Ascension St. John (Broken Arrow)

Ascension St. John (Broken Arrow)
1000 W Boise Cir
Broken Arrow, Oklahoma 74012

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All Cash Prices

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Spinal Fusion (Except Cervical) Without Major Complications (460)
$33,913.00
(pet)
Endoscopic Surgical Removal of Prostate and Surrounding Lymph Nodes (55866) - AKA Transurethral Resection of the Prostate or TURP
$26,493.00
(pet)
Hip or Knee Replacement (27447)
$25,803.00
(pet)
Arthroscopy Knee with ACL (29888)
$23,220.00
(pet)
Arthroscopic Rotator Cuff Repair (29827)
$17,398.00
(pet)
Laparoscopic Cholecystectomy without C.D.E. without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (419)
$17,131.00
(pet)
Major Joint Replacement or Reattachment of Lower Extremity Without Major Complications (470) - AKA Total Knee or Hip Replacement or Total Knee or Hip Arthroplasty
$14,349.00
(pet)
Prostate Gland Biopsy (55700)
$14,062.00
(pet)
Appendectomy without Complicated Principal Diagnosis without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (343)
$13,075.00
(pet)
Arthroscopic Removal of Knee Cartilage (29881)
$12,105.00
(pet)
Endoscopic Removal of Gallbladder (47562)
$8,259.00
(pet)
Open Removal of Breast Growth (19120)
$7,445.00
(pet)
Arthroscopic Shaving of Shoulder Bone (29826) - AKA Arthroscopic Shoulder Decompression
$7,248.00
(pet)
Carpal Tunnel Release (64721)
$4,230.00
(pet)
Tonsil and Adenoid Removal in Patients Younger Than Age 12 (42820) - AKA Tonsillectomy
$3,951.00
(pet)
Endoscopic Biopsy of Large Bowel (45380)
$3,358.00
(pet)
Removal of Large Bowel Polyps or Growths with Endoscope (45385)
$3,348.00
(pet)
Endoscopic Diagnostic Examination of Large Bowel (45378)
$3,143.00
(pet)
Endoscopic Biopsy of Esophagus, Stomach, and/or Upper Small Bowel (43239)
$2,905.00
(pet)
Endoscopic Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel (43235) - AKA Upper GI
$2,330.00
(pet)
Brain MRI Scan - Before and After Contrast (70553)
$1,451.73
(mrf)
Abdomen and Pelvis CT Scan - With Contrast (74177)
$1,348.10
(mrf)
MRI of Upper Extremity (73221)
$1,164.24
(mrf)
MRI Scan of Leg Joint (73721)
$1,108.80
(mrf)
Pelvic CT Scan - With Contrast (72193)
$1,102.50
(mrf)
Cervical Spine MRI Without Contrast (72141)
$1,093.16
(mrf)
MRI Scan of Lower Spinal Canal (72148)
$1,049.79
(mrf)
Head or Brain CT Scan - Without Contrast (70450)
$1,012.31
(mrf)
Abdominal Ultrasound - Pregnant Uterus (Greater or Equal to 14 Weeks 0 Days) - Single or First Fetus (76805)
$508.10
(mrf)
Abdominal Ultrasound (76700)
$472.71
(mrf)
Pelvic Ultrasound through Vagina (76830)
$339.99
(mrf)
Lower Back X-Ray - Minimum Four Views (72110)
$257.67
(mrf)
Mammography of One Breast (77065)
$230.00
(pet)
Knee Radiologic Examination (73564)
$172.10
(mrf)
Foot X-ray Examination (73630)
$155.51
(mrf)
Ankle Radiologic Examination (73610)
$153.09
(mrf)
Mammography of Both Breasts (77066)
$148.00
(pet)
Chest X-ray - Two Views (71046)
$134.40
(mrf)
Mammogram Bilateral Screening (77067)
$126.21
(mrf)
Thyroid Stimulating Hormone (TSH) Test - 84443
$94.29
(mrf)
Prostate Specific Antigen (PSA) Test - 84153
$87.36
(mrf)
Lipid Panel - 80061
$75.39
(mrf)
Complete Blood Count (CBC) with Differential - 85025
$51.45
(mrf)
Comprehensive Metabolic Panel (CMP) - 80053
$46.31
(mrf)
Urinalysis with Microscopic Examination (Manual) - 81001
$37.49
(mrf)
Physical Therapy with Therapeutic Exercise (97110)
$37.49
(mrf)
Basic Metabolic Panel (80048)
$36.02
(mrf)
Complete Blood Count (CBC) - Automated (85027)
$33.60
(mrf)
Clotting Time Test (85610)
$33.60
(mrf)
Kidney Function Panel - 80069
$30.14
(mrf)
Coagulation Assessment Blood Test (85730)
$25.10
(mrf)
Automated Urinalysis - 81003
$24.36
(mrf)

