healthcosts.net

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
Ghs closure surg wound/dehiscence-13160 CPT 13160 $2,433.40 $6,576.75 $886.96 – $1,501.31 7
Ghs clsd red med malleolus fx without manip CPT 27760 $404.41 $1,093.00 $304.06 – $562.56 7
Ghs clsd red med malleolus fx w manip CPT 27762 $3,066.01 $8,286.50 $466.35 – $803.37 7
Ghs clsd tx frac distal tibia w/manipulation CPT 27825 $3,347.95 $9,048.50 $539.50 – $909.50 7
Ghs cl tx knee disl; wo anesth CPT 27550 $603.19 $1,630.25 $483.87 – $853.03 7
Ghs cl tx metacarpophal disloc without anes CPT 26700 $393.40 $1,063.25 $300.82 – $563.25 7
Ghs community re-entry 15 minutes CPT 97537 $42.55 $115.00 $32.55 – $55.78 7
Ghs conjunctiva foreign body-embed bil CPT 65210 $696.71 $1,883.00 $56.50 – $112.15 7
Ghs conjunctiva foreign body-superf bil CPT 65205 $187.41 $506.50 $46.92 – $115.39 7
Ghs corneal fb without slit lamp bilat CPT 65220 $265.66 $718.00 $46.32 – $115.39 7
Ghs corneal fb with slit lamp bilat CPT 65222 $221.82 $599.50 $57.25 – $112.15 7
Ghs cricothyroidotomy CPT 31605 $1,183.26 $3,198.00 $208.76 – $345.57 7
Ghs cutdown placement age 1 and over CPT 36425 not published not published $45.40 – $75.51 7
Ghs cutdown placement under 1 yr CPT 36420 not published not published $59.38 – $98.64 7
Ghs diphtheria toxoid ab igg CPT 86648 not published not published $16.16 – $37.01 7
Ghs dislocation elbow closed treatment CPT 24600 $444.09 $1,200.25 $344.90 – $621.08 7
Ghs ed peritoneal lavage w guidance if performed CPT 49084 $965.15 $2,608.50 $123.10 – $192.51 6
Ghs ed rmvl or bivalving cast CPT 29700 $120.07 $324.50 $37.66 – $63.27 7
Ghs electrostagmgraphy CPT 92537 not published not published $8.63 – $75.19 6
Ghs elect torsion swing CPT 92546 not published not published $17.88 – $185.72 7
Ghs elect vertical elct CPT 92547 not published not published $1.09 – $10.89 7
Ghs epidermal shaving diameter >2.0 cm CPT 11303 not published not published $82.91 – $138.76 7
Ghs excision ingrown nail CPT 11765 $314.32 $849.50 $72.31 – $172.78 7
Ghs eye exam CPT 92002 not published not published $53.12 – $90.48 7
Ghs eyelid foreign body-embedded - bil CPT 67938 $435.86 $1,178.00 $115.28 – $219.04 7
Ghs fat & muscle CPT 89160 not published not published $3.91 – $8.97 7
Ghs fb removal foot - deep - left CPT 28192 $1,006.86 $2,721.25 $347.37 – $591.13 7
Ghs fb removal from muscle - complicated CPT 20525 $2,354.50 $6,363.50 $273.22 – $461.20 7
Ghs fb removal - incisional CPT 10121 $923.34 $2,495.50 $203.72 – $346.94 7
Ghs fb removal - non-incisional CPT 20520 $1,376.49 $3,720.25 $154.83 – $270.74 7
Ghs febrile agglutinns(mayo) CPT 86000 not published not published $5.33 – $10.44 7
Ghs fish cytogen CPT 88271 $176.93 $478.19 $22.67 – $52.11 7
Ghs fish hybrid in situ 100-300 CPT 88275 $249.47 $674.25 $42.47 – $97.71 7
Ghs flow volume loop CPT 94375 $269.36 $728.00 $18.02 – $72.11 7
Ghs gastric intub aspiration lavage CPT 43753 $186.20 $503.25 $24.85 – $38.77 6
Ghs hcv amplificaiton CPT 87521 $145.23 $392.50 $37.00 – $85.38 7
Ghs heavy metals bld (ars,lead,merc) CPT 82715 not published not published $18.24 – $41.88 7
Ghs hepatitis c virus (hcv riba) CPT 86804 not published not published $16.42 – $37.70 7
Ghs hgb stability-thal CPT 83068 not published not published $8.86 – $20.58 7
Ghs histoplasma antigen CPT 87385 $214.69 $580.25 $12.77 – $29.19 7
Ghs HIV antibody CPT 86703 $44.96 $121.50 $14.59 – $33.36 7
Ghs hla-dr/dq, multiple antigens CPT 86817 not published not published $68.01 – $156.65 7
Ghs i and d abscess/hematoma scrotum CPT 54700 $1,313.50 $3,550.00 $238.67 – $394.55 7
Ghs i and d perirectal abscess 46040 CPT 46040 $1,301.57 $3,517.75 $420.68 – $768.00 7
Ghs i and d pilonidal cyst complex CPT 10081 $1,468.35 $3,968.50 $181.85 – $320.40 7
Ghs i and d pilonidal cyst simple CPT 10080 $197.77 $534.50 $102.87 – $190.47 7
Ghs immun0electrophoresis CPT 86320 not published not published $14.92 – $54.54 7
Ghs incision thrombosed ext hemorrhoid CPT 46083 $186.48 $504.00 $113.63 – $198.63 7
Ghs indirect laryngoscopy/w fb removal CPT 31511 $238.65 $645.00 $144.62 – $244.22 7
Ghs inf midline insertion CPT 36140 not published not published $103.21 – $194.55 7
Ghs inhibitor screen CPT 85335 $122.66 $331.50 $13.55 – $31.30 7
Ghs init tx 1st degree burn CPT 16000 $86.58 $234.00 $51.78 – $87.08 7
