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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44366 | not published | not published | $274.70 – $487.74 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $281.72 – $498.63 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $325.60 – $570.05 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $441.08 – $774.12 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $82.98 – $3,567.32 | 30 |
| Small bowel endoscopy CPT 44384 | not published | not published | $174.89 – $304.07 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $219.26 – $387.75 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $206.10 – $368.70 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $181.35 – $324.48 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $343.09 – $603.38 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $63.54 – $3,567.32 | 30 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $96.23 – $96.23 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $304.68 – $538.76 | 7 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.04 | 23 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $23.13 | $62.50 | $5.39 – $21.56 | 30 |
| Smear gram stain CPT 87205 | $42.37 | $114.50 | $4.27 – $17.08 | 30 |
| Smear nasal eosinophil CPT 89190 | $21.65 | $58.50 | $4.95 – $23.16 | 30 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.08 | $140.75 | $5.99 – $23.96 | 30 |
| Smear wet mount CPT 87210 | $21.74 | $58.75 | $4.43 – $23.28 | 30 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $1,205.40 | 28 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $362.70 | 29 |
| Snrpn/ube3a gene CPT 81331 | $479.34 | $1,295.50 | $51.07 – $204.28 | 29 |
| Sock wool above knee HCPCS L8430 | $46.79 | $126.45 | $38.10 – $38.10 | 1 |
| Sodium 24 hour urine CPT 84300 | $47.18 | $127.50 | $5.06 – $20.24 | 30 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.58 | $131.31 | $19.78 – $19.78 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.71 | $131.64 | $8.63 – $8.63 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $24.18 | $65.34 | $8.63 – $8.63 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $17.39 | $47.00 | $19.78 – $19.78 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.45 | $25.55 | $3.56 – $3.56 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $24.88 | $67.25 | $4.81 – $19.24 | 30 |
| Somatosensory testing CPT 95927 | $358.35 | $968.50 | $34.07 – $1,184.84 | 30 |
| Somatropin injection HCPCS J2941 | $339.59 | $917.80 | $58.84 – $92.63 | 6 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $3,587.48 | 23 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $138.18 – $1,133.48 | 6 |
| Special physics consult CPT 77370 | $224.41 | $606.50 | $124.40 – $505.16 | 30 |
| Special radiation dosimetry CPT 77331 | $138.75 | $375.00 | $19.41 – $505.16 | 30 |
| Special radiation treatment CPT 77470 | $609.48 | $1,647.25 | $39.53 – $2,201.00 | 30 |
| Special teletx port plan CPT 77321 | $389.33 | $1,052.25 | $44.56 – $1,392.84 | 30 |
| Specific gravity body fluid CPT 84315 | $14.99 | $40.50 | $2.61 – $13.12 | 30 |
| Specimen fat stain CPT 89125 | not published | not published | $4.43 – $23.52 | 30 |
| Speech audiometry complete CPT 92556 | not published | not published | $26.47 – $226.00 | 30 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.51 – $919.72 | 30 |
| Speech recep thresh CPT 92555 | not published | not published | $17.12 – $226.00 | 30 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $42.68 | 30 |
| Sperm identification CPT 89257 | not published | not published | $50.82 – $1,649.48 | 28 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.82 – $478.16 | 28 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.82 – $357.76 | 28 |
| Sperm washing 58323 CPT 58323 | not published | not published | $13.34 – $765.44 | 30 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $686.71 – $1,197.92 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $825.47 – $1,425.81 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $127.35 – $205.44 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $147.29 – $1,326.12 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $658.74 – $2,634.96 | 23 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $164.72 – $1,184.84 | 29 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $159.01 | $429.75 | $18.02 – $1,184.84 | 30 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $102.26 – $595.32 | 29 |
| Spleen imaging CPT 78185 | not published | not published | $25.32 – $1,528.92 | 30 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,245.51 – $2,138.03 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $770.73 – $1,298.60 | 7 |
| Split blood or products CPT 86985 | $65.12 | $176.00 | $10.94 – $652.00 | 29 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $315.51 – $1,262.04 | 23 |
| Sputum specimen collection CPT 89220 | not published | not published | $10.55 – $652.00 | 30 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $10,718.35 | $28,968.50 | $3,952.23 – $3,952.23 | 5 |
| Srs linear based CPT 77372 | $3,766.05 | $10,178.50 | $892.56 – $1,342.82 | 7 |
| Srs multisource CPT 77371 | not published | not published | $1,491.30 – $13,467.00 | 6 |
| Staggered spondaic word test CPT 92572 | not published | not published | $18.63 – $595.32 | 30 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,055.11 – $1,761.17 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $64.57 | $174.50 | $97.44 – $407.00 | 29 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $140.36 | 30 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $106.28 | $287.25 | $94.64 – $378.56 | 25 |
| Stem cells total count CPT 86367 | not published | not published | $38.03 – $311.12 | 30 |
| Stenger test pure tone CPT 92565 | not published | not published | $13.53 – $226.00 | 30 |
| Stenger test speech CPT 92577 | not published | not published | $15.46 – $2,018.88 | 30 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $46,301.25 | $125,138.50 | $840.66 – $1,422.41 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $24,193.19 | $65,387.00 | $571.46 – $965.96 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $20,776.24 | $56,152.00 | $246.72 – $408.83 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,255.23 – $2,018.30 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $27,143.57 | $73,361.00 | $804.85 – $1,337.37 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,507.00 – $2,568.63 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $594.56 – $1,012.89 | 7 |
| St evaluate speech sound production CPT 92522 | $68.64 | $185.50 | $100.67 – $413.84 | 29 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $142.36 | $384.75 | $212.44 – $849.76 | 29 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $134.59 | $363.75 | $83.86 – $335.44 | 30 |
| St evaluation swallow function CPT 92610 | $88.43 | $239.00 | $78.84 – $315.36 | 30 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $507.07 – $835.35 | 7 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $154.80 – $652.00 | 28 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $105.74 – $652.00 | 28 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $105.74 – $652.00 | 28 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $163.00 – $652.00 | 28 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $549.17 – $914.94 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $89.36 | $241.50 | $20.58 – $600.36 | 30 |
| Strapping of chest CPT 29200 | $111.37 | $301.00 | $20.57 – $600.36 | 30 |
| Strapping of elbow or wrist 29260 CPT 29260 | $176.31 | $476.50 | $22.02 – $226.00 | 30 |
| Strapping of hand or finger CPT 29280 | $153.74 | $415.50 | $22.02 – $226.00 | 30 |
| Strapping of hip CPT 29520 | $114.33 | $309.00 | $20.93 – $490.44 | 30 |
| Strapping of knee CPT 29530 | $93.52 | $252.75 | $20.57 – $490.44 | 30 |
| Strapping of toes 29550 CPT 29550 | $78.90 | $213.25 | $13.08 – $226.00 | 30 |
| Strep a ag ia CPT 87430 | not published | not published | $12.77 – $67.24 | 30 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $80.20 | 30 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $50.92 | 30 |
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.