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 |
|---|---|---|---|---|
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $692.88 – $1,191.80 | 7 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $479.04 – $852.36 | 7 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $629.71 – $1,078.88 | 7 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,694.45 – $1,725.62 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $965.94 – $1,746.88 | 7 |
| Exc excessive skin hip CPT 15834 | not published | not published | $913.04 – $1,654.37 | 7 |
| Exc excessive skin leg CPT 15833 | not published | not published | $914.79 – $1,623.08 | 7 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $971.50 – $1,734.64 | 7 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $727.09 – $1,335.33 | 7 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $625.38 – $1,065.94 | 7 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $350.46 – $606.11 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $441.34 – $740.12 | 6 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $574.14 – $961.88 | 6 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $169.06 – $290.46 | 7 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,006.31 | $2,719.75 | $250.54 – $429.24 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $507.66 – $865.27 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $291.63 – $493.19 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $469.07 – $785.68 | 6 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $474.77 – $948.95 | 7 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $586.08 – $978.20 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $361.60 – $608.82 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $600.72 – $1,004.05 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $508.52 – $965.28 | 7 |
| Exchange biliary drg cath CPT 47536 | not published | not published | $152.11 – $287.43 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $142.61 – $211.16 | 7 |
| Exchange drainage catheter CPT 49423 | $881.16 | $2,381.50 | $81.84 – $136.72 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $936.40 – $1,708.11 | 7 |
| Exchange nephrostomy cath CPT 50435 | $1,762.31 | $4,763.00 | $114.14 – $195.36 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $240.37 – $443.52 | 7 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $360.94 – $646.92 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $285.79 – $520.39 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $517.50 – $1,126.50 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $829.80 – $1,376.82 | 6 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $77.66 – $140.13 | 7 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $74.55 – $124.48 | 7 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $135.20 – $227.88 | 7 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $734.69 – $1,222.41 | 6 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $374.48 – $654.40 | 7 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $769.20 – $1,276.83 | 6 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,846.11 – $3,964.50 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,779.00 – $3,042.76 | 7 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $748.87 – $1,291.80 | 7 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $967.43 – $1,684.98 | 7 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $954.19 – $1,674.78 | 7 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,059.68 – $1,837.35 | 7 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $122.12 – $221.76 | 7 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,050.02 – $1,859.81 | 7 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $396.35 – $671.40 | 7 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $311.18 – $563.92 | 7 |
| Excise inferior turbinate CPT 30130 | not published | not published | $392.97 – $704.05 | 7 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $922.09 – $1,578.86 | 7 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,798.62 – $3,061.13 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,487.35 – $2,528.49 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,494.48 – $2,659.09 | 7 |
| Excise lesion testis CPT 54512 | not published | not published | $606.12 – $993.16 | 7 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $247.74 – $442.17 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,447.51 – $2,424.41 | 7 |
| Excise mandible lesion CPT 21040 | not published | not published | $429.84 – $774.12 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $432.23 – $773.45 | 7 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,288.01 – $2,173.39 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $287.54 – $503.38 | 7 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $691.28 – $1,174.11 | 7 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,178.31 – $1,993.14 | 7 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,323.60 – $2,238.70 | 7 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $931.80 – $1,578.86 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $179.68 – $306.80 | 7 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $210.73 – $370.05 | 7 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,435.32 – $4,095.11 | 7 |
| Excise sublingual gland CPT 42450 | not published | not published | $394.24 – $678.88 | 7 |
| Excise submaxillary gland CPT 42440 | not published | not published | $456.63 – $778.20 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $363.64 – $601.34 | 6 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $564.72 – $985.00 | 7 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $409.76 – $697.26 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $182.42 – $298.63 | 7 |
| Excision aural polyp CPT 69540 | not published | not published | $135.07 – $238.77 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $134.77 | $364.25 | $135.92 – $242.85 | 7 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $940.45 | $2,541.75 | $141.45 – $251.01 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $463.33 | $1,252.25 | $118.22 – $210.88 | 7 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $253.01 – $453.72 | 7 |
| Excision breast lesion CPT 19125 | not published | not published | $476.37 – $845.55 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $234.56 – $417.00 | 7 |
| Excision graft extremity CPT 35903 | not published | not published | $639.84 – $1,094.52 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,030.61 – $3,269.95 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $269.10 – $352.50 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $731.48 – $1,449.62 | 7 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $194.03 – $335.37 | 7 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $376.02 – $653.72 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $141.18 – $243.53 | 7 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $141.64 – $253.05 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $60.70 – $105.00 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $191.43 – $342.17 | 7 |
| Excision of gum lesion CPT 41823 | not published | not published | $341.44 – $605.43 | 7 |
| Excision of gum lesion CPT 41826 | not published | not published | $218.24 – $397.95 | 7 |
| Excision of gum lesion CPT 41827 | not published | not published | $324.99 – $576.16 | 7 |
| Excision of gum lesion CPT 41828 | not published | not published | $238.86 – $398.63 | 7 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $134.66 – $229.92 | 7 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $914.17 – $1,559.82 | 7 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $613.53 – $1,090.44 | 7 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $825.42 – $1,418.33 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $339.87 – $597.25 | 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.