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
Inst fibrinolysis agent sbsq d CPT 32562 not published not published $70.03 – $119.73 6
Instillation anticarcinogenic agent bladder CPT 51720 $481.56 $1,301.50 $71.07 – $148.29 7
Instll rx agnt into rnal tub CPT 50391 not published not published $111.23 – $183.68 7
Ins tun cvad 2 cath w/subq port(s) CPT 36566 not published not published $420.26 – $723.78 7
Ins tun cv cath wo subq prt/pm CPT 36557 not published not published $350.52 – $572.77 7
Ins tun cv cath wo subq prt/pm CPT 36558 not published not published $296.64 – $525.84 7
Ins tun intraperit dia cath CPT 49421 not published not published $260.56 – $428.56 7
Inst via cath agent pleurds CPT 32560 $524.57 $1,417.75 $88.78 – $148.29 7
Insulin total CPT 83525 $48.66 $131.50 $11.99 – $27.81 7
Ins vag brachytx device CPT 57156 not published not published $164.33 – $268.69 6
Integra meshed bil wound mat HCPCS C9363 $9,955.85 $26,907.70 $34.37 – $36.83 5
Interdental fixation CPT 21110 not published not published $665.34 – $1,237.38 7
Interdental wirg oth/thn fx CPT 21497 $810.12 $2,189.50 $580.83 – $1,139.41 7
Interdiscal perq aspir dx CPT 62267 $633.07 $1,711.00 $179.89 – $297.94 7
Interferon alfa-2b inj HCPCS J9214 $473.03 $1,278.45 $12.64 – $37.04 6
Intermediate visual field xm CPT 92082 not published not published $26.96 – $89.79 7
Internal nerve revision 64727 CPT 64727 not published not published $207.59 – $340.13 7
Interrogate subq defib CPT 93261 not published not published $21.57 – $106.80 6
Interrogation vad in person CPT 93750 not published not published $51.91 – $234.18 6
Interrog dev eval icpms ip CPT 93290 not published not published $9.70 – $76.23 7
Interrog dev eval scrms ip CPT 93291 not published not published $15.10 – $76.23 7
Interrog device eval heart CPT 93289 not published not published $20.12 – $76.23 7
Interrog evl pm/ldls pm ip CPT 93288 not published not published $16.17 – $76.23 7
Interstitial brachy inter CPT 77799 not published not published $890.05 – $890.05 5
Intestinal stricturoplasty CPT 44615 not published not published $1,180.36 – $1,999.93 7
Int hrhc lig 1 hroid without img CPT 46945 not published not published $217.84 – $419.71 7
Int hrhc lig 2+hroid without img CPT 46946 not published not published $232.66 – $418.35 7
Intra-atrial pacing CPT 93610 not published not published $61.34 – $8,949.00 7
Intra-atrial recording CPT 93602 not published not published $50.39 – $8,949.00 7
Intracard echo interv w/s&i CPT 93662 $857.66 $2,318.00 $55.86 – $264.62 6
Intracran angioplsty w/stent CPT 61635 not published not published $1,622.39 – $2,565.90 7
Intracranial angioplasty CPT 61630 not published not published $1,485.13 – $2,355.03 7
Intracranial complete study CPT 93886 $336.61 $909.75 $58.19 – $660.52 7
Intracranial limited study CPT 93888 $238.37 $644.25 $39.31 – $384.35 7
Intranasal biopsy 30100 CPT 30100 not published not published $75.03 – $129.25 7
Intranasal reconstruction CPT 30620 not published not published $649.07 – $1,166.63 7
Intraop epicard/endocard/pace/map/ 93631 CPT 93631 not published not published $148.26 – $8,949.00 7
Intraoral i+d tongue/floor lingual 41000 CPT 41000 not published not published $119.62 – $210.19 7
Intrapul surf admin endo tube CPT 94610 $100.64 $272.00 $62.75 – $113.59 7
Intrauterine transfusion ftl CPT 36460 not published not published $389.66 – $680.92 7
Intraventricular pacing CPT 93612 not published not published $71.59 – $8,949.00 7
Intrinsic factor antibody CPT 86340 $59.66 $161.25 $15.90 – $36.67 7
Intrm oph exam est patient CPT 92012 not published not published $56.88 – $99.31 7
Intro cath dialysis circuit CPT 36901 not published not published $165.15 – $284.61 6
Intro cath dialysis circuit w/pta CPT 36902 not published not published $246.16 – $424.45 6
Intro cath dialysis circuit w/stent plcmnt CPT 36903 not published not published $337.07 – $581.88 6
Intro catheter aorta CPT 36200 not published not published $160.69 – $289.79 7
Intro cath svc/ivc CPT 36010 not published not published $125.35 – $229.92 7
Intro long gi tube CPT 44500 $481.00 $1,300.00 $22.02 – $45.57 7
Intro long gi tube w/mult fluo CPT 74340 not published not published $33.88 – $50.34 6
