healthcosts.net

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
Plethysmography lung volumes/airway resistance CPT 94726 $104.16 $281.50 $40.96 – $106.80 6
Pleurectomy parietal ; separate 32310 CPT 32310 not published not published $1,025.88 – $1,721.71 7
Plmt access bil tree sm bwl CPT 47541 not published not published $383.20 – $551.65 6
Plmt biliary drainage cath CPT 47534 not published not published $428.27 – $792.00 6
Plmt nephroureteral catheter CPT 50433 not published not published $294.42 – $529.88 6
Plmt ureteral stent prq CPT 50694 not published not published $305.81 – $549.55 6
Pm device progr eval dual CPT 93280 not published not published $20.12 – $76.23 7
Pm device progr eval multi CPT 93281 not published not published $23.72 – $76.23 7
Pml/raralpha 1 breakpoint CPT 81316 not published not published $492.32 – $763.56 6
Pmp22 gene dup/delet CPT 81324 not published not published $860.74 – $2,139.78 6
Pmp22 gene full sequence CPT 81325 not published not published $58.54 – $873.47 6
Pmp22 gene known fam variant CPT 81326 not published not published $52.89 – $58.54 6
Pm phone r-strip device eval CPT 93293 not published not published $20.77 – $76.23 7
Pms2 gene dup/delet variants CPT 81319 not published not published $252.97 – $392.34 6
Pms2 gene full seq analysis CPT 81317 not published not published $891.63 – $1,382.88 6
Pms2 known familial variants CPT 81318 not published not published $210.68 – $326.76 6
Pneumothrx tx-intraplrl inj ai CPT 32960 not published not published $105.24 – $193.19 7
#pnh-flow cytometry interp CPT 88187 not published not published $52.57 – $130.60 7
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $83.34 $225.25 $20.33 – $47.09 7
Polysom <6 yrs cpap/bilvl CPT 95783 not published not published $1,031.60 – $1,934.63 6
Polysom any age 1-3> param CPT 95808 not published not published $159.16 – $1,136.03 7
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 not published not published $225.64 – $1,182.96 7
Positional change of finger CPT 26555 not published not published $1,393.84 – $2,497.20 7
Positional nystagmus test CPT 92532 not published not published $30.14 – $105.00 6
Post non-seg/spine instrumentation 22840 CPT 22840 not published not published $862.61 – $1,404.72 7
Postpartum Care Only CPT 59430 not published not published $146.05 – $263.25 7
Post seg spine instrument/3-6 seg 22842 CPT 22842 not published not published $866.06 – $1,406.07 7
Potassium 24 hour urine CPT 84133 $25.16 $68.00 $4.43 – $10.46 7
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $48.56 $131.25 $1.45 – $1.45 5
Potassium serum/plasma/whole blood CPT 84132 $24.79 $67.00 $4.95 – $11.19 7
Pq biliary strict dil s&i CPT 74363 $369.91 $999.75 $55.99 – $81.63 6
Pq dr cath chg w cont s&i CPT 75984 $391.18 $1,057.25 $45.80 – $201.36 7
Pq kyphplsty 1 bdy lumb w/img CPT 22514 not published not published $544.64 – $12,277.16 6
Pq thr inj ext pse CPT 36002 $843.97 $2,281.00 $120.64 – $202.03 7
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $1,035.91 $2,799.75 $237.73 – $1,642.13 6
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $2,318.70 $6,266.75 $492.41 – $2,974.05 6
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $2,318.70 $6,266.75 $461.62 – $2,942.09 6
Pralatrexate injection HCPCS J9307 $328.13 $886.85 $146.26 – $146.26 5
Pralidoxime 1 gram solution for injection HCPCS J2730 $160.65 $434.20 $146.26 – $146.26 5
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 $1,301.20 $3,516.75 $646.27 – $1,179.56 7
Pr application of long arm splint CPT 29105 $225.33 $609.00 $65.44 – $110.88 7
Pr application splint static short arm CPT 29125 $222.37 $601.00 $43.05 – $73.47 7
Pr assessment emotional/behavioral per instrument brief CPT 96127 not published not published $5.75 – $5.75 1
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published $668.75 – $1,097.25 7
Pr correction hammertoe CPT 28285 not published not published $368.48 – $703.38 7
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $91.48 $247.25 $13.74 – $20.48 7
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published $175.82 – $287.07 7
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $125.71 $339.75 $26.17 – $115.39 7
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 not published not published $79.86 – $81.81 2
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 not published not published $118.44 – $119.04 2
Prealbumin CPT 84134 $68.45 $185.00 $15.37 – $35.49 7
