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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
Drng salivary gland submax/subling 42310 CPT 42310 not published not published $135.69 – $239.44 7
Droperidol 2.5 mg/ml injection solution HCPCS J1790 $19.15 $51.75 $15.60 – $15.60 5
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 $22.68 $61.30 $4.78 – $16.45 6
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 $31.39 $84.85 $16.97 – $18.18 5
Drug admin & hemodynmic meas CPT 93463 not published not published $111.03 – $197.28 6
Drug assay caffeine CPT 80155 $89.17 $241.00 $22.02 – $34.16 6
Drug assay posaconazole CPT 80187 $107.30 $290.00 $30.77 – $30.77 1
Drug assay rufinamide CPT 80210 not published not published $30.77 – $30.77 1
Drug assay vedolizumab CPT 80280 not published not published $43.78 – $43.78 1
Drug assay voriconazole CPT 80285 $116.64 $315.25 $30.77 – $30.77 1
Drug of abuse screen urine CPT 80305 not published not published $16.98 – $24.24 6
Drug screen quant tiagabine CPT 80199 $55.04 $148.75 $28.11 – $43.59 6
Drug test def 15-21 classes HCPCS G0482 $142.17 $384.25 $231.93 – $268.96 6
Drug test def 1-7 classes HCPCS G0480 $157.16 $424.75 $120.88 – $133.53 6
Drug test def 22+ classes HCPCS G0483 $426.24 $1,152.00 $288.14 – $348.68 6
Drug test def 8-14 classes HCPCS G0481 $161.88 $437.50 $182.72 – $199.25 6
Drug test prsmv instrmnt CPT 80306 not published not published $22.64 – $32.33 6
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 $268.90 $726.75 $90.58 – $129.28 6
Drvvt confirm - quest CPT 85597 $85.47 $231.00 $19.02 – $43.74 7
Dstrj extensive retinopathy CPT 67227 not published not published $278.91 – $1,050.99 7
Dstr mal les s/n/h/f/g >4.0 CPT 17276 $213.86 $578.00 $233.79 – $395.91 7
Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 not published not published $197.70 – $334.68 7
Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 not published not published $233.07 – $389.10 7
Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 not published not published $313.40 – $531.96 7
Ductogram sgl duct CPT 77053 $171.22 $462.75 $22.65 – $106.13 7
Duodenal motility study CPT 91022 not published not published $93.42 – $324.48 7
Dup scan/hemodialysis access 93990 CPT 93990 $256.04 $692.00 $15.39 – $361.21 7
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 $278.24 $752.00 $32.09 – $234.18 7
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 $358.35 $968.50 $29.12 – $423.80 7
Dxa bone density axl vrt fx CPT 77085 not published not published $40.96 – $96.60 6
Dx bronchoscope/brush 31623 CPT 31623 $1,898.47 $5,131.00 $151.84 – $280.26 7
Dx bronchoscope/lavage 31624 CPT 31624 $1,161.06 $3,138.00 $153.65 – $282.30 7
Dx bronchoscope/wash 31622 CPT 31622 $2,211.40 $5,976.75 $149.25 – $278.22 7
Dx dark adaptation exam i&r CPT 92284 not published not published $14.34 – $111.56 7
Dx duod intub w/asp spec 43756 CPT 43756 not published not published $56.59 – $97.28 6
Dx duod intub w/asp specs CPT 43757 not published not published $87.01 – $147.62 6
Dx gastr intub w/asp spec CPT 43754 not published not published $38.86 – $62.58 6
Dx gastr intub w/asp specs CPT 43755 not published not published $67.15 – $110.20 6
Dx laryngoscopy newborn CPT 31520 not published not published $174.61 – $295.90 7
Dx laryngoscopy w/oper scope CPT 31526 not published not published $175.37 – $296.60 7
Dynamic cavernosometry CPT 54231 not published not published $131.05 – $214.28 7
Dynamic surface emg CPT 96002 not published not published $24.27 – $40.14 7
Ear and throat examination CPT 92502 not published not published $105.77 – $180.94 7
Ear canal biopsy 69105 CPT 69105 not published not published $69.56 – $119.04 7
Ear cartilage graft CPT 21235 not published not published $613.35 – $1,063.23 7
Ear irrigation 69209 CPT 69209 $99.16 $268.00 $12.94 – $21.78 6
Ear protector evaluation CPT 92596 not published not published $37.23 – $77.55 7
Ecg 12 lead tracing only CPT 93005 $68.82 $186.00 $8.63 – $119.60 7
Ecg/1-3 leads/interp & report only 93042 CPT 93042 not published not published $7.91 – $13.61 7
Ecg/1-3 leads/tracing only 93041 CPT 93041 $29.14 $78.75 $5.75 – $10.20 7
Ecg < 30 days transmission & analysis CPT 93271 $176.86 $478.00 $171.74 – $237.24 7
