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 |
|---|---|---|---|---|
| Brachytx isodose intermed CPT 77317 | not published | not published | $153.79 – $1,392.84 | 29 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $118.22 – $1,392.84 | 29 |
| Braf gene CPT 81210 | $407.56 | $1,101.50 | $74.21 – $701.60 | 29 |
| Brain biopsy w/ct/mr guide CPT 61751 | $946.37 | $2,557.75 | $1,464.74 – $2,511.48 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,259.72 – $2,198.57 | 7 |
| Brain flow imaging only CPT 78610 | $500.89 | $1,353.75 | $19.54 – $2,048.04 | 30 |
| Brain image < 4 views CPT 78600 | not published | not published | $27.99 – $1,528.92 | 30 |
| Brain image 4+ views CPT 78605 | not published | not published | $33.81 – $2,048.04 | 30 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $32.07 – $1,528.92 | 30 |
| Brain image w/flow 4 + views CPT 78606 | $657.95 | $1,778.25 | $40.45 – $2,048.04 | 30 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $838.98 | $2,267.50 | $113.05 – $1,358.84 | 30 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $686.07 | $1,854.25 | $75.27 – $1,358.84 | 30 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $599.59 | $1,620.50 | $75.27 – $919.72 | 30 |
| Brain MRI (with and without contrast) CPT 70553 | $1,278.91 | $3,456.50 | $148.26 – $1,358.84 | 30 |
| Brain MRI (with contrast) CPT 70552 | $985.40 | $2,663.25 | $112.11 – $1,358.84 | 30 |
| Brain MRI (without contrast) CPT 70551 | $870.98 | $2,354.00 | $92.97 – $919.72 | 30 |
| Brca1&2 gene full seq alys CPT 81163 | $1,491.93 | $4,032.25 | $468.00 – $1,872.00 | 28 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $2,336.92 | 28 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $106.41 – $1,501.00 | 29 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $1,205.40 | 28 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $1,131.52 | 28 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $74.21 – $740.48 | 29 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $106.41 – $1,501.00 | 29 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $1,131.52 | 28 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $201.67 – $1,760.00 | 29 |
| Brcassure comprehensive panel-sendout CPT 81162 | $929.26 | $2,511.50 | $2,071.24 – $4,027.10 | 6 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $698.42 – $1,199.96 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,598.62 | $9,726.00 | $180.42 – $304.07 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $305.62 | $826.00 | $49.38 – $2,677.08 | 30 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,645.80 – $2,799.92 | 7 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,983.11 – $3,344.79 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,745.91 – $2,946.84 | 7 |
| Breast reduction CPT 19318 | not published | not published | $1,219.01 – $2,059.11 | 7 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $12.86 – $595.32 | 30 |
| Breathing response hypoxia CPT 94450 | not published | not published | $23.33 – $595.32 | 30 |
| Breath recording infant CPT 94772 | not published | not published | $504.72 – $2,018.88 | 28 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $377.64 | 30 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $44.24 | 30 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $206.39 | $557.80 | $185.43 – $185.43 | 5 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $1,079.20 | $2,916.75 | $144.25 – $1,477.48 | 30 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $77.24 – $132.12 | 6 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $252.39 – $455.39 | 6 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $279.62 – $502.47 | 6 |
| Bronchial allergy tests CPT 95070 | not published | not published | $31.27 – $2,018.88 | 30 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $122.40 – $1,477.48 | 30 |
| Bronchial challenge CPT 94070 | $156.51 | $423.00 | $31.62 – $1,184.84 | 30 |
| Bronchial valve init insert CPT 31647 | not published | not published | $239.45 – $425.16 | 6 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $79.23 – $140.13 | 6 |
| Bronchial valve remov init CPT 31648 | not published | not published | $219.34 – $440.81 | 6 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $249.89 – $423.12 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | $910.40 | $2,460.53 | $169.02 – $308.16 | 7 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $226.32 – $381.62 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $259.60 – $434.00 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,079.11 | $2,916.50 | $56.02 – $93.87 | 7 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $3,799.90 | $10,270.00 | $200.13 – $363.26 | 7 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $72.17 – $121.08 | 7 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $212.99 – $390.47 | 7 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $284.73 – $482.99 | 7 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $292.19 – $491.15 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,742.05 | $4,708.25 | $177.90 – $325.85 | 7 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,690.16 | $4,568.00 | $198.84 – $358.49 | 7 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $226.06 – $394.55 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,799.90 | $10,270.00 | $286.39 – $488.42 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $222.80 – $425.16 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $235.15 – $448.29 | 6 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $219.89 – $382.98 | 6 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $184.67 – $3,867.85 | 28 |
| Br punct aspir ea add, l CPT 19001 | $167.15 | $451.75 | $24.69 – $40.14 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,543.96 – $2,511.48 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $62.07 | $167.75 | $32.68 – $203.28 | 30 |
| Bundled special stain group 2 CPT 88313 | $208.11 | $562.45 | $14.34 – $490.44 | 30 |
| Bundle his recording CPT 93600 | $1,451.97 | $3,924.25 | $86.93 – $8,798.00 | 7 |
| Buprenorphine hydrochloride HCPCS J0592 | $14.13 | $38.20 | $19.78 – $19.78 | 5 |
| Buprenorphine oral 1mg HCPCS J0571 | $18.07 | $48.85 | $2.67 – $2.87 | 5 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $768.74 – $1,368.66 | 7 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $414.69 – $672.09 | 7 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,338.55 – $2,310.81 | 7 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,339.93 – $2,325.78 | 7 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $19.22 | $51.95 | $8.63 – $8.63 | 5 |
| Buttock fasciotomy CPT 27027 | not published | not published | $962.09 – $1,580.90 | 7 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,068.78 – $1,774.10 | 7 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $179.18 – $311.55 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $1,064.12 | $2,876.00 | $121.58 – $204.75 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,256.00 | $8,800.00 | $210.70 – $355.77 | 6 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,598.62 | $9,726.00 | $191.77 – $324.48 | 6 |
| Bx breast add lesion mr imag CPT 19086 | $98.24 | $265.50 | $104.79 – $161.22 | 6 |
| Bx breast add lesion strtctc CPT 19082 | $386.19 | $1,043.75 | $96.45 – $155.78 | 6 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $93.33 | $252.25 | $89.84 – $146.25 | 6 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $78.89 – $128.57 | 7 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $5,572.24 – $5,572.24 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $150.80 – $1,157.40 | 30 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,285.45 – $3,867.90 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $465.56 – $784.34 | 7 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $273.59 – $470.73 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,689.34 – $2,854.34 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $3,297.44 | $8,912.00 | $447.84 – $759.17 | 7 |
| Bx liver with other CPT 47001 | $601.53 | $1,625.75 | $118.32 – $191.15 | 7 |
| Bx muscle CPT 20200 | not published | not published | $104.31 – $175.50 | 7 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $144.53 – $249.65 | 7 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $234.83 – $408.15 | 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.