Pr ecg 12 lead report only CPT 93010 $12.86 $34.75 $9.44 – $15.64 7
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 not published not published $29.82 – $48.98 7
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.55 $4.20 $1.45 – $1.45 5
Prednisone 1 mg tablet HCPCS J7512 $10.80 $29.20 $0.29 – $0.32 5
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $1,105.28 $2,987.25 $228.77 – $473.46 7
Pregnancy associated plasma protein-a CPT 84163 $64.47 $174.25 $15.90 – $36.65 7
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $566.29 $1,530.50 $61.14 – $267.35 7
Pregnancy Ultrasound (first trimester) CPT 76801 $488.77 $1,321.00 $61.54 – $229.92 7
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 not published not published $94.62 – $173.06 7
Prenatal Care Only (4-6 visits) CPT 59425 not published not published $397.68 – $673.46 7
Prenatal Care Only (7+ visits) CPT 59426 not published not published $703.77 – $1,187.71 7
Preparation palate mold CPT 42280 not published not published $115.79 – $210.88 7
Prepare embryo for transfer CPT 89255 not published not published $855.40 – $916.50 5
Prepare penis study CPT 54230 not published not published $89.19 – $146.94 7
Prep skin to 100cm2 other CPT 15004 $892.44 $2,412.00 $301.99 – $508.83 7
Prep skin to 100cm2 trk/ext CPT 15002 $937.12 $2,532.75 $253.33 – $425.16 7
Prep skn trk/ext adl 100cm2 CPT 15003 not published not published $51.38 – $85.03 7
Pressure max expiratory/inspiratory CPT 94799 $232.27 $627.75 $5.50 – $178.88 6
Pressure velocity wire add ves CPT 93572 not published not published $95.79 – $134.01 6
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 not published not published $14.59 – $186.00 6
Pretreat rbc absorption reference CPT 86978 $19.61 $53.00 $14.59 – $36.26 6
Pretreat rbc density gradient separation reference CPT 86972 $119.51 $323.00 $17.46 – $76.50 6
Pretreat rbc w chem/drugs reference CPT 86970 $207.39 $560.50 $10.94 – $105.00 6
Pretreat rbc w enzyme reference CPT 86971 not published not published $10.94 – $61.50 6
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 not published not published $159.80 – $234.69 6
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 $1,907.07 $5,154.25 $86.60 – $151.02 7
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 not published not published $167.86 – $299.31 7
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $503.29 $1,360.25 $124.09 – $322.44 7
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 not published not published $1,447.30 – $2,519.64 7
Prgrmg dev eval impltbl sys CPT 93260 not published not published $21.57 – $117.00 6
Prgrmg dev eval pm/ldls pm CPT 93279 not published not published $17.97 – $76.23 7
Prgrmg dev eval scrms ip CPT 93285 not published not published $16.17 – $76.23 7
Prgrmg eval implantable dfb CPT 93282 not published not published $20.85 – $76.23 7
Prgrmg eval implantable dfb CPT 93283 not published not published $24.07 – $76.23 7
Prgrmg eval implantable dfb CPT 93284 not published not published $27.67 – $76.23 7
Prgr stim/pace a/iv drug CPT 93623 not published not published $58.65 – $8,949.00 7
Pr hospital ip/obs care initial high level per day CPT 99223 not published not published $224.49 – $224.63 2
Pr hospital ip/obs care initial moderate level per day CPT 99222 not published not published $151.74 – $152.46 2
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 not published not published $111.73 – $112.48 2
Pr hospital ip/obs care subsequent high level per day CPT 99233 not published not published $115.70 – $119.05 2
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 not published not published $80.04 – $83.09 2
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 not published not published $43.57 – $46.08 2
Prim art mech thrmbc non-intracranial CPT 37184 not published not published $514.14 – $861.87 7
Prim art mech thrmbc non-intracranial add-on CPT 37185 not published not published $193.03 – $316.32 7
Pr incision & drainage abscess complicated/multiple CPT 10061 $313.30 $846.75 $180.89 – $331.96 7
Pr incision & drainage abscess simple/single CPT 10060 $238.65 $645.00 $100.77 – $178.23 7
Pr incision & drainage abscess vulva/perineal CPT 56405 $168.72 $456.00 $118.31 – $203.40 7
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $429.94 $1,162.00 $99.06 – $191.15 7
Pr management transitional care high w/in 7 days of discharge CPT 99496 not published not published $177.18 – $334.32 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.