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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
Optx medial ankle fx CPT 27766 not published not published $663.42 – $1,125.13 7
Optx mndblr cndylr fx CPT 21465 not published not published $998.31 – $1,744.85 7
Optx mndblr fx wo ntrdntl CPT 21461 not published not published $966.59 – $1,748.25 7
Optx mndblr fx xtrnl fixj CPT 21454 not published not published $598.21 – $1,008.13 7
Optx mndblr/max alv ridge fx CPT 21445 not published not published $649.66 – $1,151.67 7
Optx palatal/max fracture CPT 21422 not published not published $725.79 – $1,236.69 7
Optx partclr fx&/dslc elbw w CPT 24587 not published not published $1,198.45 – $1,999.26 7
Optx post ankle fx CPT 27769 not published not published $764.16 – $1,353.70 7
Optx prox humrl fx w/int fix CPT 23615 not published not published $953.45 – $1,633.28 7
Optx prx hmrl fx fix rpr rpl CPT 23616 not published not published $1,375.68 – $2,294.49 7
Optx radial shaft fracture CPT 25515 not published not published $725.64 – $1,231.26 7
Optx rad/uln dislc aqt/chrnc CPT 25676 not published not published $683.50 – $1,156.42 7
Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 not published not published $660.47 – $1,108.82 7
Optx rdl shft fx&cltx rad/ul CPT 25525 not published not published $861.65 – $1,437.38 7
Optx rdl shft fx&dstl rad/ul CPT 25526 not published not published $1,046.96 – $1,756.41 7
Optx rdl&uln shft fx rds&uln CPT 25575 not published not published $973.93 – $1,656.40 7
Optx rdl&uln shft fx rds/uln CPT 25574 not published not published $713.67 – $1,238.73 7
Optx scapular fx w/int fixj CPT 23585 not published not published $1,046.11 – $1,814.91 7
Optx sho dislc fx CPT 23670 not published not published $921.89 – $1,620.36 7
Optx sho dislc neck fx fixj CPT 23680 not published not published $998.36 – $1,713.56 7
Optx strclv dslc aq/chrn grf CPT 23532 not published not published $673.68 – $1,146.22 7
Optx strnclav dislc aqt/chrn CPT 23530 not published not published $587.67 – $1,051.66 7
Optx tmprmand dislocation CPT 21490 not published not published $1,010.93 – $1,722.39 7
Optx trns-scphprlnr fx dislc CPT 25685 not published not published $798.25 – $1,350.97 7
Optx ulnar shft fx int fixj CPT 25545 not published not published $677.17 – $1,144.18 7
Optx ulnar styloid fracture CPT 25652 not published not published $665.96 – $1,140.78 7
Oral aprepitant HCPCS J8501 $91.24 $246.60 $7.31 – $7.31 5
Oral busulfan HCPCS J8510 $232.30 $627.85 $7.31 – $7.31 5
Orchiectomy partial CPT 54522 not published not published $664.09 – $1,111.53 7
Orchiopexy (fowler-stephens) CPT 54650 not published not published $814.59 – $1,310.84 7
Orchiopexy ingun/scrot appr CPT 54640 not published not published $533.63 – $885.69 7
Organic acids total quant ea spec CPT 83918 $147.17 $397.75 $17.46 – $40.03 7
Oritavancin 400 mg intravenous solution HCPCS J2407 $1,212.12 $3,276.00 $34.51 – $36.98 5
Oropharyngeal biopsy 42800 CPT 42800 not published not published $122.35 – $212.93 7
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 $12.47 $33.71 $15.60 – $15.60 5
Ortho ewhf rigd without jnt cstm w HCPCS L3765 $782.70 $2,115.40 $1,965.08 – $1,965.08 1
Orthopantogram CPT 70355 not published not published $9.70 – $38.77 7
Orthosis lso rigd frm hyperex HCPCS L0472 $813.61 $2,198.95 $697.01 – $697.01 1
Oscillation chest wall mechanical per session CPT 94669 $110.08 $297.50 $33.43 – $115.39 6
Osmolality blood CPT 83930 $53.56 $144.75 $7.04 – $16.09 7
Osmolality urine CPT 83935 $39.22 $106.00 $7.30 – $16.59 7
Ostectomy complete 1st metatarsal head 28111 CPT 28111 not published not published $362.52 – $621.75 7
Ostectomy scapula partial CPT 23190 not published not published $604.65 – $1,047.59 7
Osteochondral knee allograft CPT 27415 not published not published $1,522.53 – $2,533.93 7
Osteochondral knee autograft CPT 27416 not published not published $1,070.15 – $1,806.06 7
Osteochondral talus autogrft CPT 28446 not published not published $1,316.98 – $2,257.76 7
Osteopath manip tx/5-6 body region 98927 CPT 98927 $47.82 $129.25 $51.64 – $88.44 7
Osteopath manip tx/7-8 body region 98928 CPT 98928 not published not published $61.03 – $112.25 7
Osteopath manip tx/9-10 body region98929 CPT 98929 not published not published $70.82 – $134.01 7
Osteoplasty humerus CPT 24420 not published not published $1,085.00 – $1,827.15 7
