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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
Ftl cgen abnor four anal CPT 81511 not published not published $58.54 – $174.22 6
Full field erg w/i&r CPT 92273 not published not published $158.73 – $158.73 4
Full mouth x-ray of teeth CPT 70320 not published not published $13.80 – $97.28 7
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 not published not published $926.95 – $1,604.71 7
Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 not published not published $668.45 – $1,144.86 7
Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 not published not published $80.24 – $133.34 7
Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 $1,291.76 $3,491.25 $853.66 – $1,492.47 7
Fundus photography with i&r 92250 CPT 92250 not published not published $27.30 – $112.15 7
Fuse bile ducts and bowel 47785 CPT 47785 not published not published $3,438.51 – $6,004.56 7
Fuse pancreas cyst and bowel 48520 CPT 48520 not published not published $1,188.77 – $2,027.82 7
Fusion/graft of finger joint CPT 26862 not published not published $764.17 – $1,308.12 7
Fusion/graft of hand joint CPT 26844 not published not published $866.20 – $1,474.10 7
Fusion of ankle joint open CPT 27870 not published not published $1,140.92 – $1,921.02 7
Fusion of big toe joint CPT 28750 not published not published $651.35 – $1,112.20 7
Fusion of big toe joint CPT 28755 not published not published $365.49 – $616.30 7
Fusion of finger joint CPT 26860 not published not published $581.00 – $1,014.93 7
Fusion of finger tendons CPT 26471 not published not published $640.88 – $1,108.82 7
Fusion of finger tendons CPT 26474 not published not published $613.35 – $1,065.94 7
Fusion of foot bones CPT 28730 not published not published $809.95 – $1,366.62 7
Fusion of foot bones CPT 28735 not published not published $870.18 – $1,461.18 7
Fusion of foot bones CPT 28740 not published not published $689.73 – $1,165.95 7
Fusion of hand joint CPT 26843 not published not published $774.43 – $1,337.37 7
Fusion of knuckle CPT 26850 not published not published $732.21 – $1,248.26 7
Fusion of knuckle joint CPT 26516 not published not published $740.63 – $1,266.63 7
Fusion of knuckle joints CPT 26517 not published not published $838.52 – $1,485.66 7
Fusion of knuckle joints CPT 26518 not published not published $882.71 – $1,516.28 7
Fusion of knuckle with graft CPT 26852 not published not published $843.14 – $1,433.28 7
Fusion of spermatic ducts CPT 54900 not published not published $938.38 – $1,457.10 7
Fusion of spermatic ducts CPT 54901 not published not published $1,189.12 – $1,923.06 7
Fusion of tendons at wrist CPT 25300 not published not published $741.14 – $1,264.59 7
Fusion of tendons at wrist CPT 25301 not published not published $704.94 – $1,180.92 7
Fusion of thumb CPT 26841 not published not published $767.29 – $1,318.32 7
Fusion of tibiofibular joint CPT 27871 not published not published $753.82 – $1,272.08 7
Fusion of toes CPT 28280 not published not published $387.44 – $659.16 7
G6pc gene CPT 81250 $314.78 $850.75 $58.54 – $66.39 6
G6pd full gene sequence CPT 81249 not published not published $681.00 – $972.00 6
G6pd gene alys cmn variant CPT 81247 not published not published $198.41 – $283.19 6
G6pd known familial variant CPT 81248 not published not published $425.91 – $607.90 6
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 $0.74 $2.00 $0.66 – $0.70 5
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 $9.25 $25.00 $3.12 – $3.35 5
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 $2.16 $5.85 $0.67 – $0.72 5
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 $31.52 $85.20 $21.46 – $23.00 5
Galac-1-phosphate uridyltran - sendout CPT 82775 $96.94 $262.00 $22.15 – $51.26 7
Galactokinase - sendout CPT 82759 not published not published $22.67 – $52.27 7
Galactose transferase test CPT 82776 not published not published $8.86 – $20.41 7
Galectin-3 CPT 82777 not published not published $29.40 – $34.24 6
Gallbladder Removal (Laparoscopic) CPT 47562 not published not published $735.82 – $1,219.01 7
Gamma globulin 1 cc inj HCPCS J1460 $29.56 $79.90 $15.60 – $15.60 5
Gammaglobulin iga CPT 82784 $72.15 $195.00 $9.90 – $22.62 7