Ecg external < 48 hours recording CPT 93225 $121.18 $327.50 $26.96 – $234.18 7
Ecg external < 48 hours scanning analysis w/report CPT 93226 $196.10 $530.00 $38.45 – $234.18 7
Echocardiogram (Heart Ultrasound) CPT 93306 $856.37 $2,314.50 $88.03 – $336.72 7
Echocardiography doppler color flow mapping CPT 93325 $250.21 $676.25 $4.77 – $34.70 7
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 $1,110.09 $3,000.25 $314.27 – $336.72 5
Echocardiography transthoracic 2d followup/limited CPT 93308 $375.46 $1,014.75 $35.80 – $176.87 7
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 $355.57 $961.00 $165.07 – $176.87 5
Echocardiograpy doppler follow up/limited study CPT 93321 $87.04 $235.25 $10.12 – $42.18 7
Echo exam of eye CPT 76516 not published not published $33.98 – $143.53 7
Echo exam of eye CPT 76519 not published not published $34.38 – $155.10 7
Echo exam of eye CPT 76529 not published not published $36.08 – $146.25 7
Echo exam of eye thickness CPT 76514 not published not published $3.88 – $112.15 7
Echo exam of fetal heart CPT 76825 not published not published $102.28 – $395.91 7
Echo exam of fetal heart CPT 76826 not published not published $50.16 – $236.73 7
Echo exam of fetal heart CPT 76827 not published not published $35.35 – $108.84 7
Echo exam of fetal heart CPT 76828 not published not published $25.88 – $82.31 7
Echo exam uterus 76831- CPT 76831 $242.07 $654.25 $43.81 – $227.21 7
Echograp trans r pros study CPT 76873 not published not published $94.85 – $310.88 7
Echo guidance radiotherapy CPT 76965 not published not published $24.44 – $165.97 7
Echo guide for amniocentesis CPT 76946 $264.92 $716.00 $13.30 – $59.17 7
Echo guide for artery repair CPT 76936 $699.76 $1,891.25 $126.22 – $508.14 7
Echo guide for heart biopsy CPT 76932 not published not published $44.76 – $61.23 6
Echo guide for transfusion CPT 76941 not published not published $62.13 – $129.93 6
Echo guide villus sampling CPT 76945 not published not published $41.06 – $64.62 6
Echo stress CPT 93350 $640.10 $1,730.00 $98.62 – $356.44 7
Echo tee cngntl wo ctrst probe plcmnt CPT 93316 not published not published $30.59 – $80.27 7
Echo tee guidance CPT 93355 not published not published $255.08 – $419.71 6
Echo tee probe placement image acquisition interpretation & report CPT 93312 $847.95 $2,291.75 $138.33 – $544.20 7
Echo transesophageal CPT 93313 not published not published $13.12 – $78.92 7
Echo transesophageal CPT 93314 not published not published $80.91 – $499.31 7
Echo transesophageal CPT 93315 $855.35 $2,311.75 $162.00 – $736.71 6
Echo transesophageal intraop CPT 93318 not published not published $123.07 – $1,012.89 6
Echo transthoracic CPT 93303 $890.41 $2,406.50 $84.85 – $350.32 7
Echo transthoracic CPT 93304 $314.69 $850.50 $48.11 – $231.96 7
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 $535.39 $1,447.00 $61.15 – $204.07 7
Ecmo/ecls daily mgmt artery 33949 CPT 33949 not published not published $267.01 – $443.52 6
Ecmo/ecls daily mgmt-venous 33948 CPT 33948 not published not published $272.63 – $454.41 6
Ecmo/ecls initiation artery 33947 CPT 33947 not published not published $390.70 – $646.92 6
Ecmo/ecls initiation venous 33946 CPT 33946 not published not published $351.97 – $592.50 6
Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 not published not published $954.40 – $1,667.97 6
Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 not published not published $951.80 – $1,584.99 6
Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 not published not published $544.80 – $824.46 6
Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 not published not published $487.63 – $740.12 6
Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 not published not published $545.41 – $805.41 6
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 not published not published $488.16 – $723.11 6
Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 not published not published $590.30 – $1,167.32 6
Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 not published not published $596.95 – $1,116.97 6
Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 not published not published $314.85 – $629.91 6
Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 not published not published $212.30 – $529.92 6

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.