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 |
|---|---|---|---|---|
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,284.08 | $16,984.00 | $388.12 – $669.72 | 6 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,037.62 | $37,939.50 | $487.19 – $840.50 | 6 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $21,277.04 | $57,505.50 | $568.56 – $981.05 | 6 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,289.40 – $2,030.55 | 7 |
| Thrombin time CPT 85670 | $42.83 | $115.75 | $3.36 – $23.08 | 30 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $27.40 | 30 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $938.77 – $1,589.75 | 7 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,020.24 – $1,719.68 | 7 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,469.68 – $2,483.60 | 7 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,290.71 – $2,185.65 | 7 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $34.60 | $93.50 | $6.47 – $25.88 | 30 |
| Thromboxane urine CPT 84431 | not published | not published | $26.16 – $140.44 | 29 |
| Thumb fusion with graft CPT 26820 | not published | not published | $820.73 – $1,427.16 | 7 |
| Thumb fusion with graft CPT 26842 | not published | not published | $836.64 – $1,423.08 | 7 |
| Thumb tendon transfer CPT 26510 | not published | not published | $622.58 – $1,076.16 | 7 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,533.40 – $2,565.90 | 7 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,163.13 – $1,932.59 | 7 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,261.21 – $2,106.06 | 7 |
| Thyroglobulin antibody CPT 86800 | $56.89 | $153.75 | $15.91 – $63.64 | 30 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,533.93 – $2,560.46 | 7 |
| Thyroid imaging CPT 78013 | $176.21 | $476.25 | $182.17 – $1,528.92 | 29 |
| Thyroid met imaging CPT 78015 | not published | not published | $42.26 – $1,528.92 | 30 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $51.68 – $1,528.92 | 30 |
| Thyroid mets imag whole body CPT 78018 | $589.32 | $1,592.75 | $54.25 – $2,048.04 | 30 |
| Thyroid met uptake CPT 78020 | not published | not published | $37.89 – $172.38 | 7 |
| Thyroid (TSH) Test CPT 84443 | $83.07 | $224.50 | $16.80 – $67.20 | 30 |
| Thyroid Ultrasound CPT 76536 | $408.02 | $1,102.75 | $34.42 – $404.60 | 30 |
| Thyroid uptake measurement CPT 78012 | $134.03 | $362.25 | $74.74 – $1,528.92 | 29 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,335.83 | $6,313.05 | $1,297.26 – $1,297.26 | 5 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $201.64 | 30 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.42 | $166.00 | $14.78 – $59.12 | 30 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $861.62 – $1,450.98 | 7 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,097.18 – $1,837.35 | 7 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $39,520.44 | $106,812.00 | $873.63 – $1,454.37 | 6 |
| Tib/per revasc stnt & ather CPT 37235 | $20,058.26 | $54,211.50 | $455.06 – $739.43 | 6 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $21,667.94 | $58,562.00 | $378.93 – $631.28 | 6 |
| Tigecycline injection HCPCS J3243 | $178.71 | $483.00 | $19.78 – $19.78 | 5 |
| Tilt table study CPT 93660 | $487.29 | $1,317.00 | $64.68 – $2,018.88 | 30 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $696.08 | $1,881.30 | $7.98 – $9.27 | 6 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $601.20 | 30 |
| Tissue culture skin/biopsy CPT 88233 | $560.27 | $1,514.25 | $140.73 – $562.92 | 30 |
| Tissue culture tumor CPT 88239 | $320.05 | $865.00 | $147.52 – $590.08 | 30 |
| Tissue exam koh skin/hair/nails CPT 87220 | $21.09 | $57.00 | $4.27 – $17.08 | 30 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.53 – $46.12 | 23 |
| Tl-201 thallium diag per mci HCPCS A9505 | $43.38 | $117.25 | $36.27 – $36.27 | 5 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $862.33 – $1,753.68 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,131.30 – $2,184.29 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $995.13 – $1,956.41 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,351.30 – $2,507.40 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,698.79 – $4,517.54 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,773.32 – $4,633.19 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $511.81 – $877.53 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $141.75 | $383.11 | $3.61 – $3.61 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $65.95 | $178.25 | $16.13 – $64.52 | 30 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $25.62 | $69.25 | $8.63 – $8.63 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $34.97 | $94.50 | $25.50 – $92.06 | 3 |
| Tomosynthesis breast screen bilateral CPT 77063 | $34.97 | $94.50 | $20.75 – $98.64 | 29 |
| Tone decay hearing test CPT 92563 | not published | not published | $21.90 – $149.36 | 30 |
| Tongue base vol reduction CPT 41530 | not published | not published | $408.08 – $766.64 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $121.16 – $210.89 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $666.87 – $1,177.52 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $429.48 – $818.34 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $277.42 – $474.81 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $288.49 – $495.23 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $28.64 | $77.40 | $19.78 – $19.78 | 5 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,510.05 – $2,495.84 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,863.15 – $3,103.98 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,507.65 – $2,667.26 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $1,127.40 – $1,885.65 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,506.93 – $2,847.53 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $390.50 – $677.54 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,375.04 – $2,616.82 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,829.01 – $3,059.09 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,915.70 – $2,681.55 | 7 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $567.72 – $1,174.11 | 6 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,884.69 – $4,756.31 | 7 |
| Toxoplasma antibody igg CPT 86777 | $49.77 | $134.50 | $14.39 – $57.56 | 30 |
| Toxoplasma antibody igm CPT 86778 | $48.93 | $132.25 | $14.41 – $57.64 | 30 |
| Tp53 gene full gene sequence CPT 81351 | $535.76 | $1,448.00 | $641.85 – $2,567.40 | 24 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $1,318.04 | 24 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $699.24 | 29 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $231.35 – $925.40 | 23 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $226.55 – $2,087.36 | 30 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $381.54 – $646.25 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $429.02 | $1,159.50 | $127.95 – $1,937.64 | 30 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $472.94 – $846.92 | 7 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $40.89 | $110.50 | $58.61 – $62.25 | 6 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $289.35 – $1,157.40 | 30 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,306.99 – $2,159.12 | 6 |
| Transcath biopsy CPT 37200 | $1,720.69 | $4,650.50 | $251.02 – $421.08 | 7 |
| Transcath closure of asd CPT 93580 | $6,954.34 | $18,795.50 | $1,112.12 – $1,826.48 | 7 |
| Transcath closure of vsd CPT 93581 | $6,954.34 | $18,795.50 | $1,525.79 – $2,464.55 | 7 |
| Transcatheter bx s&i CPT 75970 | $710.22 | $1,919.50 | $52.84 – $87.36 | 6 |
| Transcath mv repair addl prosthesis CPT 33419 | $649.63 | $1,755.75 | $484.53 – $1,005.41 | 6 |
| Transcath mv repair init prosthesis CPT 33418 | $2,750.03 | $7,432.50 | $2,043.49 – $3,216.90 | 6 |
| Transcath occlusion cns CPT 61624 | $582.75 | $1,575.00 | $1,301.65 – $2,046.87 | 7 |
| Transcath occlusion non-cns CPT 61626 | $5,137.08 | $13,884.00 | $980.96 – $1,591.11 | 7 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $2,194.43 – $3,459.08 | 6 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $20.08 | 29 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $900.08 – $1,518.32 | 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.