Intro windpipe wire/tube CPT 31730 not published not published $169.30 – $276.18 7
Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 not published not published $105.59 – $180.60 6
Intrvasc Ultrasound noncoronary addl vessel CPT 37253 not published not published $85.13 – $144.76 6
Intubation endotracheal emergency procedure CPT 31500 $263.53 $712.25 $132.58 – $208.16 7
Io anal gast n-stim subsq CPT 95981 not published not published $19.44 – $76.23 7
Io ga n-stim subsq w/reprog CPT 95982 not published not published $39.92 – $76.23 7
Ionm in operatng room 15 min CPT 95940 $82.79 $223.75 $36.33 – $60.54 6
Ionm remote/>1 pt or per hr CPT 95941 not published not published $117.87 – $126.28 5
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 $11.99 $32.40 $0.34 – $0.36 5
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $153.98 $416.15 $0.28 – $0.30 5
Io rad tx deliver by elctrns CPT 77425 not published not published $562.89 – $562.89 5
Io rad tx delivery by x-ray CPT 77424 not published not published $562.89 – $562.89 5
Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 $230.57 $623.15 $146.26 – $146.26 5
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 $25.55 $69.05 $7.20 – $7.71 5
Iron CPT 83540 $70.67 $191.00 $6.78 – $13.56 7
Iron binding capacity CPT 83550 $24.14 $65.25 $9.12 – $21.27 7
Iron dextran 50 mg/ml injection solution HCPCS J1750 $62.12 $167.90 $15.60 – $15.60 5
Iron stain peripheral blood CPT 85536 not published not published $6.78 – $15.73 7
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 $53.50 $144.60 $1.45 – $1.45 5
Irradiation of blood product each unit reference CPT 86945 $71.04 $192.00 $15.37 – $144.00 6
Irrigation implantable venous access device for drug delivery systems CPT 96523 $100.36 $271.25 $25.34 – $115.39 7
Irrigation sphenoid sinus CPT 31002 not published not published $203.60 – $372.78 7
Irrigation vagina and/or appl medicament tx disease CPT 57150 not published not published $32.51 – $1,076.07 7
Island pedicle flap graft CPT 15740 not published not published $934.03 – $1,587.03 7
Ivc venogram s&i CPT 75825 not published not published $71.85 – $269.38 7
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $75.94 $205.25 $32.19 – $56.46 7
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $71.87 $194.25 $21.67 – $33.33 7
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $67.62 $182.75 $19.92 – $38.77 7
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $229.40 $620.00 $71.10 – $131.29 7
IV inj ra drug dx study CPT 78808 not published not published $46.88 – $80.27 7
IV njx tst vasc flo flap/grf CPT 15860 not published not published $115.39 – $128.06 7
Ivp w/nephrotomography CPT 74415 $322.92 $872.75 $30.74 – $247.60 7
Ivp w/wo kub w/wo tomography CPT 74400 $330.32 $892.75 $30.74 – $202.71 7
Ixabepilone 15 mg intravenous solution HCPCS J9207 $139.88 $378.05 $73.06 – $73.06 5
Jak2 targeted sequence analysis CPT 81279 $215.62 $582.75 $210.20 – $210.20 1
Jaw arthroscopy/surgery CPT 29800 not published not published $563.45 – $947.60 7
Jaw arthroscopy/surgery CPT 29804 not published not published $702.42 – $1,201.32 7
Jejunstmy tube plcmt CPT 44372 not published not published $275.12 – $483.66 7
John cunningham antibody CPT 86711 not published not published $22.40 – $35.02 6
J-tube placement CPT 44015 not published not published $161.78 – $264.62 7
Keratoprosthesis CPT 65770 not published not published $1,435.01 – $2,876.10 7
Ketogenic steroids fract CPT 83582 not published not published $14.85 – $34.48 7
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $64.10 $173.25 $8.60 – $19.88 7
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $9.71 $26.25 $6.81 – $6.81 5
Kidney endoscopy CPT 50551 not published not published $333.78 – $545.57 7
Kidney endoscopy CPT 50553 not published not published $354.71 – $584.34 7
Kidney endoscopy CPT 50570 not published not published $560.01 – $909.50 7
Kidney endoscopy CPT 50575 not published not published $812.30 – $1,324.44 7
Kidney endoscopy & biopsy CPT 50555 not published not published $386.82 – $632.64 7
Kidney endoscopy & biopsy CPT 50574 not published not published $642.24 – $1,048.26 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.