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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
Esophagoscopy flex dx brush CPT 43197 not published not published $94.07 – $144.21 6
Esophagoscopy flex remove fb CPT 43215 not published not published $161.47 – $290.46 7
Esophagoscopy lesion ablate CPT 43229 not published not published $225.50 – $372.09 6
Esophagoscopy lesion removal CPT 43216 not published not published $153.19 – $279.58 7
Esophagoscopy retro balloon CPT 43213 not published not published $295.42 – $487.74 6
Esophagoscopy rigid balloon CPT 43195 not published not published $207.66 – $321.76 6
Esophagoscopy/rigid/diagnostic 43191 CPT 43191 not published not published $172.84 – $225.84 6
Esophagoscopy rigid trnso 43180 CPT 43180 not published not published $613.43 – $976.15 6
Esophagoscopy snare les remv CPT 43217 not published not published $183.35 – $324.48 7
Esophagoscopy w/us needle bx CPT 43232 not published not published $226.30 – $489.78 7
Esophagoscp guide wire dilat 43196 CPT 43196 not published not published $221.78 – $352.37 6
Esophagoscp rig trnso biopsy CPT 43193 not published not published $190.11 – $321.07 6
Esophagoscp rig trnso inject CPT 43192 not published not published $190.45 – $269.38 6
Esophagoscp rig trnso rem fb CPT 43194 not published not published $218.85 – $293.19 6
Esophagus endoscopy/ligation CPT 43205 not published not published $161.06 – $421.08 7
Esophagus motility study CPT 91010 not published not published $81.89 – $333.33 7
Esoph balloon distension tst CPT 91040 not published not published $65.98 – $534.00 7
Esoph egd dilation <30 mm CPT 43249 not published not published $175.48 – $326.52 7
Esoph endoscopy dilation CPT 43226 not published not published $148.62 – $265.31 7
Esoph fundoplasty lap 43327 CPT 43327 not published not published $920.09 – $1,513.56 6
Esoph fundoplasty thor 43328 CPT 43328 not published not published $1,274.24 – $2,161.83 6
Esophgl motil w/stim/perfus CPT 91013 not published not published $14.01 – $44.90 6
Esoph imped function test CPT 91037 not published not published $64.38 – $304.06 7
Esoph imped funct test > 1hr CPT 91038 not published not published $72.87 – $854.40 7
Esoph optical endomicroscopy CPT 43206 not published not published $152.06 – $257.13 6
Esoph scope w/sclerosis inj CPT 43204 not published not published $154.77 – $423.12 7
Esoph scope w/submucous inj CPT 43201 not published not published $116.95 – $240.13 7
Essure 58565 CPT 58565 not published not published $477.46 – $817.66 7
Establish access to aorta CPT 36160 not published not published $141.66 – $242.85 7
Establish access to artery CPT 36100 not published not published $175.58 – $302.71 7
Establish brain cavity shunt CPT 62223 not published not published $1,109.09 – $1,933.95 7
Established Patient Office Visit (level 1) CPT 99211 $92.87 $251.00 $10.21 – $15.51 7
Established Patient Office Visit (level 2) CPT 99212 $131.07 $354.25 $28.20 – $42.18 7
Established Patient Office Visit (level 3) CPT 99213 $165.39 $447.00 $55.58 – $85.59 7
Established Patient Office Visit (level 4) CPT 99214 $213.21 $576.25 $85.98 – $132.12 7
Established Patient Office Visit (level 5) CPT 99215 $264.46 $714.75 $122.03 – $186.07 7
Estradiol total CPT 82670 $88.43 $239.00 $29.45 – $67.98 7
Estradiol valerate 10 mg inj HCPCS J1380 $137.64 $372.00 $15.60 – $15.60 5
Estrogens total-sendout CPT 82672 $83.71 $226.25 $22.93 – $52.78 7
Etanercept injection HCPCS J1438 $2,306.67 $6,234.25 $146.26 – $146.26 5
Ethmoidectomy extranasal total 31205 CPT 31205 not published not published $922.29 – $1,681.58 7
Ethylene glycol -sendout CPT 82693 $64.75 $175.00 $15.63 – $36.26 7
Etoposide 20 mg/ml intravenous solution HCPCS J9181 $20.35 $55.00 $15.60 – $15.60 5
Etoposide 50 mg cap HCPCS J8560 $110.87 $299.65 $0.46 – $37.04 6
Euglobulin lysis CPT 85360 $84.92 $229.50 $8.86 – $20.45 7
Evacuate mole of uterus CPT 59870 not published not published $522.15 – $880.92 7
Eval aud rehab status/first hr 92626 CPT 92626 not published not published $84.73 – $142.17 7
Eval/fit voice prosthesis iii, st CPT 92607 $119.60 $323.25 $138.65 – $221.76 7
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 $122.29 $330.50 $100.29 – $156.72 6
Evaluation heart device CPT 93640 not published not published $76.23 – $8,949.00 7
Evaluation of speech fluency 92521 CPT 92521 $76.41 $206.50 $121.29 – $198.63 6
