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 |
|---|---|---|---|---|
| Removal of external ear CPT 69120 | not published | not published | $425.25 – $763.92 | 7 |
| Removal of eye CPT 65101 | not published | not published | $728.83 – $1,406.07 | 7 |
| Removal of eye CPT 65110 | not published | not published | $1,236.60 – $2,289.05 | 7 |
| Removal of eye lesion CPT 65400 | not published | not published | $591.99 – $1,134.66 | 7 |
| Removal of eye lesion CPT 65420 | not published | not published | $371.16 – $702.71 | 7 |
| Removal of eye lesion CPT 65426 | not published | not published | $476.29 – $900.64 | 7 |
| Removal of face wrinkles CPT 15828 | not published | not published | $2,515.07 – $3,907.50 | 6 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $862.03 – $1,462.55 | 7 |
| Removal of fascia for graft CPT 20920 | not published | not published | $433.79 – $737.38 | 7 |
| Removal of fascia for graft CPT 20922 | not published | not published | $539.52 – $923.77 | 7 |
| Removal of finger lesion CPT 26210 | not published | not published | $465.58 – $808.14 | 7 |
| Removal of finger tendon CPT 26180 | not published | not published | $467.88 – $810.86 | 7 |
| Removal of foot fascia CPT 28062 | not published | not published | $454.36 – $763.25 | 7 |
| Removal of foot joint lining CPT 28070 | not published | not published | $396.41 – $662.57 | 7 |
| Removal of foot joint lining CPT 28072 | not published | not published | $368.00 – $621.75 | 7 |
| Removal of foot lesion CPT 28080 | not published | not published | $391.25 – $686.37 | 7 |
| Removal of foot lesion CPT 28090 | not published | not published | $340.87 – $576.86 | 7 |
| Removal of foot lesion CPT 28104 | not published | not published | $391.45 – $649.63 | 7 |
| Removal of forearm lesion CPT 25120 | not published | not published | $542.58 – $912.90 | 7 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $1,183.70 – $1,590.00 | 6 |
| Removal of foreign body CPT 27372 | not published | not published | $435.33 – $744.87 | 7 |
| Removal of frontal sinus CPT 31080 | not published | not published | $1,092.40 – $1,914.90 | 7 |
| Removal of frontal sinus CPT 31081 | not published | not published | $1,328.35 – $2,731.20 | 7 |
| Removal of frontal sinus CPT 31084 | not published | not published | $1,275.74 – $2,143.47 | 7 |
| Removal of frontal sinus CPT 31086 | not published | not published | $1,208.68 – $2,082.93 | 7 |
| Removal of frontal sinus CPT 31087 | not published | not published | $1,183.70 – $2,009.46 | 7 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $1,349.48 – $2,899.23 | 7 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $1,150.95 – $1,980.88 | 7 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $1,368.35 – $2,325.78 | 7 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,501.61 – $2,554.34 | 7 |
| Removal of gum tissue CPT 41830 | not published | not published | $300.94 – $530.60 | 7 |
| Removal of head of humerus CPT 23195 | not published | not published | $822.52 – $1,389.08 | 7 |
| Removal of heel bone CPT 28118 | not published | not published | $455.37 – $772.08 | 7 |
| Removal of heel spur CPT 28119 | not published | not published | $400.38 – $676.17 | 7 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $681.40 – $1,160.51 | 7 |
| Removal of humerus lesion CPT 23150 | not published | not published | $712.38 – $1,216.29 | 7 |
| Removal of humerus lesion CPT 23155 | not published | not published | $864.30 – $1,458.45 | 7 |
| Removal of humerus lesion CPT 23156 | not published | not published | $733.42 – $1,245.54 | 7 |
| Removal of hydrocele CPT 55040 | not published | not published | $377.32 – $624.47 | 7 |
| Removal of hydrocele CPT 55500 | not published | not published | $440.86 – $734.00 | 7 |
| Removal of hydroceles CPT 55041 | not published | not published | $570.98 – $940.11 | 7 |
| Removal of implant deep CPT 20680 | not published | not published | $454.10 – $789.09 | 7 |
| Removal of infusion pump CPT 36262 | not published | not published | $316.16 – $569.37 | 7 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $975.53 – $1,810.14 | 7 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $478.53 – $889.77 | 7 |
| Removal of intranasal lesion CPT 30117 | $1,733.17 | $4,684.25 | $350.17 – $627.87 | 7 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $832.80 – $1,421.04 | 7 |
| Removal of iris CPT 66605 | not published | not published | $1,066.75 – $1,945.52 | 7 |
