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
Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 not published not published $1,126.03 – $1,901.98 7
Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 not published not published $1,424.07 – $2,412.84 7
Reconst lwr jaw w/fixation CPT 21196 not published not published $1,603.74 – $2,742.09 7
Reconst lwr jaw w/graft CPT 21194 not published not published $1,573.76 – $2,557.74 7
Reconst lwr jaw without fixation CPT 21195 not published not published $1,461.13 – $2,498.57 7
Reconst lwr jaw without graft CPT 21193 not published not published $1,315.39 – $2,312.18 7
Reconst major injured chest 32820 CPT 32820 not published not published $1,560.14 – $2,633.25 7
Reconst pectus excavatum/carinatum opn 21740 CPT 21740 not published not published $1,154.51 – $2,245.50 7
Reconstr lwr jaw segment CPT 21198 not published not published $1,257.14 – $2,157.75 7
Reconstr lwr jaw w/advance CPT 21199 not published not published $1,130.20 – $1,887.69 7
Reconstruct ankle joint CPT 27702 not published not published $1,067.43 – $1,802.67 7
Reconstruct cleft foot CPT 28360 not published not published $1,025.99 – $2,010.13 7
Reconstruct cleft palate CPT 42200 not published not published $947.08 – $1,606.76 7
Reconstruct cleft palate CPT 42205 not published not published $1,014.19 – $1,678.17 7
Reconstruct cleft palate CPT 42210 not published not published $1,154.28 – $1,918.98 7
Reconstruct cleft palate CPT 42215 not published not published $768.91 – $1,357.10 7
Reconstruct cleft palate CPT 42220 not published not published $584.13 – $983.64 7
Reconstruct cleft palate CPT 42225 not published not published $954.07 – $1,653.02 7
Reconstruct elbow joint CPT 24360 not published not published $991.59 – $1,653.69 7
Reconstruct elbow joint CPT 24361 not published not published $1,107.46 – $1,851.64 7
Reconstruct elbow joint CPT 24362 not published not published $1,171.96 – $1,952.33 7
Reconstruct elbow lat ligmnt CPT 24344 not published not published $1,192.42 – $2,019.66 7
Reconstruct elbow med ligmnt CPT 24346 not published not published $1,194.73 – $2,021.70 7
Reconstruct extra finger CPT 26587 not published not published $1,047.06 – $1,921.71 7
Reconstruct finger joint CPT 26545 not published not published $730.84 – $1,274.12 7
Reconstruct finger joint CPT 26548 not published not published $807.62 – $1,379.55 7
Reconstruct head of radius CPT 24365 not published not published $697.11 – $1,174.11 7
Reconstruct head of radius CPT 24366 not published not published $747.80 – $1,250.30 7
Reconstruction ankle joint CPT 27703 not published not published $1,230.37 – $2,096.53 7
Reconstruction knee CPT 27427 not published not published $782.07 – $1,321.05 7
Reconstruction knee CPT 27428 not published not published $1,213.05 – $2,052.32 7
Reconstruction knee CPT 27429 not published not published $1,359.06 – $2,301.28 7
Reconstruction of anus CPT 46753 not published not published $622.04 – $1,097.92 7
Reconstruction of bile ducts 47800 CPT 47800 not published not published $1,714.79 – $2,930.52 7
Reconstruction of eyelid CPT 67971 not published not published $744.97 – $1,393.83 7
Reconstruction of eyelid CPT 67973 not published not published $966.46 – $1,795.86 7
Reconstruction of eyelid CPT 67974 not published not published $962.66 – $1,793.14 7
Reconstruction of eyelid CPT 67975 not published not published $702.78 – $1,317.64 7
Reconstruction of jaw CPT 21245 not published not published $977.36 – $1,662.53 7
Reconstruction of jaw CPT 21246 not published not published $943.78 – $1,538.73 7
Reconstruction of jaw CPT 21248 not published not published $966.30 – $1,671.38 7
Reconstruction of jaw CPT 21249 not published not published $1,376.69 – $2,296.53 7
Reconstruction of jaw joint CPT 21240 not published not published $1,221.22 – $2,048.91 7
Reconstruction of jaw joint CPT 21242 not published not published $1,117.39 – $1,872.73 7
Reconstruction of jaw joint CPT 21243 not published not published $1,838.26 – $3,103.30 7
Reconstruction of lower jaw CPT 21244 not published not published $1,133.75 – $1,985.65 7
Reconstruction of mouth CPT 40840 not published not published $698.91 – $1,176.84 7
Reconstruction of mouth CPT 40842 not published not published $685.89 – $1,202.68 7
Reconstruction of mouth CPT 40843 not published not published $896.80 – $1,629.19 7