Gammaglobulin ige CPT 82785 $58.18 $157.25 $17.46 – $40.08 7
Gamma glutamyltransferase CPT 82977 $49.03 $132.50 $7.56 – $17.52 7
Gamunex-c/gammaked HCPCS J1561 $140.60 $380.00 $146.26 – $146.26 5
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 $131.15 $354.45 $73.06 – $73.06 5
Gardner vag dna quant CPT 87512 $63.27 $171.00 $19.90 – $39.03 7
Gastric analy w/ph ea spec CPT 82930 not published not published $8.48 – $13.28 6
Gastric emptying imag study CPT 78265 not published not published $333.80 – $719.61 6
Gastric emptying imag study CPT 78266 not published not published $429.72 – $852.43 6
Gastric motility studies CPT 91020 not published not published $93.89 – $445.56 7
Gastric mucosa imaging CPT 78261 not published not published $43.60 – $451.68 7
Gastrin test CPT 82938 not published not published $18.76 – $43.05 7
Gastroesophageal reflux study CPT 78262 not published not published $42.33 – $448.29 7
Gastroesophageal reflux test CPT 91034 not published not published $63.58 – $354.40 7
Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 not published not published $1,427.07 – $2,485.64 7
Gastrostomy open neonatal CPT 43831 not published not published $622.06 – $1,104.05 7
Gated heart multiple CPT 78473 not published not published $96.59 – $531.27 7
Gba gene CPT 81251 not published not published $53.63 – $443.64 6
Gemcitabine 1 gram intravenous solution HCPCS J9201 $184.50 $498.65 $15.60 – $15.60 5
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 $10,030.70 $27,110.00 $260.22 – $278.81 5
General health panel CPT 80050 $161.14 $435.50 $29.19 – $100.14 6
Genetic tstg severe inh cond CPT 81443 $1,358.64 $3,672.00 $2,779.12 – $2,779.12 1
Genioplasty augmentation CPT 21120 not published not published $518.75 – $920.38 7
Geniop sldg augmentation CPT 21123 not published not published $933.88 – $1,623.08 7
Geniop sldg osteot 1 CPT 21121 not published not published $702.73 – $1,183.63 7
Geniop sldg osteot 2/> CPT 21122 not published not published $725.34 – $1,299.29 7
Genome sequence analysis CPT 81425 not published not published $5,710.41 – $5,710.41 1
Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 $10.93 $29.55 $15.60 – $15.60 5
Gentamicin peak therapeutic drug level CPT 80170 $88.43 $239.00 $17.20 – $39.88 7
G-esoph reflx tst w/electrod CPT 91035 not published not published $103.81 – $914.25 7
Ghs abscess perianal iandd CPT 46050 $1,410.90 $3,813.25 $98.31 – $182.99 7
Ghs abscess postoperative iandd complex CPT 10180 $1,244.68 $3,364.00 $190.85 – $329.93 7
Ghs acetylcholinesterase, rbc CPT 82482 $44.12 $119.25 $8.08 – $18.69 7
Ghs alcohol, methyl (methanol)-medtox CPT 84600 $103.14 $278.75 $16.94 – $39.12 7
Ghs alpha thalasemia, 7 deletions CPT 81257 $213.03 $575.75 $116.07 – $368.55 6
Ghs analysis neurostim without reprogramming CPT 95970 $62.72 $169.50 $26.98 – $76.23 7
Ghs antibodies (torch) igm CPT 86694 $49.03 $132.50 $15.11 – $35.02 7
Ghs aspiration bladder - needle CPT 51100 not published not published $44.41 – $115.39 7
Ghs bladder cath - complex-foley CPT 51703 $190.55 $515.00 $86.94 – $115.39 7
Ghs bleeding time (ivy) CPT 85002 not published not published $4.69 – $10.95 7
Ghs block ilioinguinal/gentitofemoral CPT 64425 $1,147.19 $3,100.50 $104.82 – $180.27 7
Ghs central line insert < age 5, failed CPT 36555 $1,030.45 $2,785.00 $122.11 – $225.84 7
Ghs change cysto/gastrost CPT 43762 $413.29 $1,117.00 $374.51 – $374.51 4
Ghs chemo >8 hrs CPT 96416 $187.13 $505.75 $142.25 – $245.56 7
Ghs chemo infusion >8 hrs CPT 96425 $156.60 $423.25 $186.65 – $318.36 7
Ghs chemo IV push, ea addtl CPT 96411 $76.87 $207.75 $64.22 – $108.84 7
Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 $164.84 $445.50 $37.00 – $85.38 7
Ghs closd tx interphalang jt disloc w/ma CPT 26770 $223.76 $604.75 $250.32 – $474.81 7
Ghs closed reduction ankle dislocation CPT 27840 $541.96 $1,464.75 $375.42 – $693.18 7
Ghs closed tx bimalleolar fracture w/manip CPT 27810 $2,628.48 $7,104.00 $456.82 – $790.46 7
Ghs closed tx radiocarpal disloc w manip CPT 25660 not published not published $420.53 – $754.39 7
Ghs closed tx tibial fracture w/manip CPT 27752 $2,856.96 $7,721.50 $529.67 – $914.25 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.