Ascension St. John Sapulpa (St. John Sapulpa, Inc.)
1004 E Bryan Ave, Sapulpa, OK · Ascension · · NPI 1922076603
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 |
|---|---|---|---|---|
| Appendectomy CPT 44950 | not published | not published | $700.74 – $1,190.44 | 7 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $95.26 – $155.78 | 7 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $944.60 – $1,619.67 | 7 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $642.08 – $1,113.57 | 7 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,255.13 | $3,392.25 | $256.12 – $406.79 | 6 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $504.77 | $1,364.25 | $64.96 – $98.64 | 6 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $185.56 | $501.50 | $28.67 – $48.98 | 6 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $1,738.54 | $4,698.75 | $228.19 – $362.58 | 6 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $336.42 | $909.25 | $51.76 – $78.22 | 6 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $123.77 | $334.50 | $19.59 – $31.96 | 6 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $168.89 – $310.20 | 7 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $182.84 – $315.63 | 7 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $161.42 – $276.86 | 7 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $152.99 – $244.22 | 7 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $62.57 – $129.25 | 7 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $92.72 – $173.46 | 7 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $147.67 – $255.78 | 7 |
| Appl halo type body cast CPT 29000 | not published | not published | $187.69 – $305.43 | 7 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $194.66 – $329.24 | 7 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $172.02 – $293.87 | 7 |
| Application clubfoot cast CPT 29450 | not published | not published | $127.26 – $214.28 | 7 |
| Application finger splntstatic 29130 CPT 29130 | $201.47 | $544.50 | $31.92 – $53.05 | 7 |
| Application halo femoral CPT 20663 | not published | not published | $482.83 – $861.20 | 7 |
| Application halo pelvic CPT 20662 | not published | not published | $478.98 – $790.46 | 7 |
| Application long leg splint 29505 CPT 29505 | $190.37 | $514.50 | $52.64 – $93.19 | 7 |
| Application lower leg splint 29515 CPT 29515 | $251.42 | $679.50 | $54.95 – $93.19 | 7 |
| Application multi layer compression below knee (both sides) CPT 29581 | $303.03 | $819.00 | $14.51 – $23.80 | 6 |
| Application of body cast CPT 29010 | not published | not published | $153.09 – $274.14 | 7 |
| Application of body cast CPT 29015 | not published | not published | $179.02 – $332.64 | 7 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $96.37 – $162.59 | 7 |
| Application of forearm cast 29075 CPT 29075 | $386.10 | $1,043.50 | $66.63 – $114.96 | 7 |
| Application of long arm cast 29065 CPT 29065 | $116.55 | $315.00 | $73.90 – $126.53 | 7 |
| Application of long leg cast CPT 29355 | not published | not published | $117.86 – $198.63 | 7 |
| Application of long leg cast 29345 CPT 29345 | $165.48 | $447.25 | $111.47 – $187.06 | 7 |
| Application of paste boot 29580 CPT 29580 | $255.30 | $690.00 | $39.34 – $66.66 | 7 |
| Application short leg cast 29405 CPT 29405 | $349.47 | $944.50 | $66.09 – $110.88 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,192.42 | $3,222.75 | $108.09 – $194.55 | 6 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,063.20 | $2,873.50 | $95.02 – $161.22 | 6 |
| Appl long leg cast brace CPT 29358 | not published | not published | $114.25 – $191.84 | 7 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,125.39 – $2,067.96 | 7 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $17.58 | $47.50 | $9.09 – $19.73 | 7 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $21.55 | $58.25 | $17.90 – $35.37 | 7 |
| Appl multlay comprs arm/hand CPT 29584 | $166.69 | $450.50 | $17.85 – $29.25 | 6 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $92.05 – $157.81 | 7 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $602.25 – $1,092.48 | 7 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $52.65 – $95.91 | 7 |
| Apply forearm splintdynamic 29126 CPT 29126 | $62.16 | $168.00 | $52.91 – $91.16 | 7 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $499.68 – $923.77 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | $168.17 | $454.50 | $72.01 – $124.48 | 7 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $281.33 – $1,565.94 | 7 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $270.19 – $1,305.40 | 7 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $210.03 – $921.74 | 7 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $176.68 – $691.82 | 7 |
| Apply of finger splint 29131 CPT 29131 | $48.19 | $130.25 | $36.63 – $63.27 | 7 |
| Apply rem fixation device CPT 20660 | $657.03 | $1,775.75 | $268.66 – $446.25 | 7 |
| Apply rigid leg cast 29445 CPT 29445 | $335.59 | $907.00 | $116.12 – $197.96 | 7 |
| Apply short leg castambul type 29425 CPT 29425 | $66.79 | $180.50 | $62.48 – $105.44 | 7 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $51.60 – $212.93 | 7 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,213.39 – $2,144.84 | 7 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,318.65 – $3,759.06 | 7 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $37.00 – $85.38 | 7 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $40.33 | $109.00 | $40.85 – $78.92 | 7 |
| Aquatic exercise - group charge CPT 97150 | $32.75 | $88.50 | $19.00 – $32.66 | 7 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,184.88 – $2,195.16 | 7 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,165.25 – $1,630.56 | 6 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $190.57 | $515.05 | $6.51 – $6.97 | 5 |
| Aripiprazole injection HCPCS J0400 | $21.79 | $58.90 | $0.57 – $0.57 | 5 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $102.12 | $276.00 | $37.04 – $37.04 | 5 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $2,132.62 – $3,578.79 | 7 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,787.23 – $3,021.68 | 7 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,994.17 – $3,358.39 | 7 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,800.84 – $3,020.31 | 7 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,974.41 – $3,330.51 | 7 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $2,026.75 – $3,420.30 | 7 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,263.63 – $2,134.62 | 7 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,576.44 – $2,650.26 | 7 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,349.40 – $2,282.93 | 7 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,611.31 – $2,738.01 | 7 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,451.65 – $2,467.95 | 7 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,246.58 – $2,109.45 | 7 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,245.03 – $2,103.33 | 7 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,347.74 – $2,282.24 | 7 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,127.88 – $2,033.27 | 7 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,247.44 – $2,063.20 | 7 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,943.75 – $4,966.50 | 7 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,710.48 – $4,544.74 | 7 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,413.73 – $2,400.60 | 7 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,609.29 – $2,724.41 | 7 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,436.77 – $2,444.82 | 7 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,526.65 – $2,580.87 | 7 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.19 | $1,430.25 | $58.42 – $97.28 | 7 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,528.32 – $2,555.70 | 7 |
| Artery to vein shunt CPT 36835 | not published | not published | $542.57 – $807.45 | 7 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $906.15 – $1,524.43 | 7 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $762.58 – $1,258.47 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | not published | not published | $23.05 – $178.91 | 7 |
| Artery xray of abdomen 75726-26 CPT 75726 | not published | not published | $72.46 – $323.81 | 7 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $75.94 – $300.68 | 7 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $88.29 – $372.78 | 7 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,500.35 | $4,055.00 | $72.65 – $323.12 | 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.