About the Alliance for Medical Price Transparency

Alliance for Medical Price Transparency is a registered 501(c)(3) nonprofit whose mission is to make medical procedure pricing information more accessible.

Our hope is that empowering patients with the ability to shop for, compare, and even negotiate prices will make health care more accessible and affordable for all.

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Ascension St. John (Broken Arrow)

All Cash Prices

Spinal Fusion (Except Cervical) Without Major Complications (460)

Endoscopic Surgical Removal of Prostate and Surrounding Lymph Nodes (55866) - AKA Transurethral Resection of the Prostate or TURP

Hip or Knee Replacement (27447)

Arthroscopy Knee with ACL (29888)

Arthroscopic Rotator Cuff Repair (29827)

Laparoscopic Cholecystectomy without C.D.E. without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (419)

Major Joint Replacement or Reattachment of Lower Extremity Without Major Complications (470) - AKA Total Knee or Hip Replacement or Total Knee or Hip Arthroplasty

Prostate Gland Biopsy (55700)

Appendectomy without Complicated Principal Diagnosis without Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) (343)

Arthroscopic Removal of Knee Cartilage (29881)

Endoscopic Removal of Gallbladder (47562)

Open Removal of Breast Growth (19120)

Arthroscopic Shaving of Shoulder Bone (29826) - AKA Arthroscopic Shoulder Decompression

Carpal Tunnel Release (64721)

Tonsil and Adenoid Removal in Patients Younger Than Age 12 (42820) - AKA Tonsillectomy

Endoscopic Biopsy of Large Bowel (45380)

Removal of Large Bowel Polyps or Growths with Endoscope (45385)

Endoscopic Diagnostic Examination of Large Bowel (45378)

Endoscopic Biopsy of Esophagus, Stomach, and/or Upper Small Bowel (43239)

Endoscopic Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel (43235) - AKA Upper GI

Brain MRI Scan - Before and After Contrast (70553)

Abdomen and Pelvis CT Scan - With Contrast (74177)

MRI of Upper Extremity (73221)

MRI Scan of Leg Joint (73721)

Pelvic CT Scan - With Contrast (72193)

Cervical Spine MRI Without Contrast (72141)

MRI Scan of Lower Spinal Canal (72148)

Head or Brain CT Scan - Without Contrast (70450)

Abdominal Ultrasound - Pregnant Uterus (Greater or Equal to 14 Weeks 0 Days) - Single or First Fetus (76805)

Abdominal Ultrasound (76700)

Pelvic Ultrasound through Vagina (76830)

Lower Back X-Ray - Minimum Four Views (72110)

Mammography of One Breast (77065)

Knee Radiologic Examination (73564)

Foot X-ray Examination (73630)

Ankle Radiologic Examination (73610)

Mammography of Both Breasts (77066)

Chest X-ray - Two Views (71046)

Mammogram Bilateral Screening (77067)

Thyroid Stimulating Hormone (TSH) Test - 84443

Prostate Specific Antigen (PSA) Test - 84153

Lipid Panel - 80061

Complete Blood Count (CBC) with Differential - 85025

Comprehensive Metabolic Panel (CMP) - 80053

Urinalysis with Microscopic Examination (Manual) - 81001

Physical Therapy with Therapeutic Exercise (97110)

Basic Metabolic Panel (80048)

Complete Blood Count (CBC) - Automated (85027)

Clotting Time Test (85610)

Kidney Function Panel - 80069

Coagulation Assessment Blood Test (85730)

Automated Urinalysis - 81003

Your total medical bill may reflect different pricing.

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