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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
Ghs nerve block suprascapular CPT 64418 $1,198.62 $3,239.50 $83.87 – $141.50 7
Ghs ng placement w fluoro guidance CPT 43752 $107.30 $290.00 $46.34 – $76.88 7
Ghs o2 saturation CPT 82810 not published not published $9.12 – $21.24 7
Ghs o2 uptake rest & exercise CPT 94680 not published not published $15.27 – $107.47 7
Ghs o2 uptake rest & indirect CPT 94690 $50.41 $136.25 $4.37 – $89.11 7
Ghs ob unlisted IV or art inj or infusion CPT 96379 not published not published not published 0
Ghs opcc repair cvp without subq port CPT 36575 $828.52 $2,239.25 $39.58 – $66.66 7
Ghs opcc repair cvp w subq port CPT 36576 $1,560.11 $4,216.50 $206.64 – $368.70 7
Ghs optokenetic CPT 92544 not published not published $2.52 – $42.85 7
Ghs oscillating trac CPT 92545 not published not published $2.17 – $38.10 7
Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 $25.62 $69.25 $26.66 – $43.53 7
Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 $36.54 $98.75 $39.33 – $65.98 7
Ghs ot dds rom CPT 95851 not published not published $8.68 – $14.28 7
Ghs ot prosthetic training/15 min CPT 97761 $28.77 $77.75 $34.44 – $61.23 7
Ghs ot sensory integrative tech/15min CPT 97533 $29.42 $79.50 $31.68 – $53.74 7
Ghs ot work hardening-additional hours CPT 97546 not published not published $54.05 – $130.50 6
Ghs pacing - transcutaneous CPT 92953 $479.43 $1,295.75 $1.14 – $20.41 7
Ghs paravert facet/nerve cerv ea add bil CPT 64492 not published not published $68.52 – $117.00 6
Ghs paravert facet/nerve lumb ea add bil CPT 64495 not published not published $59.12 – $99.99 6
Ghs path - pap (papanicolau) smear - vagina CPT 88141 not published not published $21.34 – $57.83 7
Ghs peritonsillar abscess i andd CPT 42700 $369.72 $999.25 $147.67 – $257.82 7
Ghs phenylketonurid CPT 84030 not published not published $3.57 – $7.00 7
Ghs picc line insert < 5 CPT 36568 $1,127.39 $3,047.00 $96.52 – $182.99 7
Ghs plngl fx pm cl CPT 26725 $270.75 $731.75 $311.62 – $559.17 7
Ghs plt ct-manual CPT 85032 not published not published $4.43 – $10.46 7
Ghs polysom <6 yrs 4/> parameters CPT 95782 not published not published $907.65 – $1,812.18 6
Ghs pos nystagmus CPT 92542 not published not published $2.88 – $48.98 7
Ghs ppd (tb intradermal) CPT 86580 $25.25 $68.25 $5.07 – $13.61 7
Ghs prostatic acid phosphatase (mayo) CPT 84066 $47.82 $129.25 $10.16 – $23.50 7
Ghs protein, misc fluid CPT 84160 not published not published $5.47 – $12.59 7
Ghs protoporphyrins fract CPT 84202 $53.00 $143.25 $15.11 – $34.91 7
Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 $45.05 $121.75 $13.03 – $29.80 7
Ghs pt - work hardening/int 2hrs CPT 97545 not published not published $135.82 – $352.50 6
Ghs quinidine CPT 80194 not published not published $15.37 – $35.52 7
Ghs refill of implantable pump CPT 95990 $219.87 $594.25 $63.94 – $115.39 7
Ghs removal intranasal foreign body CPT 30300 $283.24 $765.50 $113.48 – $126.58 7
Ghs removal pharyngeal foreign body CPT 42809 $348.36 $941.50 $135.96 – $251.70 7
Ghs repair extensor tendon hand, ea tendon CPT 26410 $1,554.46 $4,201.25 $588.01 – $1,019.01 7
Ghs repair tendon ext forearm/wrist ea CPT 25270 not published not published $534.17 – $899.29 7
Ghs respiratory syncytical virus igg/m CPT 86756 $30.16 $81.50 $13.55 – $31.36 7
Ghs reticulocyte count CPT 85044 not published not published $4.43 – $10.46 7
Ghs rsv eia (respir synctial vrs) CPT 87420 not published not published $12.77 – $29.19 7
Ghs sedimentation rate CPT 85651 not published not published $3.65 – $8.64 7
Ghs semen analysis fert CPT 89320 not published not published $12.77 – $29.32 7
Ghs semen analysis, post-vas CPT 89300 not published not published $9.38 – $21.70 7
Ghs sensitivity (per antimicro) CPT 87184 $29.14 $78.75 $7.30 – $16.80 7
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 $201.10 $543.50 $107.76 – $187.75 7
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 $200.82 $542.75 $145.37 – $251.70 7
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 $221.82 $599.50 $132.45 – $236.24 7
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 $242.07 $654.25 $176.61 – $298.09 7