Osteot humerus w/wo int fixj CPT 24400 not published not published $901.08 – $1,513.56 7
Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 not published not published $741.78 – $1,224.45 7
Ot evaluation high complexity patient/family CPT 97167 $74.56 $201.50 $85.24 – $146.88 6
Ot evaluation low complexity patient/family CPT 97165 $74.56 $201.50 $85.24 – $146.88 6
Ot evaluation moderate complexity patient/family CPT 97166 $74.56 $201.50 $85.24 – $146.88 6
Other immunoelectrophoresis CPT 86325 not published not published $14.66 – $54.41 7
Oth resp proc, group HCPCS G0239 $61.88 $167.25 $13.30 – $21.77 6
Oth resp proc, indiv HCPCS G0238 $20.54 $55.50 $10.43 – $19.73 6
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 not published not published $82.64 – $88.55 5
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $34.50 $93.25 $38.32 – $70.06 7
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $33.95 $91.75 $31.61 – $55.09 7
Otolaryngo binocular microscopy 92504 CPT 92504 not published not published $10.58 – $17.68 7
Otoplasty 69300 CPT 69300 not published not published $505.17 – $892.49 7
Ot re-evaluation patient/family CPT 97168 $38.30 $103.50 $56.10 – $96.97 6
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $34.50 $93.25 $35.67 – $63.95 7
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $33.02 $89.25 $34.04 – $59.17 7
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $31.17 $84.25 $34.94 – $61.23 7
Ot training self care/home management direct contact each 15 minutes CPT 97535 $42.55 $115.00 $35.74 – $63.95 7
Outflow tarct agmntj heart chamber 33478 CPT 33478 not published not published $1,782.61 – $2,979.49 7
Ovarian cystectomy 58925 CPT 58925 not published not published $826.40 – $1,394.52 7
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $26.95 $72.85 $6.81 – $6.81 5
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $33.86 $91.50 $15.60 – $15.60 5
Oxytocin 10 unit/ml injection solution HCPCS J2590 $58.28 $157.50 $0.67 – $0.72 5
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $1.05 $2.85 $0.25 – $0.27 5
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $38.81 $104.90 $15.60 – $15.60 5
Palb2 gene full gene seq CPT 81307 not published not published $767.83 – $767.83 1
Palb2 gene known famil vrnt CPT 81308 not published not published $342.03 – $342.03 1
Paliperidone 117 mg/0.75 ml inj HCPCS J2426 $1,118.68 $3,023.45 $6.81 – $6.81 5
Palivizumab 50 mg/0.5 ml inj CPT 90378 $1,633.27 $4,414.25 $528.05 – $906.88 6
Palonosetron hcl HCPCS J2469 $372.41 $1,006.50 $37.04 – $37.04 5
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $647.48 $1,749.95 $15.60 – $15.60 5
Pancreatectomy 48153 CPT 48153 not published not published $3,408.62 – $5,728.38 7
Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 not published not published $1,704.81 – $2,892.42 7
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 $187.16 $505.85 $146.26 – $146.26 5
Papaverin hcl injection HCPCS J2440 $39.86 $107.73 $6.81 – $6.81 5
Parathormone (pth) intact CPT 83970 $139.49 $377.00 $43.52 – $100.42 7
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 not published not published $1,548.50 – $2,606.72 7
Parathyrd planar w/spect&ct CPT 78072 not published not published $354.63 – $591.83 6
Parathyroid autotransplantation 60512 CPT 60512 not published not published $274.57 – $453.05 7
Parathyroid planar imaging CPT 78070 not published not published $51.98 – $532.63 7
Parathyroid planar img w/tomo spect CPT 78071 not published not published $315.47 – $629.91 6
Paravaginal defect repair 57284 CPT 57284 not published not published $904.35 – $1,531.92 7
Parial mast w/lymph removal 19302 CPT 19302 not published not published $956.77 – $1,657.77 7
Paricalcitol HCPCS J2501 $41.14 $111.20 $15.60 – $15.60 5
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $182.78 $494.00 $18.23 – $29.93 7
Parotid duct diversion CPT 42507 not published not published $551.29 – $971.40 7
Parotid duct diversion CPT 42509 not published not published $924.28 – $1,524.43 7
Parotid duct diversion CPT 42510 not published not published $695.23 – $1,189.08 7
Part exc/post vert comp/sng/thorac 22101 CPT 22101 not published not published $887.10 – $1,597.23 7
Part hymenectomy/revi hymenal ring 56700 CPT 56700 not published not published $205.76 – $351.69 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.