Saint Francis Hospital South, LLC

10501 East 91St Street South, Tulsa, OK 74133 · (918) 307-6010

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5Tulsa, OK metro Website ↗

Price file

Prices published

File dated 2026-04-01

1,272 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $32

$32

cash

$8 to $20

12 negotiated rates

$80

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,188

$1,611

cash

$336 to $805

10 negotiated rates

$4,027

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $892

$924

cash

$101 to $266

10 negotiated rates

$2,310

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $971

$1,083

cash

$169 to $445

10 negotiated rates

$2,708

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,220 to $6,886

12 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$4,078 to $4,078

2 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,997 to $18,750

38 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $42

$181

cash

$33 to $84

12 negotiated rates

$452

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$894 to $3,317

12 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,151 to $3,317

12 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,151 to $3,317

12 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $45

$46

cash

$7 to $19

12 negotiated rates

$114

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $41

$41

cash

$10 to $25

12 negotiated rates

$103

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $209

$261

cash

$99 to $250

10 negotiated rates

$652

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $21

$21

cash

$23 to $23

2 negotiated rates

$52

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $264

$124

cash

$252 to $252

2 negotiated rates

$311

list

Family psychotherapy with the patient

CPT 90847

—

cash

$171 to $410

10 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,814 to $14,977

12 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $42

$190

cash

$33 to $84

12 negotiated rates

$475

list

Group psychotherapy

CPT 90853 · lowest of 6 lines · metro median $127

$127

cash

$98 to $234

10 negotiated rates

$317

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$14,944 to $42,269

38 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,714 to $19,718

38 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$10,016 to $24,263

38 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,444 to $9,062

12 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,147 to $9,062

12 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$529 to $2,128

12 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $4,675

$4,675

cash

$3,118 to $11,050

12 negotiated rates

$11,688

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $28

$65

cash

$13 to $32

12 negotiated rates

$163

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $44

$44

cash

$8 to $20

12 negotiated rates

$110

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,279

$1,327

cash

$336 to $893

10 negotiated rates

$3,318

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $977

$2,009

cash

$229 to $551

10 negotiated rates

$5,024

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $925

$1,030

cash

$229 to $604

10 negotiated rates

$2,575

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $963

$1,018

cash

$229 to $604

10 negotiated rates

$2,545

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$18,613 to $47,742

38 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $643

$953

cash

$851 to $2,128

12 negotiated rates

$2,384

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $165

$83

cash

$156 to $156

2 negotiated rates

$208

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $127

$127

cash

$234 to $234

2 negotiated rates

$317

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $161

$161

cash

$310 to $310

2 negotiated rates

$402

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $77

$75

cash

$17 to $44

12 negotiated rates

$188

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $22

$31

cash

$6 to $14

12 negotiated rates

$78

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$28 to $66

10 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $566

$130

cash

$101 to $241

10 negotiated rates

$324

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines · metro median $32

$32

cash

—

$81

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 4 lines · metro median $32

$32

cash

—

$81

list

Prostate biopsy

CPT 55700

—

cash

$3,317 to $3,482

4 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,223 to $24,536

12 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $12

$42

cash

$4 to $10

12 negotiated rates

$104

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$171 to $410

10 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$171 to $410

10 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$171 to $410

10 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,766 to $9,038

12 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $141

$211

cash

$81 to $203

10 negotiated rates

$528

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$774 to $774

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,763

$2,763

cash

$826 to $1,982

10 negotiated rates

$6,908

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$60,541 to $82,611

6 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $520

$625

cash

$851 to $2,128

12 negotiated rates

$1,564

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $661

$443

cash

$679 to $2,128

12 negotiated rates

$1,108

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $22

$82

cash

$16 to $40

12 negotiated rates

$204

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$5,694 to $13,664

12 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $379

$417

cash

$101 to $241

10 negotiated rates

$1,042

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $527

$582

cash

$101 to $241

10 negotiated rates

$1,454

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$872 to $3,317

12 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $320

$320

cash

$872 to $3,317

12 negotiated rates

$801

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $33

$13

cash

$3 to $8

12 negotiated rates

$32

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$3,845 to $3,845

2 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,959 to $13,185

38 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$3,675 to $3,675

2 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $227

$314

cash

$101 to $241

10 negotiated rates

$785

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://saintfrancis.com/finance/sfhs-cms-hpt
Saint Francis Hospital South · parsed · json v3.0.0 · file dated 2026-04-01 · 30.1 MB · 636 price rows read · read Nov 2026
https://saintfrancis.com/finance/sfhs-cms-hpt
Saint Francis Hospital South · parsed · json v3.0.0 · file dated 2026-04-01 · 30.1 MB · 636 price rows read · read Nov 2026