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 |
|---|---|---|---|---|
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $87.97 | $237.75 | $14.54 – $29.64 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $29.88 | $80.75 | $14.54 – $773.88 | 30 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $2,005.86 | $5,421.25 | $387.64 – $664.61 | 7 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $162.51 – $278.22 | 7 |
| Treatment of anal fissure CPT 46942 | not published | not published | $141.16 – $3,468.96 | 30 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $159.05 – $274.82 | 7 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $716.56 – $1,209.48 | 7 |
| Treatment of ankle fracture CPT 27814 | $624.28 | $1,687.25 | $849.05 – $1,427.85 | 7 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $931.49 – $1,554.38 | 7 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $1,064.40 – $1,763.90 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $382.86 | $1,034.75 | $228.18 – $912.72 | 30 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $521.84 – $2,087.36 | 30 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $284.35 – $1,137.40 | 30 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $55.50 – $1,137.40 | 30 |
| Treatment of fibula fracture CPT 27784 | $577.66 | $1,561.25 | $756.64 – $1,321.05 | 7 |
| Treatment of fibula fracture 27780 CPT 27780 | $470.64 | $1,272.00 | $228.18 – $912.72 | 30 |
| Treatment of foot infection CPT 28002 | not published | not published | $354.40 – $604.74 | 7 |
| Treatment of foot infection CPT 28003 | not published | not published | $623.71 – $1,088.40 | 7 |
| Treatment of gum lesion CPT 41850 | not published | not published | $134.75 – $372.00 | 6 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,625.64 – $2,795.84 | 7 |
| Treatment of heel fracture 28400 CPT 28400 | $304.23 | $822.25 | $228.18 – $912.72 | 30 |
| Treatment of miscarriage CPT 59821 | $2,388.81 | $6,456.25 | $394.91 – $667.32 | 7 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $177.77 – $325.85 | 7 |
| Treatment of penis lesion CPT 54110 | not published | not published | $702.60 – $1,149.63 | 7 |
| Treatment of penis lesion CPT 54115 | not published | not published | $476.96 – $779.57 | 7 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $42.40 – $3,468.96 | 30 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $284.35 – $1,137.40 | 30 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $521.84 – $2,087.36 | 30 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $1,434.21 – $2,550.95 | 7 |
| Treatment of thigh fracture CPT 27501 | $771.82 | $2,086.00 | $228.18 – $919.02 | 30 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $881.41 – $1,481.58 | 7 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $1,481.74 – $2,473.40 | 7 |
| Treatment of thigh fracture CPT 27508 | $635.20 | $1,716.75 | $228.18 – $912.72 | 30 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $695.20 – $1,187.72 | 7 |
| Treatment of thigh fracture CPT 27510 | $2,628.48 | $7,104.00 | $752.28 – $1,267.98 | 7 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $1,107.36 – $1,843.49 | 7 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $616.80 – $1,065.95 | 7 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $980.92 – $1,644.84 | 7 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $1,104.46 – $1,844.16 | 7 |
| Treatment of toe fracture 28510 CPT 28510 | $376.11 | $1,016.50 | $118.80 – $912.72 | 30 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $511.95 – $836.03 | 7 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $200.92 – $334.01 | 7 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $208.07 – $343.53 | 7 |
| Treatment radiation delivery level 2 CPT 77407 | $150.96 | $408.00 | $204.00 – $1,000.60 | 29 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $334.62 – $2,087.36 | 30 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $501.65 – $873.44 | 7 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $585.60 – $1,055.75 | 7 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $358.64 – $638.07 | 7 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $585.33 – $980.24 | 7 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $281.71 – $439.44 | 7 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $680.15 – $1,129.89 | 7 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,032.83 – $1,670.01 | 7 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $968.62 – $1,567.29 | 7 |
