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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
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $32.38 $87.50 $23.53 – $59.17 7
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $29.05 $78.50 $13.95 – $23.80 7
Pt application of modality traction mechanical CPT 97012 $23.87 $64.50 $17.60 – $29.93 7
Pten gene dup/delet variant CPT 81323 not published not published $99.97 – $155.06 6
Pten gene full sequence CPT 81321 not published not published $685.54 – $1,063.24 6
Pten gene known fam variant CPT 81322 not published not published $66.65 – $103.36 6
Pterygomaxillary fossa surg any appr 31040 CPT 31040 not published not published $811.28 – $1,411.52 7
Pt evaluation high complexity patient/family CPT 97163 $74.56 $201.50 $87.76 – $151.09 6
Pt evaluation low complexity patient/family CPT 97161 $74.56 $201.50 $87.76 – $151.09 6
Pt evaluation moderate complexity patient/family CPT 97162 $74.56 $201.50 $87.76 – $151.09 6
Pt init/spiromet rec/review/interp 94016 CPT 94016 not published not published $28.39 – $46.26 7
Pt re-evaluation patient/family CPT 97164 $40.89 $110.50 $59.34 – $102.60 6
Pt repositioning canalith procedure(s) per day CPT 95992 not published not published $41.72 – $70.06 7
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 $32.38 $87.50 $14.88 – $25.17 6
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $30.43 $82.25 $29.81 – $52.38 7
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $19.61 $53.00 $27.07 – $48.30 7
Pt wheelchair management each 15 minutes CPT 97542 $29.60 $80.00 $32.95 – $56.46 7
Pul art balloon repr percut CPT 92997 not published not published $736.20 – $1,210.17 7
Pul art balloon repr percut CPT 92998 not published not published $364.10 – $599.29 7
Pulm endartercomy w/bypass 33916 CPT 33916 not published not published $1,977.19 – $7,952.13 7
Pulmonary decortication partial 32225 CPT 32225 not published not published $1,115.48 – $1,870.01 7
Pulmonary vent imaging CPT 78579 not published not published $171.03 – $385.69 6
Pulse ox continuous overnight monitoring CPT 94762 $78.07 $211.00 $24.80 – $42.85 7
Pulse ox multiple CPT 94761 $52.91 $143.00 $4.68 – $8.85 7
Pulse ox single CPT 94760 $24.88 $67.25 $2.98 – $5.45 7
Punc of shunt for asp or inj CPT 61070 $668.13 $1,805.75 $64.04 – $157.81 7
Puncture arterial withdrawal blood for diagnosis CPT 36600 $69.01 $186.50 $17.37 – $29.93 7
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 $191.94 $518.75 $103.96 – $177.54 7
Puncture/clear windpipe 31612 CPT 31612 $2,427.76 $6,561.50 $54.42 – $90.48 7
Puncture spinal lumbar diagnostic CPT 62270 $507.55 $1,371.75 $87.57 – $146.94 7
Pvb thoracic 2nd+ inj site CPT 64462 not published not published $61.78 – $106.11 6
Pvb thoracic cont infusion CPT 64463 not published not published $101.61 – $165.85 6
Pvb thoracic single inj site CPT 64461 $514.58 $1,390.75 $98.36 – $168.66 6
Pyloroplasty 43800 CPT 43800 not published not published $1,013.93 – $1,725.12 7
Pyridoxine hcl 100 mg HCPCS J3415 $9.79 $26.45 $15.60 – $15.60 5
Pyruvate CPT 84210 $81.03 $219.00 $11.47 – $26.41 7
Pyruvate kinase CPT 84220 $46.16 $124.75 $9.90 – $22.95 7
Quant diff pulm perf and vent w/imaging CPT 78598 not published not published $279.19 – $630.59 6
Quant diff pulm perf w/imaging CPT 78597 not published not published $175.70 – $424.47 6
Quest t3 uptake CPT 84479 $37.28 $100.75 $6.78 – $15.73 7
Quinupristin/dalfopristin HCPCS J2770 $358.62 $969.25 $146.26 – $146.26 5
Rabies ig heat-treated human im/subq 90376 CPT 90376 $815.67 $2,204.50 $106.51 – $528.05 6
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 $4,350.89 $11,759.15 $145.53 – $528.05 6
Rabies vaccine id CPT 90676 not published not published $528.05 – $528.05 5
Radiation handling CPT 77790 not published not published $15.10 – $171.42 7
Radiation physics consult CPT 77336 not published not published $67.67 – $80.89 7
Radiation therapy dose plan CPT 77300 not published not published $34.86 – $119.73 7
Radiation treatment aid(s) CPT 77332 not published not published $33.37 – $142.17 7
Radiation treatment aid(s) CPT 77333 $298.50 $806.75 $29.14 – $95.23 7
Radiation treatment aid(s) CPT 77334 $447.24 $1,208.75 $72.58 – $268.69 7
Radiation treatment delivery CPT 77401 not published not published $25.15 – $35.37 7
Radiation treatment delivery CPT 77402 not published not published $148.70 – $265.31 6
