St. John Medical Center
Ascension Health
Hospital Overview
Facility Details
CCN
370114
NPI
1154417368
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
677
Contact Information
Address
1923 South Utica Avenue
Tulsa, OK 74104
Phone
(918) 744-3131
Insurance Accepted
💡
Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Facility | RC Inpatient Renal Dialysis Range: 0800 - 0809 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Factors Influencing Health Status & Other Contacts with Health Services Range: 939 - 951 | Negotiated | Low |
Aetna | Outpatient | HCPCS Outpatient PPS Range: C1713 - C9899 | Percentage of Bill Charged | |
Aetna | Facility | RC EEG Electroencephalogram Range: 0740 - 0749 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Prosthetic Procedures Range: L5000 - L9900 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Circulatory System Range: 212 - 320 | Negotiated | Very Low |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Eye Range: 113 - 125 | Negotiated | Low |
Aetna | Facility | RC Nuclear Medicine Range: 0340 - 0349 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Negotiated | Very Low |
Aetna | Facility | RC Other Therapeutic Services - See also 095X Range: 0940 - 0949 | Percentage of Bill Charged |
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