Ascension St. John Medical Center
Tulsa, OK
Posts prices for 44 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $948.77 | $2,564.25 | 1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $948.77 | $2,564.25 | 1.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $520.31 | $1,406.25 | 0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$642.60–$1,285.20 | $1,736.75–$3,473.50 | varies |
| CT head/brain without contrast (70450) | $891.79 | $2,410.25 | 8.9× |
| MRI brain without contrast (70551) | $870.98 | $2,354 | 3.8× |
| MRI brain with contrast (70552) | $985.40 | $2,663.25 | 2.9× |
| MRI brain without and with contrast (70553) | $1,278.91 | $3,456.50 | 3.8× |
| X-ray lower spine, 4+ views (72110) | $227 | $613.50 | 2.3× |
| MRI lumbar spine without contrast (72148) | $924.82 | $2,499.50 | 4.0× |
| CT pelvis with contrast (72193) | $971.25 | $2,625 | 5.8× |
| MRI lower-extremity joint without contrast (73721) range across 5 matching MRF lines |
$976.80–$1,953.60 | $2,640–$5,280 | varies |
| CT abdomen and pelvis with contrast (74177) | $1,187.61 | $3,209.75 | 3.5× |
| Ultrasound, abdomen complete (76700) | $526.79 | $1,423.75 | 5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $566.29 | $1,530.50 | 5.6× |
| Ultrasound, transvaginal (76830) | $378.88 | $1,024 | 3.8× |
| Mammography, one breast (diagnostic) (77065) | $161.69 | $437 | 1.9× |
| Mammography, both breasts (diagnostic) (77066) | $208.87 | $564.50 | 1.9× |
| Mammography, screening (bilateral) (77067) | $140.60 | $380 | 1.5× |
| Basic metabolic panel (80048) | $31.73 | $85.75 | 3.8× |
| Comprehensive metabolic panel (80053) | $40.79 | $110.25 | 3.9× |
| Obstetric panel (80055) | $76.04 | $205.50 | 1.6× |
| Lipid panel (80061) range across 2 matching MRF lines |
$27.60–$66.42 | $74.60–$179.50 | varies |
| Renal function panel (80069) | $26.55 | $71.75 | 3.1× |
| Hepatic function panel (80076) | $44.31 | $119.75 | 5.4× |
| Urinalysis, non-automated, without microscopy (81002) | $18.59 | $50.25 | 5.3× |
| PSA, total (84153) | $76.96 | $208 | 4.2× |
| Thyroid stimulating hormone (TSH) (84443) range across 4 matching MRF lines |
$22.29–$83.07 | $60.25–$224.50 | varies |
| CBC with automated differential (85025) | $45.33 | $122.50 | 5.8× |
| CBC, automated (85027) | $29.60 | $80 | 4.6× |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$12.49–$29.60 | $33.75–$80 | varies |
| Partial thromboplastin time (PTT) (85730) | $22.11 | $59.75 | 3.7× |
| Psychotherapy, 30 minutes (90832) | $210.44 | $568.75 | 1.2× |
| Psychotherapy, 45 minutes (90834) | $210.44 | $568.75 | 1.2× |
| Psychotherapy, 60 minutes (90837) | $210.44 | $568.75 | 1.2× |
| Family psychotherapy, without patient (50 min) (90846) | $210.44 | $568.75 | 1.2× |
| Family psychotherapy, with patient (50 min) (90847) | $210.44 | $568.75 | 1.2× |
| Group psychotherapy (90853) | $210.44 | $568.75 | 2.2× |
| Left heart catheterization (93452) | $3,830.24 | $10,352 | 1.2× |
| Sleep study (attended polysomnography) (95810) | $2,163.85 | $5,848.25 | 2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $33.02 | $89.25 | 1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 5 matching MRF lines |
$82.51–$165.39 | $223–$447 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 6 matching MRF lines |
$126.54–$228.20 | $342–$616.75 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$157.25–$277.69 | $425–$750.50 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 383 codes with posted prices and Medicare benchmarks
- Lab & pathology: 796 codes with posted prices and Medicare benchmarks
- Visits & medical services: 268 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 791 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 55 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 27.6 MB) ↓ — captured 2026-07-29
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.