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 |
|---|---|---|---|---|
| Transfer of embryo CPT 58976 | not published | not published | $242.21 – $1,157.40 | 30 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $1,056.55 – $1,782.93 | 7 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $944.42 – $1,653.69 | 7 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $943.18 – $1,592.46 | 7 |
| Transferrin CPT 84466 | $53.47 | $144.50 | $12.76 – $51.04 | 30 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $414.42 – $712.22 | 7 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $684.86 – $1,275.47 | 7 |
| Transfusion blood/blood component(s) CPT 36430 | $393.40 | $1,063.25 | $35.58 – $1,663.40 | 30 |
| Transperi needle place pros CPT 55875 | not published | not published | $857.20 – $8,877.00 | 8 |
| Transplant forearm tendon CPT 25310 | not published | not published | $677.61 – $1,133.97 | 7 |
| Transplant forearm tendon CPT 25312 | not published | not published | $787.91 – $1,320.36 | 7 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $892.91 – $1,523.09 | 7 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $932.11 – $1,696.55 | 7 |
| Transplant hand tendon CPT 26480 | not published | not published | $786.13 – $1,359.14 | 7 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $667.44 – $1,130.58 | 7 |
| Transplant palm tendon CPT 26485 | not published | not published | $853.64 – $1,457.78 | 7 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $987.52 – $1,685.66 | 7 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $133.20 – $219.05 | 6 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $148.51 – $310.88 | 7 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $113.22 – $216.32 | 7 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $149.31 – $308.84 | 7 |
| Transposition of vein valve CPT 34510 | not published | not published | $1,307.31 – $2,225.78 | 7 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,414.61 – $2,335.31 | 6 |
| Transurethral rf treatment CPT 53860 | not published | not published | $252.93 – $496.10 | 6 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $194.29 | $525.10 | $185.43 – $185.43 | 5 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $198.36 | 29 |
| Treat ankle dislocation CPT 27842 | $2,132.50 | $5,763.50 | $525.53 – $914.94 | 7 |
| Treat ankle dislocation CPT 27846 | not published | not published | $802.74 – $1,353.71 | 7 |
| Treat ankle dislocation CPT 27848 | not published | not published | $890.49 – $1,496.55 | 7 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,177.11 – $1,976.81 | 7 |
| Treat big toe fracture CPT 28505 | not published | not published | $541.12 – $931.95 | 7 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $574.95 – $991.80 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | $759.61 | $2,053.00 | $228.18 – $912.72 | 30 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $858.13 – $1,442.81 | 7 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $837.20 – $1,403.36 | 7 |
| Treat elbow dislocation CPT 24605 | $2,132.50 | $5,763.50 | $486.90 – $863.24 | 7 |
| Treat elbow dislocation CPT 24615 | not published | not published | $783.34 – $1,310.84 | 7 |
| Treat elbow fracture CPT 24586 | not published | not published | $1,196.47 – $1,995.86 | 7 |
| Treat elbow fracture CPT 24620 | $2,856.96 | $7,721.50 | $591.31 – $1,019.70 | 7 |
| Treat elbow fracture CPT 24635 | not published | not published | $737.31 – $1,236.69 | 7 |
| Treat eyelid by injection CPT 68200 | $147.08 | $397.50 | $35.92 – $1,518.28 | 30 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $143.61 – $3,685.16 | 30 |
| Treat finger fracture each CPT 26727 | not published | not published | $492.79 – $857.79 | 7 |
| Treat finger fracture each CPT 26742 | $2,628.48 | $7,104.00 | $346.57 – $611.55 | 7 |
| Treat foot bone lesion CPT 28005 | not published | not published | $642.06 – $1,087.04 | 7 |
| Treat foot dislocation CPT 28540 | $198.60 | $536.75 | $189.91 – $912.72 | 30 |
| Treat foot dislocation CPT 28545 | not published | not published | $237.36 – $481.62 | 7 |
| Treat foot dislocation CPT 28546 | not published | not published | $319.72 – $619.04 | 7 |
| Treat foot dislocation CPT 28570 | $260.85 | $705.00 | $162.59 – $912.72 | 30 |
| Treat foot dislocation CPT 28576 | not published | not published | $383.37 – $727.88 | 7 |
| Treat foot dislocation CPT 28600 | $235.69 | $637.00 | $195.34 – $912.72 | 30 |
