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 |
|---|---|---|---|---|
| Unlisted cytopathology px CPT 88199 | not published | not published | $50.82 – $203.28 | 28 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $148.83 – $1,482.39 | 28 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $191.36 – $765.44 | 28 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $83.75 – $335.00 | 28 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $191.36 – $7,604.54 | 28 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $11,048.43 – $11,048.43 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $463.48 – $496.59 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $1,039.33 – $1,113.57 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $1,318.06 – $1,412.21 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $921.87 – $987.72 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $9,677.68 – $9,677.68 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $9,677.68 – $9,677.68 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $1,676.77 – $1,796.54 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.82 – $258.00 | 28 |
| Unlisted mr procedure CPT 76498 | not published | not published | $83.75 – $579.57 | 28 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $148.83 – $616.99 | 28 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.30 – $549.74 | 28 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.30 – $146.29 | 28 |
| Unlisted procedure colon CPT 45399 | not published | not published | $360.63 – $3,468.96 | 28 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $891.83 – $3,567.32 | 28 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $284.35 – $2,082.12 | 28 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted procedure liver CPT 47399 | not published | not published | $669.27 – $3,230.61 | 29 |
| Unlisted procedure microbiology CPT 87999 | $234.58 | $634.00 | $258.00 – $317.00 | 6 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $284.35 – $2,082.12 | 28 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $669.27 – $3,230.61 | 28 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $867.24 – $4,760.38 | 28 |
| Unlisted procedure spine CPT 22899 | not published | not published | $228.18 – $5,659.99 | 28 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,046.58 – $1,737.36 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.34 – $113.36 | 23 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $228.18 – $5,659.99 | 28 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,659.23 – $1,659.23 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $228.18 – $7,274.53 | 28 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $891.83 – $3,567.32 | 28 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $110.25 – $969.73 | 29 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $284.35 – $1,659.23 | 28 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $3,230.61 – $3,230.61 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $669.27 – $2,677.08 | 28 |
| Unlisted px external ear CPT 69399 | not published | not published | $220.89 – $883.56 | 28 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $284.35 – $3,825.90 | 28 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $228.18 – $1,494.48 | 28 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $228.18 – $2,088.18 | 28 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $228.18 – $1,494.48 | 28 |
| Unlisted px inner ear CPT 69949 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $284.35 – $2,082.12 | 28 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $228.18 – $5,659.99 | 28 |
| Unlisted px male genital sys CPT 55899 | $5,358.53 | $14,482.50 | $231.35 – $7,241.25 | 29 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,005.00 – $2,005.00 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $126.29 – $505.16 | 28 |
| Unlisted px middle ear CPT 69799 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $164.75 – $3,867.85 | 29 |
| Unlisted px pelvis/hip joint CPT 27299 | $2,108.82 | $5,699.50 | $228.18 – $5,659.99 | 29 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $5,439.53 – $5,439.53 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px small intestine CPT 44799 | not published | not published | $586.38 – $3,567.32 | 29 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $126.29 – $796.91 | 28 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $220.89 – $3,867.85 | 28 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $50.82 – $1,364.25 | 28 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $359.98 – $1,528.92 | 28 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $189.01 – $756.04 | 28 |
| Unlisted surgical path px CPT 88399 | not published | not published | $50.82 – $203.28 | 28 |
| Unlisted transfusion med px CPT 86999 | $512.27 | $1,384.50 | $23.30 – $692.25 | 29 |
| Unlisted ultrasound procedure CPT 76999 | $74.09 | $200.25 | $83.75 – $335.00 | 29 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $588.10 – $8,713.29 | 28 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $382.23 – $1,528.92 | 28 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $7,604.54 – $7,604.54 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $735.21 – $787.73 | 5 |
| Upgrade pm system CPT 33214 | $4,096.36 | $11,071.25 | $535.32 – $31,254.00 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,390.28 | $3,757.50 | $161.59 – $1,358.84 | 30 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $972.27 | $2,627.75 | $120.96 – $1,358.84 | 30 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $976.62 | $2,639.50 | $100.59 – $919.72 | 30 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $948.77 | $2,564.25 | $139.96 – $3,567.32 | 30 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $948.77 | $2,564.25 | $158.31 – $3,567.32 | 30 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $291.48 – $487.74 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $157.94 – $3,567.32 | 30 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $716.16 – $1,172.07 | 7 |
| Urea nitrogen CPT 84520 | $20.44 | $55.25 | $3.95 – $15.80 | 30 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.47 | $87.75 | $4.95 – $22.24 | 30 |
| Urea nitrogen clearance CPT 84545 | $47.73 | $129.00 | $7.04 – $28.80 | 30 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $227.69 – $393.54 | 6 |
| Ureteral reflux study CPT 78740 | $406.35 | $1,098.25 | $36.38 – $1,528.92 | 30 |
| Ureter endoscopy CPT 50970 | not published | not published | $420.34 – $686.37 | 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.