Reconstruction of mouth CPT 40844 not published not published $1,175.08 – $2,050.28 7
Reconstruction of mouth CPT 40845 not published not published $1,370.96 – $2,304.69 7
Reconstruction of nail bed CPT 11762 $1,694.60 $4,580.00 $202.22 – $348.29 7
Reconstruction of nose CPT 30410 not published not published $1,266.92 – $2,201.30 7
Reconstruction of nose CPT 30420 not published not published $1,479.19 – $2,548.89 7
Reconstruction of orbit CPT 21256 not published not published $1,292.48 – $2,286.32 7
Reconstruction of throat CPT 42950 not published not published $853.31 – $1,490.43 7
Reconstruction of urethra CPT 53410 not published not published $1,101.00 – $1,807.42 7
Reconstruction of urethra CPT 53415 not published not published $1,274.20 – $2,086.32 7
Reconstruction of urethra CPT 53430 not published not published $1,088.32 – $1,792.45 7
Reconstruction of urethra CPT 54308 not published not published $803.57 – $1,317.64 7
Reconstruction of urethra CPT 54312 not published not published $959.30 – $1,507.44 7
Reconstruction of urethra CPT 54316 not published not published $1,171.40 – $1,840.08 7
Reconstruction of urethra CPT 54318 not published not published $798.34 – $1,292.47 7
Reconstruction of urethra CPT 54322 not published not published $870.27 – $1,439.41 7
Reconstruction of urethra CPT 54324 not published not published $1,089.54 – $1,785.66 7
Reconstruction of urethra CPT 54326 not published not published $1,064.71 – $1,744.15 7
Reconstruction tongue fold CPT 41520 not published not published $270.92 – $479.58 7
Reconstruct lip with flap CPT 40527 not published not published $692.84 – $1,165.28 7
Reconstruct lip w/local flap 40525 CPT 40525 not published not published $610.32 – $1,039.42 7
Reconstruct lower jaw bone CPT 21255 not published not published $1,526.88 – $2,476.78 7
Reconstruct orbit/forehead CPT 21172 not published not published $1,991.47 – $3,482.20 7
Reconstruct shoulder joint CPT 23470 not published not published $1,331.60 – $2,227.14 7
Reconstruct shoulder joint CPT 23472 not published not published $1,617.69 – $2,704.68 7
Reconstruct ulna/radioulnar CPT 25337 not published not published $959.93 – $1,631.23 7
Reconstruct upper jaw bone CPT 21206 not published not published $1,238.72 – $2,323.74 7
Reconstruct urethra/bladder CPT 53431 not published not published $1,301.32 – $2,129.19 7
Reconstruct urethra stage 1 CPT 53420 not published not published $947.18 – $1,550.97 7
Reconstruct urethra stage 2 CPT 53425 not published not published $1,055.62 – $1,727.16 7
Reconstruct vena cava 34502 CPT 34502 not published not published $1,752.08 – $2,918.95 7
Rectal sensation test CPT 91120 not published not published $60.29 – $380.11 7
Red cell mass multiple CPT 78121 not published not published $20.08 – $138.76 7
Red cell mass single CPT 78120 not published not published $14.66 – $161.90 7
Red cell sequestration CPT 78140 not published not published $38.65 – $242.18 7
Red cell survival study CPT 78130 not published not published $38.65 – $287.75 7
Redo endovas vena cava filtr CPT 37192 not published not published $414.40 – $697.26 6
Reduce bowel obstruction 44050 CPT 44050 not published not published $1,019.32 – $1,735.99 7
Reduce testis torsion CPT 54600 not published not published $509.44 – $832.62 7
Reduction of facial bones CPT 21209 not published not published $679.34 – $1,185.67 7
Reduction of procidentia 45900 CPT 45900 $657.12 $1,776.00 $212.96 – $379.57 7
Re-exploration of chest 32120 CPT 32120 not published not published $977.67 – $1,637.36 7
Re-explore parathyroids CPT 60502 not published not published $1,418.04 – $2,397.20 7
Refill maint impl spine pump CPT 95991 not published not published $44.34 – $115.39 7
Refill/maint pump/resvr syst CPT 96522 not published not published $115.39 – $120.01 7
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 $82.61 $223.28 $84.21 – $90.22 5
Reimplant artery each 35697 CPT 35697 not published not published $170.48 – $287.07 7
Reinforce clavicle CPT 23490 not published not published $924.57 – $1,586.34 7
Reinforce eye wall CPT 67250 not published not published $786.55 – $1,482.94 7
Reinforce/graft eye wall CPT 67255 not published not published $736.64 – $1,610.84 7
Reinforce shoulder bones CPT 23491 not published not published $1,117.12 – $1,867.96 7
Reinforce thigh CPT 27495 not published not published $1,246.30 – $2,084.28 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.