Radiation treatment delivery CPT 77412 not published not published $225.81 – $410.87 6
Radical abdominal hysterectomy 58210 CPT 58210 not published not published $2,012.27 – $3,343.43 7
Radical resection of elbow CPT 24149 not published not published $1,263.87 – $2,157.07 7
Radical resection sternum 21630 CPT 21630 not published not published $1,352.82 – $2,276.11 7
Radic resect abd tumor<5cm 22904 CPT 22904 not published not published $1,172.93 – $1,949.60 6
Radic resect shoulder tumor 5cm/> 23078 CPT 23078 not published not published $1,599.65 – $2,660.46 6
Radiesse injection HCPCS Q2026 $1,171.09 $3,165.10 $15.60 – $15.60 5
Radiology port images(s) CPT 77417 not published not published $11.15 – $24.50 7
Radiotherapy dose plan imrt CPT 77301 not published not published $494.78 – $3,479.47 7
Radphm lcl tmr plnr bdy sgl day img CPT 78802 not published not published $54.25 – $577.53 7
Radphm lcl tmr plnr bdy two day img CPT 78804 not published not published $67.68 – $1,012.89 7
Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 not published not published $642.34 – $642.34 1
Radphm lcl tomogr sgl area sgl day CPT 78803 not published not published $68.92 – $609.51 7
Radphm lcl tumor plr sgl day CPT 78800 not published not published $41.29 – $340.13 7
Radphm quant measure sgl area add-on CPT 78835 not published not published $82.65 – $82.65 1
Rad rescj tum dstl/shft hum CPT 24150 not published not published $1,073.51 – $2,871.33 7
Rad rescj tum shoulder<5 cm CPT 23077 not published not published $1,272.58 – $2,106.74 7
Rad rescj tum tiss a/e 5 cm+ CPT 24079 not published not published $1,479.35 – $2,450.94 6
Rad rescj tum tiss a/e <5cm CPT 24077 not published not published $896.90 – $1,919.67 7
Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 not published not published $771.36 – $1,377.51 7
Rad resect abd tumor 5 cm/> CPT 22905 not published not published $1,489.34 – $2,465.91 6
Rad resect hand tumor < 3 cm CPT 26117 not published not published $701.05 – $1,376.82 7
Rad resect hand tumor 3 cm/> CPT 26118 not published not published $1,162.55 – $1,953.67 6
Rad resection tum radial h/n CPT 24152 not published not published $805.79 – $2,491.76 7
Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 not published not published $642.80 – $1,784.30 7
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 $188.33 $509.00 $72.83 – $78.03 5
Rapid desensitization CPT 95180 $412.09 $1,113.75 $112.83 – $189.10 7
Rapid Strep Test CPT 87880 $48.56 $131.25 $12.77 – $29.19 7
Rasburicase 1.5 mg intravenous solution HCPCS J2783 $294.71 $796.50 $511.90 – $511.90 5
Rbc count only automated CPT 85041 $13.41 $36.25 $3.13 – $7.33 7
Rbc depletion of harvest CPT 38212 not published not published $55.99 – $88.44 7
Rbc serum pretx incubj drugs CPT 86975 not published not published $14.59 – $186.00 6
Rcnst bfrnt sp orb rm&lw fhd CPT 21175 not published not published $2,351.72 – $4,414.14 7
Rdctj forehead cntrg only CPT 21137 not published not published $768.91 – $1,298.60 7
Rdctj forehead cntrg&prostc CPT 21138 not published not published $988.26 – $1,555.05 7
Rdctj forehead cntrg&setback CPT 21139 not published not published $1,110.31 – $1,849.61 7
Realignment of knee CPT 27457 not published not published $1,046.92 – $1,772.06 7
Realignment of tendons CPT 26437 not published not published $650.58 – $1,122.42 7
Rebuild eardrum structures CPT 69632 not published not published $1,167.40 – $2,025.78 7
Rebuild eardrum structures CPT 69633 not published not published $1,123.49 – $1,959.12 7
Rebuild eardrum structures CPT 69636 not published not published $1,491.54 – $2,580.20 7
Rebuild outer ear canal CPT 69310 not published not published $1,157.81 – $2,039.38 7
Rebuild outer ear canal CPT 69320 not published not published $1,648.62 – $2,855.68 7
Rechanneling of artery CPT 35361 not published not published $1,754.90 – $2,962.49 7
Rechanneling of artery 35305 CPT 35305 not published not published $1,413.99 – $2,390.40 7
Rechanneling of artery 35341 CPT 35341 not published not published $1,573.59 – $2,665.22 7
Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 not published not published $1,478.61 – $2,487.68 7
Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 not published not published $1,666.54 – $2,822.36 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.