| Treat foot dislocation CPT 28605 | not published | not published | $228.18 – $912.72 | 30 |
| Treat foot dislocation CPT 28606 | not published | not published | $424.52 – $733.31 | 7 |
| Treat fracture of radius CPT 25505 | $2,628.48 | $7,104.00 | $479.80 – $846.92 | 7 |
| Treat fracture of radius CPT 25520 | $2,628.48 | $7,104.00 | $548.28 – $985.68 | 7 |
| Treat fracture of ulna CPT 25535 | $637.33 | $1,722.50 | $228.18 – $912.72 | 30 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $1,339.24 – $2,312.18 | 7 |
| Treat hand bone lesion CPT 26034 | not published | not published | $567.53 – $988.41 | 7 |
| Treat hand dislocation CPT 26675 | $697.17 | $1,884.25 | $419.63 – $764.60 | 7 |
| Treat hand dislocation CPT 26685 | not published | not published | $600.33 – $1,061.87 | 7 |
| Treat hand dislocation CPT 26686 | not published | not published | $668.23 – $1,144.19 | 7 |
| Treat heel fracture CPT 28415 | not published | not published | $1,240.61 – $2,061.17 | 7 |
| Treat hip dislocation CPT 27252 | $2,132.50 | $5,763.50 | $834.99 – $1,402.68 | 7 |
| Treat hip dislocation CPT 27257 | $2,452.36 | $6,628.00 | $375.54 – $621.08 | 7 |
| Treat hip dislocation CPT 27258 | not published | not published | $1,228.43 – $2,042.79 | 7 |
| Treat hip socket fracture CPT 27222 | not published | not published | $1,077.25 – $1,784.30 | 7 |
| Treat humerus fracture CPT 24515 | not published | not published | $962.46 – $1,614.92 | 7 |
| Treat humerus fracture CPT 24516 | not published | not published | $948.11 – $1,585.67 | 7 |
| Treat humerus fracture CPT 24535 | $2,628.48 | $7,104.00 | $604.92 – $1,044.87 | 7 |
| Treat humerus fracture CPT 24545 | not published | not published | $1,004.00 – $1,713.56 | 7 |
| Treat humerus fracture CPT 24546 | not published | not published | $1,148.01 – $1,918.98 | 7 |
| Treat humerus fracture CPT 24565 | $2,628.48 | $7,104.00 | $493.84 – $895.89 | 7 |
| Treat humerus fracture CPT 24575 | not published | not published | $802.70 – $1,350.98 | 7 |
| Treat humerus fracture CPT 24579 | not published | not published | $914.82 – $1,539.41 | 7 |
| Treat humerus fracture CPT 24582 | not published | not published | $842.39 – $1,484.99 | 7 |
| Treat kneecap dislocation CPT 27562 | $2,285.86 | $6,178.00 | $228.18 – $912.72 | 30 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $981.93 – $1,645.53 | 7 |
| Treat kneecap fracture CPT 27524 | not published | not published | $827.72 – $1,388.39 | 7 |
| Treat knee dislocation CPT 27552 | not published | not published | $672.81 – $1,153.02 | 7 |
| Treat knee fracture CPT 27535 | not published | not published | $995.12 – $1,657.77 | 7 |
| Treat knee fracture CPT 27536 | not published | not published | $1,316.97 – $2,199.26 | 7 |
| Treat knee fracture CPT 27540 | not published | not published | $894.12 – $1,495.88 | 7 |
| Treat knee fracture 27530 CPT 27530 | $425.96 | $1,151.25 | $228.18 – $912.72 | 30 |
| Treat knee fracture(s) CPT 27538 | $724.46 | $1,958.00 | $228.18 – $912.72 | 30 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $382.14 – $696.57 | 7 |
| Treat knuckle dislocation CPT 26715 | $1,437.27 | $3,884.50 | $586.39 – $1,053.03 | 7 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $1,075.94 – $1,929.87 | 7 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $670.23 – $1,125.81 | 7 |
| Treat lower leg dislocation CPT 27830 | $394.79 | $1,067.00 | $228.18 – $912.72 | 30 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $405.06 – $732.63 | 7 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $773.01 – $1,391.12 | 7 |
| Treat lower leg fracture CPT 27826 | not published | not published | $894.77 – $1,546.89 | 7 |
| Treat lower leg fracture CPT 27827 | not published | not published | $1,194.78 – $2,003.34 | 7 |
| Treat lower leg fracture CPT 27828 | not published | not published | $1,434.01 – $2,394.48 | 7 |
| Treat lower leg joint CPT 27829 | not published | not published | $713.60 – $1,265.27 | 7 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $882.91 – $1,513.56 | 7 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $1,128.95 – $1,925.12 | 7 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $772.09 – $1,350.98 | 7 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $2,974.25 | $8,038.50 | $328.99 – $551.69 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $103.79 | $280.50 | $37.25 – $490.44 | 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.