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Ascension St. John Sapulpa (St. John Sapulpa, Inc.)

1004 E Bryan Ave, Sapulpa, OK · Ascension · · NPI 1922076603

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Chromosome count additional CPT 88285 not published not published $20.06 – $46.22 7
Chromosome karyotype study CPT 88280 not published not published $26.58 – $61.06 7
Chromosome study additional CPT 88289 $144.12 $389.50 $36.22 – $83.79 7
Chronic urticaria - sendout CPT 86343 not published not published $13.03 – $30.32 7
Chylomicron screen, bf - sendout CPT 82664 $59.57 $161.00 $36.22 – $83.59 7
Cidofovir injection HCPCS J0740 $1,060.92 $2,867.35 $511.90 – $511.90 5
Cilastatin sodium injection HCPCS J0743 $43.44 $117.40 $15.60 – $15.60 5
Ciliary transsleral therapy CPT 66710 not published not published $394.65 – $756.43 7
Cine/video x-rays CPT 76120 not published not published $23.59 – $135.38 7
Cine/video x-rays add-on CPT 76125 not published not published $17.74 – $26.54 6
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 $43.80 $118.39 $6.81 – $6.81 5
Circum 28 days or older CPT 54161 not published not published $220.30 – $362.58 7
Circumcise/surg/28 days or < 54160 CPT 54160 not published not published $161.83 – $265.31 7
Circumcision (newborn) CPT 54150 $176.49 $477.00 $110.98 – $182.99 7
Cisplatin 1 mg/ml desensitization HCPCS J9060 $52.43 $141.70 $15.60 – $15.60 5
C-kit mutation liquid tumor - sendout CPT 81272 $365.76 $988.53 $376.62 – $533.80 6
Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 $347.10 $938.10 $37.04 – $37.04 5
Claviculectomy partial CPT 23120 not published not published $620.65 – $1,077.51 7
Claviculectomy total CPT 23125 not published not published $764.52 – $1,302.67 7
Clean out mastoid cavity CPT 69222 not published not published $147.24 – $256.45 7
Clearance of airways CPT 31720 $80.94 $218.75 $59.07 – $115.39 7
Clearance of tear duct CPT 68530 $656.38 $1,774.00 $269.43 – $495.90 7
C-lens fitg corneosclrl lens CPT 92313 not published not published $52.58 – $93.87 7
C-lens fitg tech aphakia 1 CPT 92315 not published not published $24.81 – $46.26 7
C-lens fitg tech aphakia ou CPT 92316 not published not published $37.06 – $74.83 7
C-lens fitg tech corneosclrl CPT 92317 not published not published $25.54 – $40.81 7
Clitoroplasty intersex state CPT 56805 not published not published $1,323.59 – $2,165.24 7
Clofarabine 1 mg/ml intravenous solution HCPCS J9027 $3,993.47 $10,793.15 $146.26 – $146.26 5
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 $387.33 $1,046.85 $15.60 – $15.60 5
Close bronchial fistula 32815 CPT 32815 not published not published $3,129.14 – $5,275.34 7
Closed carpo/metacarpal disl thumb w/manip CPT 26641 $444.09 $1,200.25 $340.96 – $619.03 7
Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 $2,628.48 $7,104.00 $392.68 – $716.99 7
Closed treatment of femoral fracture proximal end neck; wi CPT 27232 $1,505.99 $4,070.25 $831.41 – $1,410.84 7
Closed tx/acetabululm without manip 27220 CPT 27220 $812.52 $2,196.00 $560.95 – $967.32 7
Closed tx humerus fx with manip 23605 CPT 23605 $3,388.46 $9,158.00 $446.02 – $782.97 7
Closed tx humerus fx without manip 23600 CPT 23600 $393.96 $1,064.75 $299.44 – $565.29 7
Closed tx humerus fx w/manip 24505 CPT 24505 $2,628.48 $7,104.00 $473.18 – $832.62 7
Closed tx metatarsophalangeal jnt disl without anes CPT 28630 $258.82 $699.50 $123.19 – $205.44 7
Closed tx nose/jaw fx CPT 21345 not published not published $712.79 – $1,245.54 7
Closed tx orbit without manipulj CPT 21400 $920.38 $2,487.50 $152.03 – $291.82 7
Closed tx orbit w/manipulj CPT 21401 not published not published $316.05 – $548.96 7
Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 $2,569.28 $6,944.00 $630.29 – $1,070.04 7
Closed tx septal&nose fx CPT 21337 $1,861.19 $5,030.25 $303.76 – $551.68 7
Closed tx sesamoid fx 28530 CPT 28530 not published not published $108.56 – $188.43 7
Closed tx/talus fracture without manip 28430 CPT 28430 $376.11 $1,016.50 $210.28 – $387.75 7
Closed tx vert fx w/manj CPT 22315 not published not published $817.03 – $1,416.96 7
Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 $315.52 $852.75 $169.55 – $315.63 7
Close mastoid fistula CPT 69700 not published not published $751.85 – $1,289.07 7
Close median sternotomy separation 21750 CPT 21750 not published not published $765.90 – $1,287.72 7
Close tear duct opening CPT 68760 not published not published $146.07 – $279.58 7
