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 |
|---|---|---|---|---|
| Exploration of foot joint CPT 28022 | not published | not published | $357.96 – $608.14 | 7 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $458.02 – $816.98 | 7 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $842.99 – $1,452.33 | 7 |
| Exploration of knee joint CPT 27310 | not published | not published | $795.12 – $1,346.89 | 7 |
| Exploration of middle ear CPT 69440 | not published | not published | $735.48 – $1,297.23 | 7 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,064.23 – $1,898.58 | 7 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $886.37 – $1,494.51 | 7 |
| Exploration of toe joint CPT 28024 | not published | not published | $336.04 – $568.70 | 7 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,757.99 – $3,052.28 | 7 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $1,047.90 – $1,740.08 | 7 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,330.28 – $2,206.05 | 7 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,760.59 – $3,626.41 | 7 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,194.98 – $1,960.48 | 7 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $933.73 – $1,770.02 | 7 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,257.70 – $2,348.22 | 7 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,269.43 – $3,810.76 | 7 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $564.64 – $968.67 | 7 |
| Explore/drain eye socket CPT 67405 | not published | not published | $792.40 – $1,475.46 | 7 |
| Explore/drain eye socket CPT 67440 | not published | not published | $1,212.18 – $2,259.11 | 7 |
| Explore epididymis CPT 54865 | not published | not published | $400.41 – $659.16 | 7 |
| Explore inner ear CPT 69805 | not published | not published | $1,156.17 – $1,982.25 | 7 |
| Explore inner ear CPT 69806 | not published | not published | $1,033.86 – $1,774.77 | 7 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $111.53 – $222.44 | 7 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $482.68 – $1,619.67 | 7 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $571.53 – $1,361.87 | 7 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,077.18 – $1,797.90 | 7 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,131.28 | $3,057.50 | $386.69 – $646.92 | 7 |
| Explore/repair chest 32110 CPT 32110 | $1,145.52 | $3,096.00 | $1,647.24 – $2,750.93 | 7 |
| Explore scrotum CPT 55110 | not published | not published | $433.35 – $714.27 | 7 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,058.12 – $1,807.42 | 7 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $499.14 – $838.75 | 7 |
| Explore/treat eye socket CPT 67412 | not published | not published | $864.38 – $1,617.63 | 7 |
| Explore/treat eye socket CPT 67420 | not published | not published | $1,666.02 – $3,093.09 | 7 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,256.97 – $2,291.76 | 7 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $864.40 – $1,630.56 | 7 |
| Explore/treat finger joint CPT 26075 | not published | not published | $335.44 – $599.99 | 7 |
| Explore/treat finger joint CPT 26080 | not published | not published | $403.17 – $713.58 | 7 |
| Explore/treat knee joint CPT 27331 | not published | not published | $509.68 – $876.16 | 7 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $433.99 – $741.48 | 7 |
| Explore wound abdomen 20102 CPT 20102 | $2,158.77 | $5,834.50 | $275.73 – $470.73 | 7 |
| Explore woundchest 20101 CPT 20101 | $2,158.77 | $5,834.50 | $226.08 – $385.69 | 7 |
| Explore wound neck 20100 CPT 20100 | $1,086.14 | $2,935.50 | $666.57 – $1,119.02 | 7 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,338.57 – $2,489.04 | 7 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,436.31 – $2,697.20 | 7 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $563.29 – $943.50 | 7 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $312.90 – $529.23 | 7 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $449.88 – $758.48 | 7 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $282.43 – $476.85 | 6 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $372.33 – $621.08 | 6 |
| Extended culture of oocytes CPT 89272 | not published | not published | $1,920.80 – $2,058.00 | 5 |
| Extended visual field xm CPT 92083 | not published | not published | $31.31 – $118.36 | 7 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,143.31 – $1,953.67 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,829.10 – $3,129.15 | 7 |
| Extensive hand surgery CPT 26250 | not published | not published | $628.18 – $1,971.36 | 7 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,333.52 – $2,305.36 | 7 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,809.26 – $3,092.41 | 7 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,057.11 – $1,874.09 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,490.77 – $2,572.71 | 7 |
| Extensive testis surgery CPT 54535 | not published | not published | $844.53 – $1,371.39 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,866.62 – $3,123.03 | 7 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,468.47 – $2,488.35 | 7 |
| External cannula declotting CPT 36860 | not published | not published | $124.58 – $234.18 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $272.41 | $736.25 | $131.59 – $303.25 | 7 |
| External ocular photography CPT 92285 | not published | not published | $12.86 – $112.15 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $16.65 | $45.00 | $16.42 – $36.26 | 6 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,908.21 – $3,908.21 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $280.09 | $757.00 | $133.16 – $307.31 | 7 |
| Extnd color vision xm CPT 92283 | not published | not published | $10.66 – $99.99 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $76.50 | $206.75 | $19.02 – $43.63 | 7 |
| Extraction of lens CPT 66930 | not published | not published | $863.22 – $1,577.51 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $782.59 – $1,489.07 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $759.09 – $1,388.38 | 7 |
| Eye allergy tests CPT 95060 | not published | not published | $25.30 – $60.54 | 7 |
| F9 full gene sequence CPT 81238 | not published | not published | $681.00 – $972.00 | 6 |
| Face bone graft CPT 21210 | not published | not published | $902.71 – $1,591.79 | 7 |
| Facial bones <3 CPT 70140 | $60.03 | $162.25 | $11.59 – $54.42 | 7 |
| Facial nerve function test CPT 92516 | not published | not published | $25.45 – $42.85 | 7 |
| Factor ix CPT 85250 | $104.16 | $281.50 | $20.06 – $46.32 | 7 |
| Factor ix complex HCPCS J7194 | $9.25 | $25.00 | $15.60 – $15.60 | 5 |
| Factor ix recombinant nos HCPCS J7195 | $21.16 | $57.20 | $1.45 – $1.45 | 5 |
| Factor viii CPT 85240 | $117.57 | $317.75 | $18.76 – $43.56 | 7 |
| Factor viii HCPCS J7190 | $1.61 | $4.35 | $1.48 – $1.59 | 5 |
| Factor viii recombinant nos HCPCS J7192 | $9.25 | $25.00 | $1.81 – $1.94 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | $23.98 | $64.80 | $6.81 – $6.81 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $306.45 – $525.84 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | $210.44 | $568.75 | $106.51 – $151.02 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | $210.44 | $568.75 | $118.79 – $178.91 | 7 |
| Fancc gene CPT 81242 | not published | not published | $41.56 – $199.16 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $50.04 | $135.25 | $5.47 – $12.38 | 7 |
| Fatty acids nonesterified CPT 82725 | $43.85 | $118.50 | $14.07 – $32.38 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.69 – $11.07 | 7 |
| #fecal-sodium CPT 84302 | $101.84 | $275.25 | $5.21 – $11.84 | 7 |
| Feeding tube reposition CPT 74355 | not published | not published | $48.07 – $71.43 | 6 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $112.24 – $119.00 | 7 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $50.69 | $137.00 | $21.16 – $21.16 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $272.43 – $458.49 | 7 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $602.30 – $978.88 | 6 |
| Feno poc CPT 95012 | not published | not published | $19.41 – $35.37 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $96.11 | $259.75 | $6.81 – $6.81 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $10.34 | $27.95 | $1.68 – $1.80 | 5 |
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.