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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
Partial complicated cystectomy 51555 CPT 51555 not published not published $1,429.51 – $2,348.91 7
Partial exc bone humerus CPT 24140 not published not published $772.65 – $1,290.43 7
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 not published not published $488.19 – $825.83 7
Partial excision of lip CPT 40500 not published not published $388.89 – $683.65 7
Partial hip replacement CPT 27125 not published not published $1,251.63 – $2,093.13 7
Partial hysterectomy CPT 58180 not published not published $1,066.91 – $1,808.10 7
Partial proctectomy; perineal 45123 CPT 45123 not published not published $1,216.01 – $2,102.66 7
Partial removal finger bone CPT 26235 not published not published $530.53 – $901.34 7
Partial removal finger bone CPT 26236 $767.01 $2,073.00 $468.88 – $806.77 7
Partial removal foot fascia CPT 28060 not published not published $394.96 – $665.97 7
Partial removal leg bone(s) CPT 27360 not published not published $928.13 – $1,572.06 7
Partial removal of bladder CPT 51550 not published not published $1,086.13 – $1,787.70 7
Partial removal of esophagus 43117 CPT 43117 not published not published $2,790.05 – $4,608.69 7
Partial removal of esophagus 43122 CPT 43122 not published not published $2,885.30 – $4,772.64 7
Partial removal of eye fluid CPT 67005 not published not published $469.27 – $910.86 7
Partial removal of eye fluid CPT 67010 not published not published $545.02 – $1,022.41 7
Partial removal of fibula CPT 27641 not published not published $737.93 – $1,231.93 7
Partial removal of foot bone CPT 28288 not published not published $473.09 – $801.33 7
Partial removal of hand bone CPT 26230 not published not published $540.45 – $914.94 7
Partial removal of heart sac 33030 CPT 33030 not published not published $1,510.65 – $3,771.99 7
Partial removal of lip CPT 40530 not published not published $444.39 – $759.16 7
Partial removal of lung 32480 CPT 32480 not published not published $1,665.76 – $2,782.23 7
Partial removal of nose CPT 30150 not published not published $830.91 – $1,426.48 7
Partial removal of penis CPT 54120 not published not published $709.49 – $1,163.91 7
Partial removal of pharynx 42890 CPT 42890 not published not published $1,522.94 – $2,659.78 7
Partial removal of radius CPT 25151 not published not published $637.93 – $1,074.12 7
Partial removal of radius CPT 25230 not published not published $468.46 – $788.41 7
Partial removal of rib CPT 21600 not published not published $599.81 – $1,044.18 7
Partial removal of sternum CPT 21620 not published not published $557.81 – $950.99 7
Partial removal of thyroid CPT 60220 not published not published $785.33 – $1,322.40 7
Partial removal of thyroid CPT 60225 not published not published $1,024.58 – $1,738.72 7
Partial removal of tibia CPT 27640 not published not published $922.34 – $1,546.89 7
Partial removal of toe CPT 28160 not published not published $296.98 – $503.38 7
Partial removal of tongue CPT 41120 not published not published $1,119.01 – $1,966.61 7
Partial removal of ulna CPT 25119 not published not published $538.32 – $910.17 7
Partial removal of ulna CPT 25150 not published not published $617.83 – $1,036.02 7
Partial removal of ulna CPT 25240 not published not published $466.30 – $784.34 7
Partial removal of vaginal wall 57106 CPT 57106 not published not published $539.44 – $908.13 7
Partial removal tear gland CPT 68505 not published not published $981.02 – $1,865.25 7
Partial thyroid excision CPT 60210 not published not published $777.74 – $1,321.72 7
Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 not published not published $1,119.42 – $1,882.93 7
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 $1,048.08 $2,832.65 $4.56 – $4.89 5
Part removal of metatarsal CPT 28110 not published not published $320.21 – $540.12 7
Part removal of metatarsal CPT 28113 not published not published $469.54 – $797.94 7
Part removal of metatarsal 28112 CPT 28112 not published not published $346.67 – $589.77 7
Passy muir valve metal trach HCPCS L8501 $160.47 $433.70 $201.57 – $201.57 1
Patient recorded spirometry CPT 94014 not published not published $22.89 – $89.79 7
Patient recorded spirometry CPT 94015 not published not published $25.80 – $43.53 7
