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 |
|---|---|---|---|---|
| Excision of neck cyst CPT 42815 | not published | not published | $610.39 – $1,055.74 | 7 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $309.12 – $548.28 | 7 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $144.77 – $239.44 | 7 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,079.35 – $1,895.17 | 7 |
| Excision of rectal stricture CPT 45150 | not published | not published | $402.96 – $737.38 | 7 |
| Excision of salivary cyst CPT 42408 | not published | not published | $362.41 – $617.67 | 7 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,088.19 – $3,612.81 | 7 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,068.89 – $1,818.99 | 7 |
| Excision of tongue lesion CPT 41112 | not published | not published | $267.63 – $476.18 | 7 |
| Excision of tongue lesion CPT 41114 | not published | not published | $699.00 – $1,191.80 | 7 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $298.54 – $526.51 | 7 |
| Excision of tonsil tags CPT 42860 | not published | not published | $204.44 – $356.44 | 7 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $627.40 – $1,082.95 | 7 |
| Excision of uvula CPT 42140 | not published | not published | $165.28 – $295.23 | 7 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $174.06 – $299.31 | 7 |
| Excision olecranon bursa CPT 24105 | not published | not published | $355.40 – $642.15 | 7 |
| Excision radial head CPT 24130 | not published | not published | $543.23 – $931.26 | 7 |
| Excision tongue lesion without closure 41110 CPT 41110 | $1,245.05 | $3,365.00 | $141.32 – $250.34 | 7 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $521.03 – $870.04 | 6 |
| Excis partial tal calc CPT 28120 | not published | not published | $448.88 – $931.95 | 7 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,344.44 – $2,279.52 | 7 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $759.01 – $1,265.27 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $516.87 – $887.04 | 7 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $148.74 – $285.03 | 7 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $186.46 – $346.25 | 7 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $411.99 – $757.80 | 7 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $134.33 – $241.49 | 7 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $129.41 – $232.65 | 7 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $513.38 | $1,387.50 | $199.81 – $341.49 | 7 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $312.85 – $531.27 | 7 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $441.14 – $736.03 | 7 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $123.03 – $225.16 | 7 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $158.49 – $278.22 | 7 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,006.31 | $2,719.75 | $226.27 – $394.55 | 7 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $121.26 – $221.76 | 7 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $156.82 – $276.18 | 7 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $172.58 – $303.39 | 7 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,394.16 | $3,768.00 | $205.92 – $361.89 | 7 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,394.16 | $3,768.00 | $226.69 – $399.30 | 7 |
| Exc mandible 21025 CPT 21025 | not published | not published | $815.62 – $1,390.42 | 7 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $449.67 – $990.45 | 7 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $812.19 – $1,351.65 | 6 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $518.50 – $924.47 | 7 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,189.61 – $2,049.60 | 7 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $895.78 – $1,470.70 | 7 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $444.89 – $767.33 | 7 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,379.93 | $6,432.25 | $193.99 – $341.49 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | $1,633.64 | $4,415.25 | $365.99 – $616.98 | 7 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $900.61 – $1,519.01 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $663.94 – $1,120.37 | 6 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $893.45 – $1,573.42 | 7 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,186.78 – $2,048.91 | 7 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $728.91 – $1,263.90 | 7 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $999.92 – $1,714.23 | 7 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $594.39 – $993.16 | 7 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $332.32 – $597.25 | 7 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $250.48 – $463.94 | 7 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $338.60 – $596.58 | 7 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $182.92 – $318.36 | 7 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $257.82 – $446.25 | 7 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,383.71 | $3,739.75 | $323.48 – $547.61 | 7 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $338.28 – $563.92 | 7 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $493.92 – $825.83 | 6 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,338.38 | $3,617.25 | $335.78 – $569.37 | 7 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $388.31 – $663.24 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $345.83 – $584.34 | 7 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $456.46 – $771.40 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $463.39 – $774.81 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $461.58 – $774.81 | 6 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $457.19 – $766.63 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $521.40 – $870.72 | 6 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $336.45 – $610.18 | 7 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $343.71 – $577.53 | 7 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $455.98 – $1,150.31 | 7 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $835.22 – $1,389.08 | 6 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,503.42 | $6,766.00 | $116.72 – $207.48 | 7 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $193.13 – $603.38 | 7 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $308.84 – $540.79 | 7 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $881.27 – $1,483.62 | 7 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $927.50 – $1,692.46 | 7 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,032.24 – $1,851.64 | 7 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $1,245.63 – $2,144.84 | 7 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $1,268.85 – $2,183.61 | 7 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $617.45 – $1,082.28 | 7 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $338.06 – $593.17 | 7 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $190.73 – $323.12 | 7 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $102.33 – $109.64 | 5 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $169.94 – $234.18 | 6 |
| Exome sequence analysis CPT 81415 | not published | not published | $5,425.30 – $5,425.30 | 1 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $148.29 – $263.94 | 7 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $843.56 – $1,429.20 | 7 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $637.14 – $1,080.91 | 7 |
| Exploration for testis CPT 54550 | not published | not published | $555.62 – $906.09 | 7 |
| Exploration for testis CPT 54560 | not published | not published | $804.85 – $1,265.27 | 7 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $558.45 – $970.71 | 7 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $219.51 – $370.74 | 7 |
| Exploration of ankle joint CPT 27612 | not published | not published | $620.97 – $1,038.06 | 7 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $553.15 – $935.34 | 7 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $884.74 – $1,487.03 | 7 |
| Exploration of foot joint CPT 28020 | not published | not published | $399.61 – $673.46 | 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.