| Removal of iris CPT 66625 | not published | not published | $428.33 – $806.77 | 7 |
| Removal of iris CPT 66630 | not published | not published | $565.19 – $1,082.95 | 7 |
| Removal of iris CPT 66635 | not published | not published | $571.00 – $1,057.79 | 7 |
| Removal of ischial bursa CPT 27060 | not published | not published | $466.69 – $854.40 | 7 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $966.11 – $1,648.24 | 7 |
| Removal of jaw joint CPT 21050 | not published | not published | $920.76 – $1,607.43 | 7 |
| Removal of kneecap CPT 27350 | not published | not published | $706.49 – $1,201.32 | 7 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $387.68 – $682.29 | 7 |
| Removal of knee cartilage CPT 27332 | not published | not published | $694.11 – $1,178.88 | 7 |
| Removal of knee cartilage CPT 27333 | not published | not published | $627.72 – $1,076.16 | 7 |
| Removal of knee cyst CPT 27345 | not published | not published | $515.82 – $883.65 | 7 |
| Removal of larynx lesion CPT 31300 | not published | not published | $1,364.40 – $2,341.43 | 7 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $144.53 – $244.89 | 7 |
| Removal of lens lesion CPT 66830 | not published | not published | $713.84 – $1,311.53 | 7 |
| Removal of lens material CPT 66840 | not published | not published | $695.54 – $1,340.78 | 7 |
| Removal of lens material CPT 66850 | not published | not published | $794.41 – $1,495.18 | 7 |
| Removal of lens material CPT 66852 | not published | not published | $851.05 – $1,614.24 | 7 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,951.12 – $3,243.43 | 7 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $1,128.44 – $1,884.97 | 7 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $879.92 – $1,514.23 | 7 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,590.16 – $2,731.89 | 7 |
| Removal of metatarsal CPT 28140 | not published | not published | $489.42 – $827.87 | 7 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $918.08 – $1,560.49 | 7 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $1,281.00 – $1,372.50 | 6 |
| Removal of nerve lesion CPT 64790 | not published | not published | $907.02 – $1,523.76 | 7 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,176.84 – $2,172.72 | 7 |
| Removal of nose CPT 30160 | not published | not published | $836.26 – $1,440.77 | 7 |
| Removal of nose lesion CPT 30124 | not published | not published | $289.68 – $531.96 | 7 |
| Removal of nose lesion CPT 30125 | not published | not published | $653.44 – $1,131.93 | 7 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $453.75 – $800.65 | 7 |
| Removal of ocular implant CPT 65175 | not published | not published | $649.72 – $1,225.13 | 7 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $853.46 – $1,470.02 | 7 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $572.86 – $976.15 | 7 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $817.29 – $1,364.58 | 7 |
| Removal of palm tendon each CPT 26170 | not published | not published | $428.01 – $742.15 | 7 |
| Removal of rib CPT 21615 | not published | not published | $698.31 – $1,196.57 | 7 |
| Removal of salivary stone CPT 42340 | not published | not published | $373.47 – $636.03 | 7 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $283.56 – $487.06 | 7 |
| Removal of scrotum CPT 55150 | not published | not published | $550.00 – $906.09 | 7 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $401.29 – $661.89 | 7 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $361.74 – $608.82 | 7 |
| Removal of shunt CPT 49429 | not published | not published | $115.39 – $515.27 | 7 |
| Removal of skin tags each add'l 10 CPT 11201 | $15.54 | $42.00 | $18.67 – $31.29 | 7 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $2,810.85 – $3,907.50 | 6 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,293.71 – $2,196.53 | 7 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $478.68 – $839.43 | 7 |
| Removal of spinal shunt CPT 63746 | not published | not published | $596.93 – $1,099.29 | 7 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $297.57 – $485.02 | 7 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,477.82 – $4,199.86 | 7 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,591.27 – $2,691.07 | 7 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $2,175.36 – $3,764.51 | 7 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $115.39 – $249.59 | 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.