Supplies, drugs & other prices at Ascension St. John Broken Arrow
Broken Arrow, OK · every code in this section with a posted price and a Medicare benchmark.
12 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Catheterize for urine spec (P9612) | $31.08 | $84 | 3.3× |
| Drug test def 1-7 classes (G0480) | $71.97 | $194.50 | 0.6× |
| Drug test def 15-21 classes (G0482) | $142.17 | $384.25 | 0.7× |
| Drug test def 22+ classes (G0483) | $426.24 | $1,152 | 1.7× |
| Drug test def 8-14 classes (G0481) | $133.39 | $360.50 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $271.77 | $734.50 | 0.4× |
| Mra w/cont, lwr ext (C8912) | $595.98 | $1,610.75 | 1.8× |
| Mra w/o cont, lwr ext (C8913) | $560.27 | $1,514.25 | 2.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $953.58 | $2,577.25 | 2.8× |
| Prostate biopsy, any mthd (G0416) | $599.68 | $1,620.75 | 1.7× |
| Tomosynthesis, mammo (G0279) | $34.97 | $94.50 | 2.8× |
| Trim nail(s) (G0127) | $132.92 | $359.25 | 2.3× |