Ascension St. John Sapulpa (St. John Sapulpa, Inc.)
1004 E Bryan Ave, Sapulpa, OK · Ascension · · NPI 1922076603
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,816.28 – $4,708.69 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $213.74 – $355.77 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $469.48 – $781.61 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $620.88 – $1,033.31 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $744.86 – $1,241.46 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $835.89 – $1,393.83 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $947.54 – $1,584.30 | 7 |
| Cacna1a gene full gene seq CPT 81185 | $710.68 | $1,920.75 | $888.58 – $960.52 | 5 |
| Cadd pump refill CPT 96521 | not published | not published | $115.39 – $142.98 | 7 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $8.89 | $24.03 | $6.81 – $6.81 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,802.31 | $7,573.80 | $73.06 – $73.06 | 5 |
| Calcium 24 hour urine CPT 82340 | $35.06 | $94.75 | $6.25 – $14.67 | 7 |
| Calcium ionized CPT 82330 | $49.58 | $134.00 | $14.33 – $33.26 | 7 |
| Calcium total CPT 82310 | $36.35 | $98.25 | $5.47 – $12.55 | 7 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $13.55 – $31.30 | 7 |
| Calculus analysis qual CPT 82355 | not published | not published | $12.25 – $28.16 | 7 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $4.68 – $37.95 | 6 |
| Calprotectin fecal CPT 83993 | $102.77 | $277.75 | $20.59 – $47.76 | 7 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.81 – $31.92 | 7 |
| Candida dna CPT 87480 | $66.05 | $178.50 | $21.11 – $48.80 | 7 |
| Candida skin test CPT 86485 | $50.97 | $137.75 | $8.60 – $51.00 | 6 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $153.01 – $299.31 | 7 |
| Canthotomy 67715 CPT 67715 | $1,128.78 | $3,050.75 | $108.13 – $207.48 | 7 |
| Capsular contracture release CPT 23020 | not published | not published | $753.49 – $1,269.35 | 7 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $282.04 – $475.50 | 7 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $370.02 – $625.15 | 7 |
| Carbamazepine free CPT 80157 | $48.01 | $129.75 | $14.07 – $32.25 | 7 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $21.16 – $21.16 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $59.57 | $161.00 | $15.37 – $35.43 | 7 |
| Carbohydrate deficient transf - sendout CPT 82373 | $123.49 | $333.75 | $19.02 – $43.94 | 7 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.73 – $13.38 | 7 |
| Carbon dioxide CPT 82374 | $22.76 | $61.50 | $5.21 – $11.89 | 7 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $31.47 | $85.05 | $37.04 – $37.04 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $45.23 | $122.25 | $13.03 – $29.98 | 7 |
| Carcinoembryonic ag (cea) CPT 82378 | $59.48 | $160.75 | $20.06 – $46.16 | 7 |
| Cardiac drug stress test CPT 93024 | not published | not published | $55.34 – $204.07 | 7 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $195.06 – $887.04 | 7 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $390.20 – $782.97 | 6 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $268.04 – $544.88 | 6 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | not published | not published | $287.80 – $629.24 | 6 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $111.46 | $301.25 | $15.73 – $25.84 | 7 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $85.93 | $232.25 | $9.85 – $17.01 | 7 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $51.00 – $331.27 | 7 |
| Cardiac Stress Test CPT 93015 | not published | not published | $81.23 – $143.53 | 7 |
| Cardioassist internal CPT 92970 | not published | not published | $209.77 – $331.96 | 7 |
| Cardiolipin antibody iga CPT 86147 | $71.50 | $193.25 | $26.84 – $61.89 | 7 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $551.12 | $1,489.50 | $122.52 – $225.84 | 7 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $281.31 – $450.33 | 7 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $43.11 – $111.56 | 6 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $72.95 | $197.15 | $37.04 – $37.04 | 5 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $910.64 – $1,299.78 | 6 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $910.64 – $1,299.78 | 6 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $1,596.90 | $4,315.95 | $146.26 – $146.26 | 5 |
| Carotene CPT 82380 | $57.91 | $156.50 | $9.64 – $22.44 | 7 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $347.52 | $939.25 | $38.08 – $423.80 | 7 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $442.88 – $782.29 | 7 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $27.48 – $44.22 | 6 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $9.81 – $15.64 | 6 |
| Caspofungin acetate HCPCS J0637 | $504.99 | $1,364.85 | $15.60 – $15.60 | 5 |
| Cataract Surgery CPT 66984 | not published | not published | $693.12 – $1,215.60 | 7 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $745.79 – $1,388.38 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | $70.67 | $191.00 | $18.24 – $41.85 | 7 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $757.37 – $2,072.04 | 6 |
| Catheter declot mechanical CPT 36596 | not published | not published | $50.02 – $234.18 | 7 |
| Catheter insert artery CPT 36625 | not published | not published | $118.89 – $200.00 | 7 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $31.08 | $84.00 | $3.40 – $5.31 | 6 |
| Catheter stripping venous CPT 36595 | not published | not published | $208.67 – $349.65 | 7 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $63.55 – $112.92 | 7 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $591.02 – $1,588.38 | 6 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $237.35 – $379.57 | 6 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $172.53 – $283.67 | 7 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $43.18 | $116.70 | $56.26 – $56.26 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $896.70 | $2,423.50 | $179.63 – $298.63 | 7 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $184.51 – $299.99 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $967.54 – $2,642.78 | 6 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $750.18 – $2,040.08 | 6 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $852.21 – $2,301.96 | 6 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $601.07 – $1,422.40 | 6 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $140.97 – $248.29 | 7 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $139.31 | $376.50 | $63.95 – $108.17 | 7 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $196.07 – $329.24 | 7 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $30.74 – $310.20 | 7 |
| Cauterization chemical granulation tissue CPT 17250 | $195.27 | $527.75 | $39.95 – $68.70 | 7 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $127.51 – $218.35 | 7 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $19.02 – $43.78 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | $230.14 | $622.00 | $235.30 – $235.30 | 1 |
| Cdna analysis for variants CPT 81403 | $632.05 | $1,708.25 | $58.54 – $210.20 | 6 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $31.20 – $187.75 | 7 |
| Cebpa gene full sequence CPT 81218 | $271.58 | $734.00 | $376.62 – $533.80 | 6 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $18.54 | $50.10 | $1.27 – $1.36 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $31.48 | $85.08 | $15.60 – $15.60 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | $18.94 | $51.20 | $15.60 – $15.60 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $35.67 | $96.40 | $6.81 – $6.81 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $9.25 | $25.00 | $0.47 – $0.47 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $34.93 | $94.40 | $15.60 – $15.60 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $427.66 | $1,155.85 | $101.75 – $109.02 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $51.80 | $140.00 | $1.15 – $1.23 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $142.94 – $221.70 | 6 |
| #celiac hla-dq8 CPT 81383 | $288.69 | $780.25 | $169.91 – $263.52 | 6 |
| Cell count body fluid CPT 89050 | not published | not published | $4.95 – $11.51 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.