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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
Lymph vessel x-ray arm/leg CPT 75801 not published not published $50.29 – $578.89 6
Lymph vessel x-ray arms/legs CPT 75803 not published not published $74.26 – $581.61 6
Lymph vessel x-ray trunk CPT 75805 not published not published $51.80 – $572.09 6
Lymph vessel x-ray trunk CPT 75807 not published not published $74.26 – $581.61 6
Lysis intranasal synechia 30560 CPT 30560 not published not published $144.65 – $256.45 7
Lysis of labial adhesions CPT 56441 not published not published $151.79 – $257.13 7
Lysis penil circumic lesion CPT 54162 not published not published $222.10 – $366.66 7
Macro exam dissect molec study ea CPT 88387 $36.54 $98.75 $7.55 – $63.27 6
Macroscopic exam arthropod CPT 87168 $49.03 $132.50 $4.43 – $10.39 7
Macroscopic exam parasite CPT 87169 $30.43 $82.25 $4.43 – $10.39 7
Magnesium CPT 83735 $51.06 $138.00 $7.04 – $16.30 7
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 $31.45 $85.00 $0.35 – $0.38 5
Magnetic image bone marrow CPT 77084 not published not published $100.99 – $779.57 7
Malaria antibody CPT 86750 not published not published $11.38 – $22.32 7
Male sling procedure CPT 53440 not published not published $846.35 – $1,388.38 7
Management of liver hemorrhage 47361 CPT 47361 not published not published $3,346.88 – $5,608.66 7
Manipulate finger w/anesth CPT 26340 not published not published $319.63 – $611.55 7
Manipulate wrist w/anesthes CPT 25259 not published not published $411.63 – $758.48 7
Manipulation chest wall demonstration/evaluation subsequent CPT 94668 $27.47 $74.25 $20.91 – $46.26 7
Manipulation chest wall initial demonstration/evaluation CPT 94667 $78.81 $213.00 $22.19 – $44.90 7
Manipulation of hip joint CPT 27275 not published not published $194.96 – $337.41 7
Manipulation of spine CPT 22505 not published not published $136.52 – $228.57 7
Manipulat palm cord post inj CPT 26341 not published not published $81.74 – $136.05 6
Mannitol 12.5 gm/50 ml inj HCPCS J2150 $9.25 $25.00 $6.81 – $6.81 5
Manual diff wbc count b-coat CPT 85009 $15.73 $42.50 $3.91 – $9.04 7
Mapping functional cort/subcort ea add'l hr CPT 95962 not published not published $51.48 – $456.45 7
Mapping io sentinel lymph node CPT 38900 not published not published $156.53 – $255.09 6
Map tachycard site(s) CPT 93609 not published not published $119.19 – $8,949.00 7
Marker biop eviva buckle ss HCPCS A4648 $2,042.79 $5,521.05 $387.67 – $415.37 5
Marsupialization liver lesion 47300 CPT 47300 not published not published $1,211.79 – $2,101.29 7
Mastectomy partial CPT 19301 not published not published $668.64 – $1,202.68 7
Mast mod rad CPT 19307 not published not published $1,255.34 – $2,206.05 7
Mastoidectomy CPT 69501 not published not published $796.19 – $1,375.47 7
Mastoidectomy complete 69502 CPT 69502 not published not published $1,061.42 – $1,826.47 7
Mastoids complete CPT 70130 $93.61 $253.00 $21.31 – $106.80 7
Mastoid surgery revision CPT 69603 not published not published $1,371.08 – $2,356.38 7
Mastopexy CPT 19316 not published not published $847.18 – $1,427.16 7
Mast simple complete CPT 19303 not published not published $1,035.23 – $1,863.88 7
M.avium-intra dna amp prob CPT 87561 $113.31 $306.25 $37.00 – $85.38 7
M.avium-intra dna dir prob CPT 87560 not published not published $21.11 – $48.80 7
Maxillofacial fixation CPT 21100 not published not published $426.65 – $638.76 7
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 $42.09 $113.75 $15.37 – $35.19 7
Mayo aathr protein s free CPT 85306 $99.44 $268.75 $16.16 – $37.27 7
Mayo activated protein c resistance assay CPT 85307 $95.92 $259.25 $16.16 – $37.27 7
Mayo adalimumab (humira) therapeutic drug level CPT 80145 not published not published $43.78 – $43.78 1
Mayo alkaline phosphatase isoenzyme CPT 84080 $66.79 $180.50 $15.63 – $35.98 7
Mayo alpha 1 antitrypsin CPT 82103 $55.04 $148.75 $14.07 – $32.69 7
Mayo amikacin trough therapeutic drug level CPT 80150 $65.86 $178.00 $15.90 – $36.67 7
Mayo analysis gene calr common variants exon 9 CPT 81219 $83.99 $227.00 $189.36 – $268.39 6