Close tear duct opening CPT 68761 not published not published $118.28 – $225.84 7
Close tear system fistula CPT 68770 not published not published $598.83 – $1,209.48 7
Clostridium toxin a w/optic CPT 87803 not published not published $12.77 – $29.19 7
Clos txnose fx without stablz 21315 CPT 21315 $916.49 $2,477.00 $158.91 – $285.03 7
Closure enterostomy lg/sm intestine 44620 CPT 44620 not published not published $941.59 – $1,616.95 7
Closure enterostomy lg/sm intestine anast 44626 CPT 44626 not published not published $1,779.12 – $2,986.98 7
Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 not published not published $1,116.59 – $1,904.03 7
Closure intestinal cutaneous fistula 44640 CPT 44640 not published not published $1,550.99 – $2,610.80 7
Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 $730.75 $1,975.00 $238.42 – $425.16 7
Closure of eyelid by suture CPT 67875 not published not published $100.82 – $186.39 7
Closure of salivary fistula CPT 42600 not published not published $380.27 – $659.16 7
Closure of windpipe lesion 31820 CPT 31820 not published not published $359.09 – $616.98 7
Closure paravalvlr leak pq CPT 33999 not published not published $2,067.76 – $2,067.76 5
Clot factor fletcher fact CPT 85292 not published not published $20.06 – $46.08 7
Clot factor viii reltd antgn CPT 85244 not published not published $21.63 – $49.66 7
Clot factor wght kininogen CPT 85293 not published not published $20.06 – $46.08 7
Clot factor xii hageman CPT 85280 $95.74 $258.75 $20.33 – $47.09 7
Clot factor xiii fibrin scrn CPT 85291 not published not published $9.38 – $21.63 7
Clot factor xiii fibrin stab CPT 85290 $84.27 $227.75 $17.20 – $39.77 7
Clotting assay whole blood CPT 85396 $59.39 $160.50 $15.24 – $37.41 7
Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 $381.75 $1,031.75 $280.11 – $534.67 7
Clsd tx bimalleol ank fx without manip 27808 CPT 27808 $512.82 $1,386.00 $297.42 – $554.40 7
Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 $450.48 $1,217.50 $305.19 – $555.09 7
Clsd tx clav dislc without manip 23520 CPT 23520 $2,628.48 $7,104.00 $225.20 – $428.56 7
Clsd tx clavicle dislocation without manip 23540 CPT 23540 $271.03 $732.50 $219.05 – $419.71 7
Clsd tx clavicle fracture w/manip 23505 CPT 23505 $1,321.64 $3,572.00 $340.75 – $611.55 7
Clsd tx/clavicular fx without manip 23500 CPT 23500 $264.55 $715.00 $214.70 – $408.82 7
Clsd tx coccygeal fracture 27200 CPT 27200 $188.05 $508.25 $183.19 – $343.53 7
Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 $148.37 $401.00 $174.93 – $340.13 7
Clsd tx dist fib fx w/manip 27788 CPT 27788 $511.06 $1,381.25 $407.44 – $712.90 7
Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 $377.03 $1,019.00 $304.75 – $559.17 7
Clsd tx elbow dislocation child 24640 CPT 24640 $292.49 $790.50 $92.21 – $177.54 7
Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 $2,587.60 $6,993.50 $840.79 – $1,425.81 7
Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 not published not published $514.12 – $899.97 7
Clsd tx fracture of radius 25500 CPT 25500 $415.88 $1,124.00 $240.76 – $458.49 7
Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 $376.11 $1,016.50 $121.99 – $232.65 7
Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 $130.89 $353.75 $147.76 – $264.62 7
Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 $393.96 $1,064.75 $263.21 – $569.37 7
Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 $975.88 $2,637.50 $554.67 – $950.31 7
Clsd tx fx radius/ulna without manip 25560 CPT 25560 $335.68 $907.25 $239.49 – $462.57 7
Clsd tx fx radius/ulna w/manip 25565 CPT 25565 $882.64 $2,385.50 $499.51 – $870.04 7
Clsd tx/grt hum tube fx without manip 23620 CPT 23620 $482.85 $1,305.00 $251.04 – $471.42 7
Clsd tx hip disloc without anes 27265 CPT 27265 $489.51 $1,323.00 $421.18 – $745.56 7
Clsd tx humeral fract without manip 24530 CPT 24530 $456.86 $1,234.75 $344.75 – $631.27 7
Clsd tx humerus fract without manip 24500 CPT 24500 $546.86 $1,478.00 $320.00 – $597.95 7
Clsd tx iphal jnt disl w/manip req anes CPT 26775 $1,233.58 $3,334.00 $347.74 – $640.11 7
Clsd tx mandibular fx without manip 21450 CPT 21450 $483.22 $1,306.00 $475.45 – $910.86 7
Clsd tx/metacar/interphal artic fx 26740 CPT 26740 $376.11 $1,016.50 $209.62 – $393.18 7
Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 $353.72 $956.00 $255.82 – $508.14 7
Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 $257.98 $697.25 $292.79 – $538.08 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.