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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
MRI brain without & w/dye CPT 70559 not published not published $203.38 – $1,023.78 6
MRI breast c- unilateral CPT 77046 $663.69 $1,793.75 $172.28 – $172.28 1
MRI breast c-+ w/cad uni CPT 77048 not published not published $283.93 – $477.50 5
MRI breast without cont bi CPT 77047 $869.96 $2,351.25 $171.59 – $287.94 5
MRI breast w IV cont bi CPT 77049 not published not published $282.54 – $475.52 5
MRI cardiac morph & func wo IV cont CPT 75557 $717.52 $1,939.25 $152.98 – $649.63 7
MRI cardiac morph & func wwo IV cont CPT 75561 $884.49 $2,390.50 $168.98 – $862.56 7
MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 not published not published $201.28 – $1,018.34 7
MRI chest without contrast CPT 71550 $901.97 $2,437.75 $91.34 – $831.27 7
MRI chest without & w/contrast CPT 71552 $1,182.06 $3,194.75 $142.78 – $1,176.15 7
MRI chest w IV cont CPT 71551 $927.41 $2,506.50 $108.17 – $924.47 7
MRI fetal ea addl gestation CPT 74713 not published not published $141.21 – $413.93 6
MRI fetal sngl/1st gestation CPT 74712 not published not published $112.82 – $855.95 6
MRI guid ndl plc s&i CPT 77021 $388.78 $1,050.75 $95.29 – $682.97 7
MRI guid parenchymal tiss ablation CPT 77022 not published not published $265.24 – $391.83 6
MRI loex nonjt w IV cont CPT 73719 $1,953.60 $5,280.00 $101.53 – $835.35 7
MRI lower extremity other than joint without contrast (both sides) CPT 73718 $2,051.28 $5,544.00 $84.59 – $735.35 7
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 $2,141.75 $5,788.50 $135.23 – $1,021.74 7
MRI orbit/face/neck without contrast CPT 70540 $932.86 $2,521.25 $84.59 – $721.07 7
MRI orbit/face/neck without & w/contrast CPT 70543 $1,270.49 $3,433.75 $134.83 – $999.98 7
MRI orbit fac&nck w IV cont CPT 70542 $940.26 $2,541.25 $101.53 – $813.59 7
MRI tmj CPT 70336 $372.68 $1,007.25 $92.97 – $640.80 7
MRI upper extremity other than joint without contrast (both sides) CPT 73218 $1,932.33 $5,222.50 $84.19 – $740.12 7
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 $2,248.86 $6,078.00 $135.23 – $1,014.93 7
MRI upper extremity w/dye CPT 73219 $1,854.07 $5,011.00 $101.53 – $821.75 7
MRI w/cont, breast, bi HCPCS C8906 $991.69 $2,680.25 $1,578.58 – $1,578.58 5
MRI w/cont, breast, uni HCPCS C8903 $781.26 $2,111.50 $1,578.58 – $1,578.58 5
MRI without fol w/cont, breast HCPCS C8908 $991.69 $2,680.25 $1,013.94 – $1,086.36 5
MRI without fol w/cont, brst, un HCPCS C8905 $781.26 $2,111.50 $1,021.55 – $1,094.52 5
Mr spectroscopy CPT 76390 $442.89 $1,197.00 $86.43 – $809.50 7
Msh2 gene dup/delete variant CPT 81297 not published not published $173.13 – $268.53 6
Msh2 gene full seq CPT 81295 not published not published $173.13 – $268.53 6
Msh2 gene known variants CPT 81296 not published not published $147.83 – $229.28 6
Msh6 gene dup/delete variant CPT 81300 not published not published $184.52 – $286.17 6
Msh6 gene full seq CPT 81298 not published not published $328.48 – $509.46 6
Msh6 gene known variants CPT 81299 not published not published $184.02 – $285.39 6
Mthfr gene analy common variants CPT 81291 $383.14 $1,035.50 $67.96 – $105.41 6
M.tuberculo dna dir probe CPT 87555 not published not published $21.11 – $48.80 7
Mucin synovial fluid CPT 83872 not published not published $6.25 – $14.27 7
Mucopolysaccharides CPT 83864 not published not published $21.11 – $48.45 7
Multi family grp psychotherapy CPT 90849 not published not published $34.47 – $54.42 7
Multifocal erg w/i&r CPT 92274 not published not published $94.44 – $94.44 4
Multiple sleep latency test CPT 95805 not published not published $113.11 – $746.24 7
Mumps antibody igg CPT 86735 $45.23 $122.25 $13.81 – $31.75 7
Muscle-skin graft arm CPT 15736 not published not published $1,261.52 – $2,136.66 7
Muscle-skin graft leg CPT 15738 not published not published $1,365.17 – $2,312.85 7
Muscle-skin graft trunk CPT 15734 not published not published $1,461.78 – $2,457.75 7
Muscle test cran nerv unilat CPT 95867 $149.11 $403.00 $33.06 – $204.75 7
Muscle test hemidiaphragm CPT 95866 not published not published $29.98 – $250.34 7
Muscle test larynx CPT 95865 not published not published $33.96 – $248.29 7
