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 |
|---|---|---|---|---|
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,674.84 | $9,932.00 | $83.41 – $385.69 | 7 |
| Artery x-rays chest CPT 75756 | not published | not published | $76.55 – $340.80 | 7 |
| Artery x-rays lung CPT 75741 | not published | not published | $83.51 – $293.87 | 7 |
| Artery x-rays lung CPT 75746 | not published | not published | $72.06 – $305.43 | 7 |
| Artery x-rays lungs CPT 75743 | not published | not published | $89.11 – $342.84 | 7 |
| Artery xrays of pelvis 75736 26 CPT 75736 | not published | not published | $73.15 – $313.59 | 7 |
| Artery x-rays spine CPT 75705 | not published | not published | $133.67 – $448.29 | 7 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $239.98 – $468.01 | 6 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,399.63 – $2,329.17 | 7 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,679.35 – $2,847.53 | 7 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,917.78 – $3,148.88 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,077.98 – $3,386.97 | 6 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,010.28 – $1,750.29 | 7 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,089.09 – $1,843.48 | 7 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,380.35 – $2,364.55 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,688.28 – $2,838.69 | 7 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $761.24 – $1,027.18 | 6 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $804.57 – $1,344.18 | 7 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $660.25 – $1,128.54 | 7 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $815.15 – $1,387.71 | 7 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $930.44 – $1,552.34 | 7 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $946.63 – $1,593.83 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $269.82 | $729.25 | $41.77 – $98.64 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $599.31 | $1,619.75 | $59.51 – $140.13 | 6 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $227.37 | $614.50 | $69.00 – $160.54 | 6 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $196.38 | $530.75 | $39.87 – $65.98 | 7 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $382.30 | $1,033.25 | $51.67 – $85.03 | 7 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $197.77 | $534.50 | $52.49 – $127.20 | 6 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $452.39 – $725.82 | 6 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $645.35 – $1,072.76 | 7 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $372.92 – $616.30 | 7 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $563.75 – $913.58 | 6 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $872.04 – $1,525.13 | 7 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $1,123.77 – $1,889.06 | 7 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $1,390.08 – $2,394.48 | 7 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $365.14 – $587.73 | 7 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,133.87 – $2,854.34 | 6 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,369.64 – $2,364.55 | 7 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $444.41 – $720.39 | 7 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $859.66 – $1,441.45 | 7 |
| Arthrodesis triple CPT 28715 | not published | not published | $1,036.91 – $1,735.32 | 7 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $431.58 – $767.33 | 7 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $731.07 – $1,250.98 | 7 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $317.33 – $567.33 | 7 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $509.43 – $875.48 | 7 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $526.54 – $919.02 | 7 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $692.77 – $1,174.79 | 7 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $514.22 – $911.53 | 7 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $889.53 – $1,517.64 | 7 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $844.38 – $1,435.34 | 7 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $1,030.41 – $1,693.83 | 7 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $880.61 – $1,450.29 | 7 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $1,297.26 – $2,147.55 | 7 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $900.28 – $1,460.49 | 7 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $788.93 – $1,323.09 | 7 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $812.83 – $1,386.35 | 7 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $484.29 – $818.34 | 7 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $621.11 – $1,046.22 | 7 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $667.52 – $1,131.93 | 7 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $775.32 – $1,310.84 | 7 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $534.92 – $918.35 | 7 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $433.84 – $766.63 | 7 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $784.70 – $1,324.44 | 7 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $720.28 – $1,217.65 | 7 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $1,075.46 – $1,794.49 | 7 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $616.20 – $1,032.62 | 7 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $198.08 – $735.71 | 7 |
| Artificial insemination CPT 58321 | not published | not published | $54.45 – $87.75 | 7 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $65.38 – $110.88 | 7 |
| Art pressure waveform analys CPT 93050 | not published | not published | $8.99 – $32.33 | 6 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,136.74 – $1,920.35 | 7 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $3,668.34 – $3,867.89 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,865.35 – $3,099.90 | 7 |
| Aspa gene CPT 81200 | not published | not published | $53.63 – $358.35 | 6 |
| Asp core fat pad CPT 17999 | not published | not published | $481.61 – $481.61 | 5 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $175.89 – $300.68 | 7 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $1,581.47 – $1,581.47 | 5 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,063.32 | $8,279.25 | $163.36 – $270.06 | 7 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $277.59 | $750.25 | $46.55 – $77.55 | 7 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,523.29 | $4,117.00 | $101.93 – $170.07 | 6 |
| Aspiration orbital contents CPT 67415 | $1,115.00 | $3,013.50 | $112.67 – $199.32 | 7 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $181.50 – $3,050.83 | 6 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $386.65 | $1,045.00 | $56.48 – $93.19 | 7 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $743.05 | $2,008.25 | $291.48 – $493.86 | 7 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.82 – $17.97 | 7 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $7.82 – $17.76 | 7 |
| Assay blood catecholamines CPT 82383 | not published | not published | $26.32 – $60.98 | 7 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $21.89 – $50.25 | 7 |
| Assay dir meas fr estradiol CPT 82681 | $67.62 | $182.75 | $31.71 – $31.71 | 1 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.82 – $18.27 | 7 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $23.97 – $55.09 | 7 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.82 – $17.93 | 7 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $13.55 – $82.59 | 7 |
| Assay of adp & amp CPT 82030 | not published | not published | $27.10 – $62.76 | 7 |
| Assay of androsterone CPT 82160 | not published | not published | $26.32 – $58.86 | 7 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.25 – $28.30 | 7 |
| Assay of bradykinin CPT 82286 | not published | not published | $7.30 – $16.75 | 7 |
| Assay of breath ethanol CPT 82075 | not published | not published | $12.77 – $29.32 | 7 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $21.89 – $50.64 | 7 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $13.29 – $30.84 | 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.