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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
Incision of tendon & muscle CPT 23405 not published not published $684.62 – $1,155.75 7
Incision of tendon sheath CPT 25000 not published not published $362.81 – $614.94 7
Incision of thigh tendon CPT 27306 not published not published $385.40 – $669.36 7
Incision of thigh tendon CPT 27390 not published not published $473.01 – $823.11 7
Incision of thigh tendons CPT 27307 not published not published $468.87 – $881.61 7
Incision of thigh tendons CPT 27391 not published not published $618.91 – $1,059.15 7
Incision of thigh tendons CPT 27392 not published not published $766.24 – $1,308.80 7
Incision of tibia CPT 27705 not published not published $836.51 – $1,404.72 7
Incision of tibia & fibula CPT 27709 not published not published $1,250.60 – $2,164.56 7
Incision of toe tendons 28011 CPT 28011 not published not published $316.90 – $544.20 7
Incision of tongue fold CPT 41010 not published not published $115.66 – $206.79 7
Incision of tongue nerve CPT 64740 not published not published $496.86 – $856.44 7
Incision of urethra CPT 53000 not published not published $164.44 – $272.10 7
Incision of urethra CPT 53010 not published not published $327.14 – $538.75 7
Incision of urethra CPT 53020 not published not published $109.61 – $179.58 7
Incision of urethra CPT 53025 not published not published $79.92 – $136.72 7
Incision of windpipe CPT 31601 not published not published $240.74 – $487.06 7
Incision of windpipe CPT 31610 not published not published $775.24 – $1,334.65 7
Incision of wrist capsule CPT 25085 not published not published $488.82 – $827.19 7
Incision secondary cataract CPT 66820 not published not published $389.12 – $740.12 7
Incision tendon sheath CPT 26055 not published not published $307.53 – $566.65 7
Incisn of toe tndn CPT 28010 not published not published $230.02 – $391.14 7
Incisn windpipe CPT 31600 not published not published $447.18 – $744.20 7
Induced ab 1+vag supp d&c CPT 59856 not published not published $546.20 – $913.58 7
Induced ab 1+ vag sup w/dlv fetus CPT 59855 not published not published $463.60 – $777.52 7
Induced abortion d&c CPT 59840 not published not published $230.22 – $386.38 7
Induced abortion dilat&evac CPT 59841 not published not published $403.30 – $675.50 7
Infect ag drug suscept pheno predict CPT 87900 $158.55 $428.50 $82.44 – $147.95 7
Infect ag eia chlamydia trachomatis CPT 87320 not published not published $12.77 – $29.19 7
Infect ag eia influenza a or b ea CPT 87400 not published not published $12.77 – $29.19 7
Infect ag genotype na cytomegalovirus CPT 87910 $358.99 $970.25 $400.83 – $626.37 6
Infect ag genotype na dna hepatitis b CPT 87912 $202.30 $546.75 $58.54 – $400.83 6
Infect ag genotype na hiv-1 other region CPT 87906 $310.41 $838.95 $58.54 – $146.11 6
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $367.32 $992.75 $36.26 – $292.21 7
Infect ag ia direct hiv-1 antgn CPT 87806 not published not published $37.49 – $56.53 6
Infect ag ia optc obs chlamydia trach CPT 87810 not published not published $12.77 – $29.19 7
Infect ag ia optc obs influenza CPT 87804 $65.58 $177.25 $12.77 – $29.19 7
Infect ag if ea plyvlnt antsrm CPT 87300 $18.78 $50.75 $12.77 – $29.19 7
Infect ag if hep delta agent CPT 87380 $78.26 $211.50 $17.20 – $39.93 7
Infect ag if influenza a CPT 87276 $40.61 $109.75 $12.77 – $29.19 7
Infect ag if influenza b CPT 87275 $43.38 $117.25 $12.77 – $29.19 7
Infect ag if legionella pneumophila CPT 87278 $64.75 $175.00 $12.77 – $29.19 7
Infect ag if nos ea CPT 87299 $60.40 $163.25 $12.77 – $29.19 7
Infect ag if pneumocystis carinii CPT 87281 $56.15 $151.75 $12.77 – $29.19 7
Infect ag if varicella zoster CPT 87290 not published not published $12.77 – $29.19 7
Infect ag na chlamydia trachomatis qnt CPT 87492 not published not published $19.90 – $39.03 7
Infect ag na hep b amp CPT 87516 not published not published $37.00 – $85.38 7
Infect ag na herpes simplex quant CPT 87530 $190.46 $514.75 $45.08 – $104.22 7
Infect ag na hpv high-risk types CPT 87624 $136.25 $368.25 $54.64 – $65.13 6
Infect ag na influenza r/amp 1st 2 types CPT 87502 $294.06 $794.75 $132.49 – $207.01 6
Infect ag na influenza revr/amp ea type CPT 87501 $121.55 $328.50 $79.89 – $124.86 6
Infect ag na resp virus 12-25 targets CPT 87633 $336.15 $908.50 $82.94 – $648.90 6
Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 not published not published $515.43 – $1,188.87 7
Infect ag phenotype na hiv-1 ea addl drg CPT 87904 not published not published $27.62 – $63.42 7
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $40.70 $110.00 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $51.15 $138.25 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $43.38 $117.25 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $44.77 $121.00 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $112.85 $305.00 $11.90 – $23.32 7
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $35.80 $96.75 $10.94 – $25.14 7
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $21.46 $58.00 $10.94 – $25.14 7
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $32.28 $87.25 $37.49 – $58.60 6
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $98.51 $266.25 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $71.41 $193.00 $12.77 – $29.19 7
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 not published not published $12.77 – $29.19 7
Infectious agent nucleic acid amplified probe CPT 87798 $386.17 $1,043.70 $25.85 – $85.38 7
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $92.04 $248.75 $37.00 – $65.13 7
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $77.42 $209.25 $54.64 – $85.38 6
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $372.96 $1,008.00 $473.05 – $926.19 6
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $157.62 $426.00 $37.00 – $85.38 7
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $13.60 $36.75 $18.38 – $85.38 7
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $165.58 $447.50 $37.00 – $85.38 7
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $92.04 $248.75 $37.00 – $65.13 7
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $37.46 $101.25 $51.31 – $51.31 1
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 not published not published $37.00 – $85.38 7
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $58.74 $158.75 $54.64 – $84.73 6
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $462.63 $1,250.34 $648.90 – $978.39 6
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 not published not published $199.74 – $301.15 6
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 not published not published $332.29 – $435.68 6
Infectious agent nucleic acid quantification bk virus CPT 87799 $197.40 $533.50 $45.08 – $104.22 7
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $203.50 $550.00 $45.08 – $104.22 7
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $222.28 $600.75 $45.08 – $104.22 7
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $200.08 $540.75 $89.64 – $207.01 7
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $443.35 $1,198.25 $199.74 – $312.12 6
Infliximab 100 mg intravenous solution HCPCS J1745 $178.95 $483.65 $146.26 – $146.26 5
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $96.50 $260.80 $135.13 – $135.13 4
Influenza dna amp prob addl CPT 87503 $75.80 $204.87 $32.34 – $50.53 6
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 not published not published $46.59 – $49.92 5
Influenza virus vaccine, live trivalent intranasal CPT 90660 not published not published $24.55 – $35.19 6
Infratemporal approach/skull CPT 61591 not published not published $3,435.80 – $5,760.36 7
Infuse radioactive materials CPT 77750 not published not published $100.10 – $663.93 7
Ingest challenge ea addl 60 min CPT 95079 not published not published $74.93 – $125.85 6
Ingest challenge ini 120 min CPT 95076 not published not published $81.98 – $137.41 6
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 not published not published $46.96 – $103.50 6
Initial foot exam pt lops HCPCS G0245 $142.17 $384.25 $48.10 – $79.59 6
Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 not published not published $393.24 – $419.31 2
Initial nursing facility care/day 35 minutes CPT 99305 not published not published $138.99 – $143.61 2
Initial nursing facility care/day 45 minutes CPT 99306 not published not published $178.78 – $184.06 2
Initial nursing facility care/day low severity 99304 CPT 99304 not published not published $99.28 – $100.65 2
Initiation & management bipap/cpap initial day CPT 94660 $103.69 $280.25 $42.86 – $70.74 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.