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 |
|---|---|---|---|---|
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $24.87 – $38.85 | 6 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $110.52 – $214.97 | 6 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $51.74 – $263.25 | 7 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $55.71 – $285.03 | 7 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $48.87 – $263.25 | 7 |
| Nuclear Stress Test (Heart) CPT 78452 | not published | not published | $414.64 – $874.80 | 6 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $60.54 – $150.33 | 6 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $305.93 – $330.69 | 5 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $93.61 – $116.66 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $71.59 – $80.58 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $142.75 | $385.80 | $85.96 – $92.10 | 5 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.71 – $366.57 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $147.90 – $226.40 | 7 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.47 – $283.45 | 7 |
| Observation per hour HCPCS G0378 | $21.37 | $57.75 | $55.40 – $55.40 | 5 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,039.17 – $1,959.80 | 7 |
| Obstetrics panel CPT 80055 | $76.04 | $205.50 | $42.47 – $145.20 | 7 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $62.52 – $223.80 | 7 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $30.54 – $147.62 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $273.34 – $459.17 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $19,859.75 | $53,675.00 | $77.35 – $82.88 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $240.50 | $650.00 | $2.06 – $2.21 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,488.73 | $17,537.10 | $146.26 – $146.26 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $406.79 | 7 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,641.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $106.63 | $288.20 | $146.26 – $146.26 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $1,109.67 | $2,999.10 | $15.60 – $15.60 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $15.60 – $19.22 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $2,696.51 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $655.75 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $581.61 – $799.00 | 6 |
| Oncology gynecologic CPT 81535 | not published | not published | $662.30 – $938.73 | 6 |
| Oncology gynecologic CPT 81536 | not published | not published | $202.94 – $287.64 | 6 |
| Oncology prostate prob score CPT 81539 | not published | not published | $683.38 – $975.40 | 6 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $58.54 – $1,018.10 | 6 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $58.54 – $295.67 | 6 |
| Oncoprotein dcp CPT 83951 | not published | not published | $68.01 – $156.72 | 7 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $68.01 – $156.72 | 7 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.36 | $3.68 | $0.06 – $0.06 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.25 | $25.00 | $0.15 – $0.17 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $1,037.40 – $1,111.50 | 5 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $2,140.74 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $2,663.86 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $3,429.82 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $3,688.32 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $1,471.38 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $438.07 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $1,573.42 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $1,388.38 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $1,275.46 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $3,799.20 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $526.51 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $872.09 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $1,048.95 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $1,354.38 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $996.57 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $1,193.84 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,631.23 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $1,016.97 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $1,521.05 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $112.15 | 7 |
| Ophthalmic mitomycin HCPCS J7315 | $516.61 | $1,396.25 | $146.26 – $146.26 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $112.15 | 7 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $73.79 – $325.15 | 7 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $41.10 – $176.87 | 7 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $49.23 – $186.39 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $723.27 – $1,140.78 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $325.45 – $564.62 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $317.68 – $586.38 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $747.33 – $1,240.10 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,216.30 – $2,076.12 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,262.68 – $2,386.32 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,241.21 – $2,262.51 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $402.47 – $703.38 | 7 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,190.97 – $2,061.16 | 7 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $991.09 – $1,699.26 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $780.77 – $1,368.66 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $727.92 – $1,300.63 | 7 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $746.13 – $1,278.87 | 7 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $961.99 – $1,658.44 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $697.27 – $1,219.69 | 7 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $587.38 – $1,043.51 | 7 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $842.40 – $1,500.63 | 7 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,067.37 – $1,836.67 | 7 |
| Oprelvekin injection HCPCS J2355 | $353.44 | $955.25 | $146.26 – $146.26 | 5 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $716.26 – $1,210.17 | 7 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $614.85 – $1,048.95 | 7 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $629.84 – $1,074.80 | 7 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $776.30 – $1,319.68 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $765.82 – $1,328.54 | 7 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,305.43 – $2,246.19 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $611.56 – $1,044.87 | 7 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $818.21 – $1,443.49 | 7 |
| Optx lunate dislocation CPT 25695 | not published | not published | $686.92 – $1,161.87 | 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.