Ghs inj neurolytic intercostal nerve CPT 64620 not published not published $188.60 – $330.60 7
Ghs inj neurolytic other perph nerve CPT 64640 $3,323.16 $8,981.50 $101.55 – $199.45 7
Ghs inj tendon origin/insertion CPT 20551 not published not published $47.50 – $79.59 7
Ghs inj transforaminal cerv ea add bil CPT 64480 not published not published $71.24 – $123.12 7
Ghs inj transforaminal cerv single bil CPT 64479 $1,285.20 $3,473.50 $140.95 – $254.41 7
Ghs insertion of needle - bone CPT 36680 $160.86 $434.75 $66.61 – $112.25 7
Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 $375.09 $1,013.75 $258.84 – $450.33 7
Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 $368.61 $996.25 $299.39 – $521.07 7
Ghs intermed repair over 30 cm - 12037 CPT 12037 $1,550.02 $4,189.25 $348.43 – $602.02 7
Ghs intro needle/intracath vein - 36000 CPT 36000 not published not published $10.58 – $17.68 7
Ghs irrigate corpora cavernosa for priapism CPT 54220 $224.59 $607.00 $151.25 – $248.97 7
Ghs IV thrombolytics - cerebral CPT 37195 $237.36 $641.50 $117.04 – $366.43 6
Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 $220.24 $595.25 $154.37 – $294.56 7
Ghs layer closure 2.5 cm or less - 12031 CPT 12031 $216.27 $584.50 $168.28 – $285.03 7
Ghs layer closure 2.5 cm or less - 12041 CPT 12041 $203.87 $551.00 $166.24 – $290.46 7
Ghs layer closure 2.5cm or less - 12051 CPT 12051 $207.11 $559.75 $188.93 – $319.04 7
Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 $235.78 $637.25 $225.72 – $378.90 7
Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 $231.53 $625.75 $214.11 – $372.09 7
Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 $277.41 $749.75 $234.49 – $404.07 7
Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 $292.58 $790.75 $220.52 – $384.35 7
Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 $287.86 $778.00 $231.82 – $399.30 7
Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 $296.46 $801.25 $247.51 – $427.20 7
Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 $322.09 $870.50 $269.27 – $504.06 7
Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 $378.79 $1,023.75 $306.29 – $559.85 7
Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 not published not published $317.24 – $625.83 7
Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 $203.41 $549.75 $373.10 – $699.98 7
Ghs layered repair over 30.0 cm -12047 CPT 12047 not published not published $347.13 – $695.89 7
Ghs layered repair over 3.0 cm -12057 CPT 12057 not published not published $426.70 – $702.71 7
Ghs leukocyte alkaline phos (mayo) CPT 85540 $57.81 $156.25 $9.12 – $20.94 7
Ghs low level laser therapy CPT 97039 not published not published $21.56 – $23.10 5
Ghs mbp CPT 83873 $74.19 $200.50 $18.24 – $41.87 7
Ghs moderate sedation < 5 yr, 30 min CPT 99151 $51.89 $140.25 $26.51 – $26.51 1
Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 $76.22 $206.00 $103.75 – $103.75 1
Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 $62.53 $169.00 $85.28 – $85.28 1
Ghs moderate sedation ea addtl 15 min CPT 99153 $53.00 $143.25 $11.15 – $11.15 1
Ghs moderate sedation ea addtl 15 min, other CPT 99157 $47.36 $128.00 $64.65 – $64.65 1
Ghs musc test done w/n test comp CPT 95886 not published not published $45.26 – $151.69 6
Ghs musc tst done w/nerv tst lim CPT 95885 not published not published $40.24 – $108.17 6
Ghs musc tst done w/n tst non ext CPT 95887 not published not published $43.11 – $126.53 6
Ghs nailbed repair/nail removal CPT 11760 $193.60 $523.25 $125.81 – $247.60 7
Ghs nerve blk intercostal, ea addtl level CPT 64421 not published not published $102.66 – $178.91 7
Ghs nerve blk intercostal, single level CPT 64420 $750.55 $2,028.50 $75.45 – $130.60 7
Ghs nerve block axillary nerve CPT 64417 $1,090.39 $2,947.00 $79.22 – $134.01 7
Ghs nerve block brachial plexus CPT 64415 $1,165.69 $3,150.50 $74.02 – $123.81 7
Ghs nerve block celiac plexus CPT 64530 $342.71 $926.25 $101.82 – $177.54 7
Ghs nerve block interscaline CPT 64510 not published not published $77.59 – $140.13 7
Ghs nerve block lumbar or thoracic symp CPT 64520 $342.71 $926.25 $87.57 – $152.37 7
Ghs nerve block sciatic nerve CPT 64445 $1,709.77 $4,621.00 $81.60 – $136.72 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.