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 |
|---|---|---|---|---|
| Reinforce tibia CPT 27745 | not published | not published | $832.60 – $1,398.60 | 7 |
| Reinnervate larynx CPT 31590 | not published | not published | $935.07 – $1,648.92 | 7 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,444.45 – $2,393.11 | 7 |
| Reinsert ocular implant CPT 65155 | not published | not published | $847.71 – $1,614.91 | 7 |
| Release encircling material CPT 67115 | not published | not published | $489.04 – $935.34 | 7 |
| Release eye tissue CPT 67343 | not published | not published | $652.24 – $1,253.03 | 7 |
| Release facial nerve CPT 69720 | not published | not published | $1,280.37 – $2,236.66 | 7 |
| Release facial nerve CPT 69725 | not published | not published | $2,070.43 – $3,535.93 | 7 |
| Release facial nerve CPT 69955 | not published | not published | $2,174.24 – $3,720.97 | 7 |
| Release finger contracture CPT 26525 | not published | not published | $680.25 – $1,174.79 | 7 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $757.01 – $1,272.75 | 7 |
| Release inner ear canal CPT 69960 | not published | not published | $2,126.60 – $3,620.30 | 7 |
| Release knuckle contracture CPT 26520 | not published | not published | $677.35 – $1,172.74 | 7 |
| Release middle ear bone CPT 69650 | not published | not published | $862.79 – $1,510.83 | 7 |
| Release muscles of hand CPT 26593 | not published | not published | $620.31 – $1,078.20 | 7 |
| Release of eye fluid CPT 67015 | not published | not published | $578.92 – $1,091.12 | 7 |
| Release of foot tendon CPT 28220 | not published | not published | $336.02 – $563.25 | 7 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $288.61 – $485.70 | 7 |
| Release of foot tendons CPT 28222 | not published | not published | $389.44 – $659.85 | 7 |
| Release of foot tendons CPT 28226 | not published | not published | $350.34 – $695.89 | 7 |
| Release of lower leg tendon CPT 27680 | not published | not published | $471.94 – $802.70 | 7 |
| Release of lower leg tendons CPT 27681 | not published | not published | $569.63 – $1,004.05 | 7 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,778.01 – $2,984.25 | 7 |
| Release of midfoot joint CPT 28260 | not published | not published | $572.49 – $944.19 | 7 |
| Release of midfoot joint CPT 28264 | not published | not published | $748.14 – $1,351.65 | 7 |
| Release of shoulder ligament CPT 23415 | not published | not published | $760.57 – $1,280.91 | 7 |
| Release palm contracture CPT 26040 | not published | not published | $322.71 – $566.65 | 7 |
| Release palm contracture CPT 26121 | not published | not published | $642.28 – $1,093.85 | 7 |
| Release palm contracture CPT 26123 | not published | not published | $880.00 – $1,527.16 | 7 |
| Release palm contracture CPT 26125 | not published | not published | $307.27 – $505.43 | 7 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $495.69 – $857.79 | 7 |
| Release palm & finger tendon CPT 26442 | not published | not published | $993.22 – $1,744.15 | 7 |
| Release palm/finger tendon CPT 26440 | not published | not published | $647.54 – $1,112.89 | 7 |
| Release thumb contracture CPT 26508 | not published | not published | $658.94 – $1,156.42 | 7 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $572.83 – $957.11 | 7 |
| Relieve bladder contracture CPT 52640 | not published | not published | $349.99 – $576.86 | 7 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $2,197.06 – $3,723.01 | 7 |
| Relocation of testis(es) CPT 54680 | not published | not published | $901.83 – $1,450.98 | 7 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $456.00 – $764.60 | 7 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $374.05 – $637.39 | 7 |
| Rem/biv cast full arm/leg CPT 29705 | $471.57 | $1,274.50 | $52.61 – $87.08 | 7 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $92.87 – $154.41 | 7 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $403.47 – $698.61 | 6 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $29.46 – $48.30 | 7 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $29.83 – $48.30 | 7 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $26.59 – $76.23 | 7 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $729.73 – $1,259.14 | 6 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $780.18 – $1,297.92 | 7 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $93.74 – $169.38 | 7 |