Mayo analysis gene jak2 p.val617phe variant CPT 81270 $258.35 $698.25 $142.71 – $221.35 6
Mayo analysis gene smn1 dosage/deletion CPT 81329 not published not published $143.85 – $155.50 5
Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 $1,287.60 $3,480.00 $1,195.49 – $1,316.60 6
Mayo androstenedione CPT 82157 $115.44 $312.00 $31.01 – $71.22 7
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 $61.61 $166.50 $15.37 – $35.52 7
Mayo antithrombin iii antigen CPT 85301 $103.51 $279.75 $11.47 – $26.30 7
Mayo aspergillus fumigatus antibody CPT 86606 $59.29 $160.25 $15.90 – $36.65 7
Mayo avwpr vw factor activity CPT 85397 $159.66 $431.50 $24.23 – $55.83 7
Mayo bart bartonella henselae antibody igg CPT 86611 $27.38 $74.00 $10.68 – $22.32 7
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 $109.24 $295.25 $58.54 – $225.50 6
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 not published not published $250.42 – $388.39 6
Mayo blastomyces antibody immunodiffusion CPT 86612 $55.04 $148.75 $13.55 – $31.39 7
Mayo bordetella pertussis antibody igg CPT 86615 $34.04 $92.00 $13.81 – $32.09 7
Mayo brcmg brucella antibody igm CPT 86622 $92.50 $250.00 $9.38 – $21.73 7
Mayo c1 esterase inhibitor CPT 83883 $47.18 $127.50 $14.33 – $33.08 7
Mayo carnitine total and free quantitative each specimen plasma CPT 82379 $106.93 $289.00 $17.72 – $41.02 7
Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 $121.46 $328.26 $28.14 – $65.13 7
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 not published not published $190.29 – $295.13 6
Mayo ceruloplasmin CPT 82390 $44.22 $119.50 $11.20 – $26.13 7
Mayo chemiluminescent parathyroid related peptide CPT 82397 $97.59 $263.75 $14.85 – $34.38 7
Mayo chikv chikungunya antibodies igg CPT 86790 $170.94 $462.00 $13.55 – $27.86 7
Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 $59.11 $159.75 $12.51 – $28.79 7
Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 $53.65 $145.00 $13.29 – $30.87 7
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 $346.32 $936.00 $122.99 – $283.45 7
Mayo chromium CPT 82495 $134.22 $362.75 $21.37 – $49.35 7
Mayo coccidioides antibody CPT 86635 $58.37 $157.75 $11.99 – $27.91 7
Mayo cocou cortisone urine CPT 82542 $195.82 $529.25 $19.02 – $43.94 7
Mayo cortisol free CPT 82530 $120.34 $325.25 $17.72 – $40.65 7
Mayo coxiella brunetii (q fever) igg antibody CPT 86638 $79.83 $215.75 $12.77 – $29.49 7
Mayo cyanide CPT 82600 $71.97 $194.50 $20.59 – $47.19 7
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 not published not published $580.96 – $1,074.12 6
Mayo deoxyribonuclease antibody titer CPT 86215 $43.75 $118.25 $14.07 – $32.23 7
Mayo dhea (dehydroepiandrosterone) CPT 82626 $117.85 $318.50 $26.58 – $61.48 7
Mayo dihydrotestosterone CPT 82642 $93.98 $254.00 $33.23 – $34.16 5
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 not published not published $8.86 – $20.63 7
Mayo efpo chloride stool CPT 82438 $62.62 $169.25 $5.21 – $11.89 7
Mayo estriol CPT 82677 $98.70 $266.75 $25.54 – $58.86 7
Mayo estrone CPT 82679 $75.20 $203.25 $26.32 – $60.73 7
Mayo ethosuximide therapeutic drug level CPT 80168 $66.51 $179.75 $17.20 – $39.77 7
Mayo everolimus therapeutic drug level CPT 80169 $75.85 $205.00 $21.38 – $33.15 6
Mayo factor ii CPT 85210 $96.76 $261.50 $13.81 – $31.59 7
Mayo factor v CPT 85220 $104.16 $281.50 $18.50 – $42.95 7
Mayo factor vii CPT 85230 $97.22 $262.75 $18.76 – $43.56 7
Mayo factor viii vw factor antigen CPT 85246 $100.46 $271.50 $24.23 – $55.83 7
Mayo factor viii vw factor multimetric analysis CPT 85247 $147.63 $399.00 $24.23 – $55.83 7
Mayo factor viii vw factor ristocetin cofactor CPT 85245 $92.41 $249.75 $24.23 – $55.83 7
Mayo factor x CPT 85260 $103.69 $280.25 $18.76 – $43.56 7
Mayo factor xi CPT 85270 $97.68 $264.00 $18.76 – $43.56 7
Mayo fat/lipids feces quantitative CPT 82710 $70.67 $191.00 $17.72 – $40.89 7
Mayo fbl culture fungi blood CPT 87103 $45.70 $123.50 $9.64 – $21.95 7
Mayo fdp/fsp paracoagulation CPT 85366 not published not published $9.12 – $20.95 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.