 | not published | not published | $831.71 – $1,433.97 | 7 |
| Revise thumb tendon CPT 26496 | not published | not published | $916.01 – $1,549.61 | 7 |
| Revise two eye muscles CPT 67312 | not published | not published | $718.57 – $1,371.39 | 7 |
| Revise two eye muscles CPT 67316 | not published | not published | $807.23 – $1,544.85 | 7 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $423.28 – $732.63 | 7 |
| Revise ureter CPT 50727 | not published | not published | $568.32 – $929.90 | 7 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $899.34 – $1,482.95 | 7 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $988.43 – $1,610.15 | 7 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $526.50 – $895.22 | 7 |
| Revise windpipe scar CPT 31830 | not published | not published | $373.66 – $643.52 | 7 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $616.34 – $1,034.66 | 7 |
| Revise wrist joint CPT 25332 | not published | not published | $925.97 – $1,552.34 | 7 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,868.84 – $3,165.89 | 7 |
| Revision of amputation CPT 24935 | not published | not published | $1,085.72 – $1,948.23 | 7 |
| Revision of ankle joint CPT 27700 | not published | not published | $676.04 – $1,107.45 | 7 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $845.58 – $1,135.34 | 6 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $843.79 – $1,370.03 | 7 |
| Revision of big toe CPT 28310 | not published | not published | $398.31 – $665.97 | 7 |
| Revision of bladder neck CPT 52500 | not published | not published | $545.64 – $896.57 | 7 |
| Revision of calf tendon CPT 27687 | not published | not published | $499.62 – $850.32 | 7 |
| Revision of cervix CPT 57720 | not published | not published | $336.57 – $576.86 | 7 |
| Revision of cervix CPT 59320 | $3,273.85 | $8,848.25 | $171.54 – $285.71 | 7 |
| Revision of collar bone CPT 23480 | not published | not published | $903.99 – $1,510.16 | 7 |
| Revision of collar bone CPT 23485 | not published | not published | $1,053.22 – $1,767.29 | 7 |
| Revision of colostomy CPT 44340 | $1,776.74 | $4,802.00 | $650.00 – $1,163.24 | 7 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,141.16 – $1,961.84 | 7 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,282.77 – $2,207.42 | 7 |
| Revision of cornea CPT 65600 | not published | not published | $334.52 – $649.64 | 7 |
| Revision of cranial nerve CPT 64716 | not published | not published | $566.93 – $993.84 | 7 |
| Revision of eyelid CPT 67880 | not published | not published | $363.82 – $702.71 | 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.