Pdgfra gene CPT 81314 not published not published $376.62 – $533.80 6
Pdt dstr prmlg les phys/qhp CPT 96573 not published not published $316.15 – $338.73 5
Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 not published not published $830.22 – $1,425.81 7
Ped home apnea mntr att only CPT 94775 not published not published $198.80 – $213.00 5
Ped home apnea mntr dl&alys CPT 94776 not published not published $942.20 – $1,009.50 5
Pedicle enel/ntroral 15576 CPT 15576 not published not published $728.62 – $1,258.47 7
Pegaspargase injection HCPCS J9266 $3,604.91 $9,743.00 $5,064.91 – $5,064.91 5
Pelvic CT scan (with and without contrast) CPT 72194 $813.08 $2,197.50 $76.61 – $544.88 7
Pelvic CT scan (with contrast) CPT 72193 $971.25 $2,625.00 $73.00 – $486.38 7
Pelvic CT scan (without contrast) CPT 72192 $943.69 $2,550.50 $68.92 – $311.55 7
Pelvic MRI (with and without contrast) CPT 72197 $1,192.60 $3,223.25 $141.98 – $1,023.78 7
Pelvic MRI (with contrast) CPT 72196 $842.49 $2,277.00 $108.97 – $837.39 7
Pelvic MRI (without contrast) CPT 72195 $889.67 $2,404.50 $91.34 – $753.03 7
Pelvic Ultrasound (complete) CPT 76856 $485.35 $1,311.75 $43.20 – $223.80 7
Pelvic Ultrasound (limited) CPT 76857 $301.27 $814.25 $23.72 – $170.07 7
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $98.35 $265.80 $61.63 – $66.03 5
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $122.56 $331.25 $73.06 – $73.06 5
Peng benzathine/procaine inj HCPCS J0558 $108.11 $292.20 $6.81 – $6.81 5
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $47.66 $128.80 $15.60 – $15.60 5
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $53.28 $144.00 $0.57 – $0.57 5
Penicillin g procaine inj HCPCS J2510 $16.56 $44.75 $15.60 – $15.60 5
Penile injection CPT 54235 $222.46 $601.25 $81.98 – $115.39 7
Penile vascular study CPT 93980 $319.22 $862.75 $60.72 – $292.51 7
Penile vascular study CPT 93981 not published not published $27.59 – $196.59 7
Penile venous occlusion CPT 37790 not published not published $547.06 – $897.25 7
Penis plastic surgery CPT 54360 not published not published $810.47 – $1,328.54 7
Penis study CPT 54240 not published not published $35.57 – $115.39 7
Pentamidine non-comp unit HCPCS J2545 $159.27 $430.45 $73.06 – $73.06 5
Pentobarbital sodium inj HCPCS J2515 $64.60 $174.60 $11.96 – $32.15 6
Pentostatin 10 mg intravenous solution HCPCS J9268 $1,838.79 $4,969.70 $1,023.23 – $1,023.23 5
Perc cryo ablate renal tum CPT 50593 $14,222.62 $38,439.50 $527.20 – $903.38 7
Perc rf ablate renal tumor CPT 50592 $12,484.54 $33,742.00 $392.97 – $676.85 7
Percut ablate liver rf CPT 47382 $6,242.27 $16,871.00 $856.83 – $1,457.78 7
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 $269.71 $728.95 $37.04 – $37.04 5
Pericardiectomy/sub or com/w bypas 33031 CPT 33031 not published not published $1,689.43 – $4,677.40 7
Pericardiotomy/clot/for bod remove 33020 CPT 33020 not published not published $990.11 – $1,645.53 7
Peri-implt capslc brst compl CPT 19371 not published not published $847.84 – $1,460.49 7
Perineoplasty rpr per nonob CPT 56810 not published not published $287.23 – $488.42 7
Peripheral vascular rehab CPT 93668 $53.65 $145.00 $18.63 – $34.02 7
Peri-proc device eval icd CPT 93287 not published not published $13.65 – $63.95 7
Peri-proc device eval pm CPT 93286 not published not published $12.22 – $48.30 7
Peritoneal cath sub q resv per CPT 49419 not published not published $496.10 – $813.59 7
Peritoneogram rs&i CPT 74190 $295.26 $798.00 $30.27 – $448.96 6
Perit-vens shunt pat tst CPT 78291 not published not published $55.59 – $458.49 7
Perq art m-thrombect &/nfs CPT 61645 not published not published $892.45 – $1,513.72 6
Perq clsr tcat l atr apndge CPT 33340 not published not published $903.78 – $1,559.40 6
Perq dev breast 1st mr guide CPT 19287 $1,606.36 $4,341.50 $115.39 – $147.16 6
Perq dev breast 1st strtctc CPT 19283 $541.31 $1,463.00 $115.39 – $116.11 6
Perq nl/pl lithotrp cplx>2cm CPT 50081 not published not published $1,439.85 – $2,357.74 7
Perq nl/pl lithotrp smpl<2cm CPT 50080 not published not published $979.43 – $1,604.71 7
Perq plmt bile duct stent CPT 47538 not published not published $271.04 – $642.32 6
Perq plmt bile duct stent CPT 47539 not published not published $492.07 – $869.29 6

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.