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 $136.16 $368.00 $84.59 – $162.89 7
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 $178.34 $482.00 $82.51 – $149.60 7
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 $139.12 $376.00 $106.72 – $204.86 7
Ghs simple repair over 30 cm - 12007 CPT 12007 $275.56 $744.75 $165.52 – $285.70 7
Ghs simple repair over 30 cm - 12018 CPT 12018 $288.23 $779.00 $199.91 – $378.90 7
Ghs sleep study unattended CPT 95800 not published not published $127.90 – $321.76 6
Ghs somatosensory testing lower extremit CPT 95926 $365.01 $986.50 $33.37 – $331.27 7
Ghs somatosensory testing upper & lower limbs CPT 95938 $385.54 $1,042.00 $300.73 – $578.89 6
Ghs speech-gen aug dev eval iii, st CPT 92608 $59.85 $161.75 $31.76 – $88.44 7
Ghs sphenopalatine ganglion block CPT 64505 $605.69 $1,637.00 $95.40 – $161.90 7
Ghs spont nystagmus CPT 92541 not published not published $3.60 – $55.78 7
Ghs sp train/fitting sp device - kx CPT 92609 $85.75 $231.75 $88.06 – $182.31 7
Ghs st - eval for alt comm CPT 92567 not published not published $12.11 – $19.73 7
Ghs strapping shoulder - 29240 CPT 29240 $126.82 $342.75 $20.57 – $82.31 7
Ghs st - re-eval for alt comm CPT 92597 $106.01 $286.50 $54.75 – $130.60 7
Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 $66.51 $179.75 $16.32 – $31.29 7
Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 $144.58 $390.75 $166.24 – $365.30 7
Ghs superficial wnd dehiscence simp12020 CPT 12020 $583.03 $1,575.75 $204.34 – $350.32 7
Ghs superficial wnd dehis w packing12021 CPT 12021 $265.85 $718.50 $148.07 – $266.65 7
Ghs tracheostomy emergency - transtracheal CPT 31603 $1,242.46 $3,358.00 $251.79 – $419.04 7
Ghs trypsin (fecal) CPT 84488 not published not published $7.82 – $17.76 7
Ghs tx distal phalangeal fx with manipulation CPT 26755 $252.90 $683.50 $278.41 – $504.75 7
Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 not published not published $262.85 – $444.21 7
Ghs urine, hydroxproline total CPT 83505 not published not published $25.54 – $59.16 7
Ghs urine, porphyrins quant CPT 84120 $321.25 $868.25 $15.63 – $35.79 7
Ghs vaginal delivery only CPT 59409 $968.66 $2,618.00 $897.66 – $1,538.73 7
Ghs windowing of cast CPT 29730 not published not published $50.04 – $83.67 7
Giardia lamblia antibody CPT 86674 $85.93 $232.25 $15.63 – $35.82 7
Gi endoscopic ultrasound CPT 76975 not published not published $51.51 – $291.15 6
Gi inhouse confirmation CPT 87045 $46.34 $125.25 $9.90 – $22.95 7
Gingivoplasty each quadrant CPT 41872 not published not published $277.90 – $502.02 7
Gi protein loss CPT 78282 not published not published $23.98 – $448.96 6
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 not published not published $238.27 – $1,695.18 7
Gi trc img intral esophagus CPT 91111 not published not published $66.50 – $1,397.23 7
Gi wireless capsule measure CPT 91112 not published not published $978.30 – $2,051.64 6
Gjb2 gene full sequence CPT 81252 not published not published $114.77 – $739.08 6
Gjb2 gene known fam variants CPT 81253 not published not published $69.83 – $261.58 6
Gjb6 gene com variants CPT 81254 not published not published $39.73 – $82.00 6
Glaucoma surgery CPT 66150 not published not published $857.08 – $1,610.14 7
Glaucoma surgery CPT 66155 not published not published $854.35 – $1,609.47 7
Glaucoma surgery CPT 66160 not published not published $975.36 – $1,816.95 7
Glaucoma surgery CPT 66170 not published not published $1,181.01 – $2,250.95 7
Glucagon 1 mg solution for injection HCPCS J1610 $354.90 $959.20 $146.26 – $146.26 5
Glucagon plasma - sendout CPT 82943 $77.42 $209.25 $15.11 – $34.77 7
Glucose 1 hr post dose CPT 82950 $22.85 $61.75 $4.95 – $11.56 7
Glucose-6-phosphate dhydrogenase screen CPT 82960 not published not published $6.51 – $14.73 7
Glucose blood by monitoring device cleared by fda for home use CPT 82962 not published not published $2.35 – $5.70 7
Glucose blood quantitative CPT 82947 $25.35 $68.50 $4.17 – $9.54 7
Glucose body fluid CPT 82945 $27.01 $73.00 $4.17 – $9.54 7
Glucose monitoring continual min 72hr pt CPT 95249 not published not published $91.17 – $97.68 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.