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 |
|---|---|---|---|---|
| Tc-99m succimer (dmsa) HCPCS A9551 | $373.42 | $1,009.25 | $745.92 – $745.92 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $199.25 | $538.50 | $66.54 – $66.54 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $138.29 | $373.75 | $90.96 – $90.96 | 5 |
| Tc-99m tilmanocept diag HCPCS A9520 | $801.70 | $2,166.75 | $281.76 – $281.76 | 5 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $454.09 – $2,329.08 | 30 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $70.83 – $628.55 | 30 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $70.43 – $589.77 | 30 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $93.21 – $1,663.40 | 30 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $185.28 | $500.75 | $46.98 – $187.92 | 30 |
| T cells absolute cd 4 count CPT 86361 | $110.72 | $299.25 | $26.78 – $107.12 | 30 |
| T cells total count CPT 86359 | $68.92 | $186.26 | $37.73 – $150.92 | 30 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $296.21 – $1,184.84 | 28 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $296.21 – $1,184.84 | 28 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $296.21 – $1,184.84 | 28 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,188.10 – $2,010.14 | 7 |
| Telavancin injection HCPCS J3095 | $464.05 | $1,254.20 | $4.32 – $4.32 | 5 |
| Telethx isodose plan cplx CPT 77307 | $277.22 | $749.25 | $141.58 – $1,392.84 | 29 |
| Telethx isodose plan simple CPT 77306 | $200.36 | $541.50 | $78.34 – $1,392.84 | 29 |
| Temozolomide HCPCS J8700 | $427.46 | $1,155.30 | $19.78 – $19.78 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $29.19 | $78.90 | $9.27 – $9.27 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $1.89 – $595.32 | 30 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $116.48 | $314.80 | $53.80 – $185.43 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $597.30 – $1,050.99 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $626.24 – $1,060.52 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $602.06 – $1,046.91 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $928.77 – $1,599.95 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,570.16 | $20,459.90 | $92.63 – $92.63 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $665.07 – $1,131.26 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $598.56 – $1,037.39 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $653.14 – $1,124.46 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $842.33 – $1,436.01 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $546.45 – $937.38 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $328.31 – $538.76 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $268.59 – $457.82 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.71 | $26.25 | $19.78 – $19.78 | 5 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $740.80 | 28 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $24.04 | 30 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.43 – $23.28 | 30 |
| Test for urine cystines CPT 82615 | $18.50 | $50.00 | $8.60 – $38.20 | 30 |
| Testicular imaging w/vasc flow CPT 78761 | $342.62 | $926.00 | $44.93 – $1,528.92 | 30 |
| Test stress cardiovascular tracing only CPT 93017 | $365.84 | $988.75 | $39.88 – $1,184.84 | 30 |
| Test urine for lactose CPT 83633 | not published | not published | $5.73 – $45.00 | 30 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.12 – $53.44 | 30 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.39 – $17.88 | 30 |
| Tetanus immune globulin inj HCPCS J1670 | $404.61 | $1,093.55 | $379.02 – $379.02 | 5 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $3,038.12 | 23 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,391.64 | 23 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $105.74 – $652.00 | 28 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $163.00 – $1,179.92 | 28 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $105.74 – $652.00 | 28 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.82 – $233.92 | 28 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.65 – $1,663.40 | 30 |
| Theophylline therapeutic drug level CPT 80198 | $60.77 | $164.25 | $14.14 – $56.56 | 30 |
| Therapeutic procd strg endur HCPCS G0237 | $35.71 | $96.50 | $10.07 – $18.36 | 7 |
| Therapy activation ipnss CPT 93150 | not published | not published | $87.31 – $349.24 | 23 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $210.44 | $568.75 | $122.36 – $122.36 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.29 | $130.50 | $33.55 – $134.20 | 30 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.64 | $72.00 | $29.23 – $116.92 | 30 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $128.71 – $756.04 | 30 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.90 – $230.61 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.19 | $687.00 | $106.35 – $677.36 | 30 |
| Ther/proph/diag inj ia CPT 96373 | $221.54 | $598.75 | $20.23 – $801.64 | 30 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.68 | $31.57 | $19.78 – $19.78 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $967.18 | $2,614.00 | $127.81 – $2,352.40 | 29 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,371.83 – $5,208.00 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $245.04 – $406.11 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,143.50 – $6,929.70 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,809.56 – $3,014.87 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $348.52 – $581.61 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $245.76 – $406.11 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,232.33 – $2,057.07 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,516.80 – $2,525.09 | 6 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,191.17 – $1,983.62 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,074.18 – $1,799.27 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $745.08 – $1,251.66 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,333.05 – $2,214.90 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $949.01 – $1,591.79 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,873.37 – $3,120.30 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $523.52 – $870.05 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $547.01 – $904.05 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,579.78 – $2,631.21 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,002.21 – $1,672.05 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $897.39 – $1,497.92 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $898.39 – $1,497.92 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $819.62 – $1,366.62 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,370.48 – $2,255.03 | 6 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $977.52 – $1,670.70 | 6 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $178.75 – $310.88 | 6 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $178.75 – $311.55 | 6 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $863.76 – $1,459.14 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $807.67 – $1,355.06 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,040.44 – $1,744.85 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $911.62 – $1,531.92 | 7 |
| Thoracotomy with cardiac massage CPT 32160 | $921.49 | $2,490.50 | $883.71 – $1,481.58 | 7 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,352.15 – $2,316.93 | 7 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $292.19 – $508.14 | 6 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $348.52 – $601.34 | 6 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $428.12 – $740.12 | 6 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $19.68 – $335.00 | 30 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,061.92 | $5,572.75 | $201.34 – $376.75 | 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.