| Treat penis lesion graft CPT 54111 | not published | not published | $907.95 – $1,476.15 | 7 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,056.25 – $1,728.51 | 7 |
| Treat radius fracture CPT 24665 | not published | not published | $701.05 – $1,197.92 | 7 |
| Treat radius fracture CPT 24666 | not published | not published | $799.22 – $1,348.94 | 7 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $200.75 – $355.77 | 7 |
| Treat skull fracture CPT 62000 | not published | not published | $949.01 – $1,882.94 | 7 |
| Treat skull fracture CPT 62005 | not published | not published | $1,330.64 – $2,320.34 | 7 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,008.70 – $1,690.43 | 7 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $175.97 – $3,387.44 | 30 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $170.16 – $3,387.44 | 30 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.86 – $912.72 | 30 |
| Treat tail bone fracture CPT 27202 | not published | not published | $608.88 – $980.93 | 7 |
| Treat thigh fracture CPT 27230 | $728.90 | $1,970.00 | $228.18 – $912.72 | 30 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,005.35 – $1,676.13 | 7 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,323.63 – $2,212.17 | 7 |
| Treat thigh fracture CPT 27238 | $2,289.56 | $6,188.00 | $484.69 – $848.96 | 7 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,365.09 – $2,274.75 | 7 |
| Treat thigh fracture CPT 27246 | $720.76 | $1,948.00 | $228.18 – $912.72 | 30 |
| Treat thigh fracture CPT 27248 | not published | not published | $821.13 – $1,371.39 | 7 |
| Treat thigh fx growth plate CPT 27516 | $1,114.44 | $3,012.00 | $228.18 – $912.72 | 30 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $705.65 – $1,259.82 | 7 |
| Treat thumb fracture CPT 26650 | not published | not published | $500.53 – $872.76 | 7 |
| Treat thumb fracture CPT 26665 | not published | not published | $650.68 – $1,154.39 | 7 |
| Treat toe dislocation CPT 28636 | not published | not published | $226.61 – $362.58 | 7 |
| Treat toe dislocation CPT 28665 | not published | not published | $145.79 – $1,010.52 | 30 |
| Treat toe dislocation CPT 28666 | not published | not published | $204.55 – $359.18 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $428.23 – $746.91 | 7 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $909.44 – $1,595.19 | 7 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,179.66 – $2,037.35 | 7 |
| Treat ulnar fracture CPT 24675 | $2,628.48 | $7,104.00 | $436.11 – $765.29 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $704.21 – $1,204.05 | 7 |
| Treat vaginal bleeding CPT 57180 | $142.27 | $384.50 | $115.76 – $765.44 | 30 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $402.71 – $739.43 | 7 |
| Treat wrist dislocation CPT 25675 | $534.93 | $1,445.75 | $228.18 – $912.72 | 30 |
| Treponema pallidum antibody CPT 86780 | $59.02 | $159.50 | $13.24 – $52.96 | 29 |
| Treprostinil injection HCPCS J3285 | $4,774.98 | $12,905.36 | $55.89 – $185.43 | 6 |
| Trg gene rearrangement anal CPT 81342 | $214.32 | $579.25 | $201.50 – $806.00 | 29 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $27.12 | $73.30 | $8.63 – $8.63 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $10.38 | $28.05 | $3.59 – $5.11 | 6 |
| Trichinella antibody CPT 86784 | $41.07 | $111.00 | $12.56 – $50.24 | 30 |
| Trichomonas assay w/optic CPT 87808 | $23.31 | $63.00 | $12.77 – $61.16 | 30 |
| Triglycerides CPT 84478 | $19.80 | $53.50 | $5.74 – $22.96 | 30 |
| Trimethobenzamide hcl inj HCPCS J3250 | $77.98 | $210.75 | $19.78 – $19.78 | 5 |
| Trim nail(s) HCPCS G0127 | $132.92 | $359.25 | $8.73 – $14.28 | 6 |
| Trim nondyst nails CPT 11719 | $120.25 | $325.00 | $8.73 – $226.00 | 30 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,027.81 – $1,812.87 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,077.08 – $2,023.07 | 6 |
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.