Evaluation psychiatric diagnostic CPT 90791 $123.95 $335.00 $142.40 – $226.53 6
Evasc prlng admn rx agnt 1st CPT 61650 not published not published $609.12 – $1,033.74 6
Evasc prlng admn rx agnt add CPT 61651 not published not published $258.97 – $439.92 6
Event monitor CPT 93270 $120.81 $326.50 $9.35 – $234.18 7
Evoked auditory tst complete CPT 92588 not published not published $3.96 – $61.91 7
Evoked oa emissions ltd CPT 92587 not published not published $3.25 – $40.14 7
Evoked potentials upper limbs CPT 95925 $188.70 $510.00 $33.67 – $342.17 7
Evoked potential visual not glaucoma CPT 95930 $452.97 $1,224.25 $21.78 – $284.34 7
Evok oa screening qual CPT 92558 not published not published $25.27 – $27.07 5
Exam of vagina w/scope 57420 CPT 57420 not published not published $102.72 – $170.07 7
Exam plvc w/anes othr thn lcl CPT 57410 not published not published $119.24 – $201.36 7
Ex arm/elbow tum deep < 5 cm CPT 24076 not published not published $514.24 – $1,001.33 7
Ex arm/elbow tum deep 5 cm/> CPT 24073 not published not published $767.02 – $1,273.42 6
Exc abd les sc 3 cm/> CPT 22903 not published not published $486.28 – $805.41 6
Exc abdl tum deep < 5 cm CPT 22900 not published not published $450.51 – $1,040.79 7
Exc abdl tum deep 5 cm/> CPT 22901 not published not published $741.15 – $1,227.86 6
Exc abd tum 5 cm or less 49203 CPT 49203 not published not published $1,324.49 – $1,346.22 2
Exc abd tum over 10 cm 49205 CPT 49205 not published not published $1,941.75 – $1,982.35 2
Exc arm/elbo les sc >=3cm 24071 CPT 24071 not published not published $447.95 – $749.64 6
Exc arm/elbo les sc <3cm 24075 CPT 24075 not published not published $335.24 – $610.18 7
Exc aurl glomus tum trnscanl CPT 69550 not published not published $1,118.48 – $1,946.88 7
Exc aurl glomus tum trnsmstd CPT 69552 not published not published $1,698.86 – $2,937.32 7
Exc back les sbq <3 cm 21930 CPT 21930 not published not published $402.10 – $676.85 7
Exc back tum deep 5 cm/> CPT 21933 not published not published $820.23 – $1,363.90 6
Exc bartholins gland/cyst CPT 56740 $2,463.18 $6,657.25 $332.23 – $561.21 7
Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 $225.70 $610.00 $243.46 – $419.71 7
Exc benign feenlm >4.0cm 11446 CPT 11446 $312.37 $844.25 $346.15 – $600.66 7
Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 not published not published $191.57 – $332.64 7
Exc benign tal 0.5 < cm 11400 CPT 11400 $289.06 $781.25 $79.62 – $146.94 7
Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 $108.41 $293.00 $102.78 – $191.15 7
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 $1,006.31 $2,719.75 $152.04 – $269.38 7
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 $854.98 $2,310.75 $188.90 – $329.93 7
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 $673.49 $1,820.25 $117.57 – $205.44 7
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 $2,635.88 $7,124.00 $165.62 – $291.82 7
Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 not published not published $294.42 – $506.79 7
Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 $346.88 $937.50 $106.58 – $191.84 7
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 not published not published $150.44 – $271.43 7
Exc breast duct fistula 19112 CPT 19112 not published not published $310.48 – $577.53 7
Exc carotid body tumor without exc art 60600 CPT 60600 not published not published $1,568.40 – $2,605.36 7
Exc cervix repair bowel 57556 CPT 57556 not published not published $622.75 – $1,063.90 7
Exc cervix/repair pelvis 57545 CPT 57545 not published not published $923.69 – $1,551.64 7
Exc cervix/repair vagina 57555 CPT 57555 not published not published $663.79 – $1,132.62 7
Exc coccygl pr ulc flap clsr CPT 15922 not published not published $807.94 – $1,453.02 7
Exc coccygl pr ulc prim sutr CPT 15920 not published not published $636.28 – $1,127.17 7
Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 not published not published $786.57 – $1,384.99 7
Exc/crtg b1 cst/b9 tum rds CPT 24120 not published not published $563.75 – $972.76 7
Exc/crtg b1 cst/tum hum agrf CPT 24115 not published not published $798.25 – $1,355.74 7
Exc/crtg b1 cst/tum hum algr CPT 24116 not published not published $951.57 – $1,585.66 7
Exc/crtg b1 cst/tum rds agrf CPT 24125 not published not published $652.69 – $1,139.41 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.