Muscle test one fiber CPT 95872 not published not published $28.97 – $374.82 7
Muscle transfers CPT 23397 not published not published $1,264.32 – $2,102.66 7
Muscle transfer shoulder/arm CPT 23395 not published not published $1,416.72 – $2,374.76 7
Musc/tdn transfer upr a/e 1 CPT 24301 not published not published $823.98 – $1,374.78 7
Mycobacteria dna amp probe CPT 87551 $145.04 $392.00 $37.00 – $85.38 7
Mycophenolate mofetil 250 mg capsule HCPCS J7517 $359.47 $971.55 $1.72 – $1.84 5
Mycoplasma antibody igm CPT 86738 $25.35 $68.50 $14.07 – $32.22 7
Myd88 gene p.leu265pro vrnt CPT 81305 $275.65 $745.00 $184.17 – $199.08 5
Myelogphy 2/> spine regions CPT 72270 $542.14 $1,465.25 $60.72 – $355.77 7
Myelography l-s spine CPT 72265 $482.85 $1,305.00 $51.38 – $228.57 7
Myelography neck spine CPT 72240 $436.60 $1,180.00 $53.54 – $233.32 7
Myelography thoracic spine CPT 72255 $464.81 $1,256.25 $52.46 – $223.13 7
Myelography via inj w/s&i 2+ regions CPT 62305 $911.87 $2,464.50 $142.23 – $458.49 6
Myelography via inj w/s&i cervical CPT 62302 $690.14 $1,865.25 $138.70 – $427.20 6
Myelography via inj w/s&i lumbosacral CPT 62304 $849.61 $2,296.25 $135.98 – $421.08 6
Myelography via inj w/s&i thoracic CPT 62303 $715.86 $1,934.75 $139.78 – $442.85 6
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 $295.72 $799.25 $12.25 – $28.07 7
Myocardial resection 33542 CPT 33542 not published not published $2,976.58 – $4,984.19 7
Myocrd img pet 1std rst/strs CPT 78491 not published not published $98.80 – $1,841.43 6
Myocrd img pet mlt rst&strs CPT 78492 not published not published $124.41 – $1,849.61 6
Myomectomy abdom complex CPT 58146 not published not published $1,277.60 – $2,181.55 7
Myomectomy abdom method CPT 58140 not published not published $1,017.31 – $1,733.28 7
Myomectomy vag method CPT 58145 not published not published $604.16 – $1,024.45 7
Myringoplasty CPT 69620 not published not published $531.16 – $915.62 7
Nalbuphine 10 mg/ml injection solution HCPCS J2300 $14.10 $38.10 $15.60 – $15.60 5
Narcosynthesis CPT 90865 not published not published $143.78 – $240.13 7
Nasal endoscopy dx uni/bi separate proc CPT 31231 $160.21 $433.00 $72.22 – $121.08 7
Nasal endoscopy with removal of nasal foreign body CPT 30999 not published not published $3,050.83 – $3,050.83 5
Nasal function studies CPT 92512 not published not published $31.77 – $53.74 7
Nasal/sinus endoscopy surg CPT 31287 not published not published $257.76 – $435.36 7
Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 not published not published $178.39 – $339.45 7
Nasal/sinus endo spendt remove tiss 31288 CPT 31288 not published not published $299.08 – $504.75 7
Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 not published not published $178.09 – $301.35 7
Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 not published not published $303.75 – $511.55 7
Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 not published not published $445.50 – $749.64 7
Nasal/sinus endo w/front sinus expl 31276 CPT 31276 not published not published $562.20 – $946.23 7
Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 not published not published $151.18 – $256.45 7
Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 not published not published $178.93 – $302.71 7
Nasal sinus therapy CPT 30210 not published not published $105.63 – $115.39 7
Nasopharyngoscopy w/endoscope CPT 92511 $116.18 $314.00 $41.77 – $90.48 7
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 $39.09 $105.65 $8.13 – $15.60 6
Natriuretic peptide CPT 83880 $83.62 $226.00 $35.70 – $82.59 7
Natural killer cells total count CPT 86357 $106.28 $287.25 $38.03 – $74.55 7
Navigational bronchoscopy 31627 CPT 31627 not published not published $111.08 – $182.31 6
N block inj common digit CPT 64632 not published not published $76.75 – $129.25 7
N block inj hypogas plxs CPT 64517 not published not published $136.67 – $232.65 7
Nctrnl pen tmscn&/rgdity tst CPT 54250 not published not published $11.15 – $115.39 7
Ndl emg musc 1 xtr/non-limb CPT 95870 $51.71 $139.75 $23.12 – $159.85 7
Ndl oculoelectromyography 1+ CPT 92265 not published not published $34.46 – $146.94 7
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 $920.65 $2,488.25 $79.64 – $557.13 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.