| Removal biliary drg cath CPT 47537 | not published | not published | $110.28 – $193.26 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $871.17 | $2,354.50 | $153.83 – $234.18 | 7 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,296.20 | $3,503.25 | $213.99 – $387.06 | 7 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $150.40 – $251.70 | 7 |
| Removal cerclage without anes CPT 59899 | not published | not published | $3,119.00 – $3,119.00 | 5 |
| Removal cerumen impacted (both sides) CPT 69210 | $113.96 | $308.00 | $36.75 – $61.23 | 7 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $680.64 – $1,153.71 | 7 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,086.67 – $1,836.67 | 7 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $112.85 | $305.00 | $40.63 – $139.50 | 6 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $185.25 – $412.51 | 6 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $838.33 | $2,265.75 | $125.30 – $251.01 | 7 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,036.83 | $2,802.25 | $109.82 – $189.79 | 7 |
| Removal foreign body foot cmplx CPT 28193 | $1,907.07 | $5,154.25 | $410.64 – $696.57 | 7 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,433.57 | $3,874.50 | $148.12 – $251.01 | 7 |
| Removal foreign body gum 41805 CPT 41805 | $1,079.48 | $2,917.50 | $170.64 – $319.04 | 7 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $271.19 – $494.54 | 7 |
| Removal foreign body mouth CPT 40805 | not published | not published | $245.01 – $450.33 | 7 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,510.80 | $4,083.25 | $363.65 – $632.64 | 7 |
| Removal implant superficial separate procedure CPT 20670 | $1,108.06 | $2,994.75 | $160.42 – $273.46 | 7 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $678.31 – $1,176.84 | 7 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $522.19 – $942.15 | 7 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,091.57 – $1,763.20 | 7 |
| Removal of adenoids CPT 42830 | not published | not published | $226.62 – $393.18 | 7 |
| Removal of adenoids CPT 42831 | not published | not published | $244.21 – $423.12 | 7 |
| Removal of adenoids CPT 42836 | not published | not published | $265.35 – $455.08 | 7 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $199.94 – $364.62 | 7 |
| Removal of anal fissure CPT 46200 | not published | not published | $314.52 – $604.07 | 7 |
| Removal of anal tags CPT 46230 | not published | not published | $184.06 – $323.12 | 7 |
| Removal of ankle bone CPT 28130 | not published | not published | $711.29 – $1,340.78 | 7 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $455.40 – $770.04 | 7 |
| Removal of ankle implant CPT 27704 | not published | not published | $625.86 – $1,082.28 | 7 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $684.52 – $1,161.87 | 7 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $684.89 – $1,161.18 | 7 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,607.42 – $2,708.07 | 7 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,107.06 – $1,865.25 | 7 |
| Removal of bladder lesion CPT 51520 | not published | not published | $667.87 – $1,093.15 | 7 |
| Removal of bladder stone CPT 51050 | not published | not published | $528.29 – $868.68 | 7 |
| Removal of bone for graft CPT 20900 | not published | not published | $210.97 – $389.79 | 7 |
| Removal of bone for graft CPT 20902 | not published | not published | $318.70 – $566.65 | 7 |
| Removal of bone lesion CPT 23140 | not published | not published | $559.29 – $978.20 | 7 |
| Removal of bone lesion CPT 23145 | not published | not published | $753.10 – $1,276.83 | 7 |
| Removal of bone lesion CPT 23146 | not published | not published | $653.62 – $1,140.11 | 7 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,340.08 – $3,995.79 | 7 |
| Removal of breast lesion CPT 19120 | not published | not published | $428.79 – $761.21 | 7 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $961.50 – $1,146.00 | 6 |
| Removal of calcium deposits CPT 23000 | not published | not published | $385.31 – $682.97 | 7 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $2,294.90 – $3,986.94 | 7 |
| Removal of epididymis CPT 54860 | not published | not published | $468.32 – $770.73 | 7 |
| Removal of epididymis CPT 54861 | not published | not published | $634.09 – $1,040.79 | 7 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $560.80 – $1,057.79 | 7 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $784.04 – $1,380.91 | 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.