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 |
|---|---|---|---|---|
| Remove hip bone les deep CPT 27066 | not published | not published | $885.93 – $1,495.18 | 7 |
| Remove hip bone les super CPT 27065 | not published | not published | $542.07 – $949.63 | 7 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $160.13 – $280.26 | 7 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $398.90 – $670.73 | 7 |
| Remove humerus lesion CPT 23174 | not published | not published | $819.16 – $1,393.15 | 7 |
| Remove humerus lesion CPT 23184 | not published | not published | $804.91 – $1,351.65 | 7 |
| Remove implant of eye CPT 65920 | not published | not published | $782.38 – $1,479.54 | 7 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $489.17 – $883.65 | 7 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $429.40 – $783.64 | 7 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $547.96 – $978.88 | 7 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $571.05 – $1,034.65 | 7 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $469.87 – $863.24 | 7 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $1,448.00 – $2,388.36 | 7 |
| Remove inner ear CPT 69905 | not published | not published | $997.31 – $1,726.47 | 7 |
| Remove inner ear lesion CPT 69970 | not published | not published | $2,365.11 – $4,029.12 | 7 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $1,121.02 – $1,913.55 | 7 |
| Remove intact mammary implant CPT 19328 | not published | not published | $526.14 – $920.38 | 7 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $367.41 – $656.45 | 7 |
| Remove iris and lesion CPT 66600 | not published | not published | $814.71 – $1,532.61 | 7 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $864.95 – $1,523.76 | 7 |
| Remove knee cyst CPT 27347 | not published | not published | $554.13 – $972.76 | 7 |
| Remove knee joint lining CPT 27334 | not published | not published | $740.26 – $1,260.51 | 7 |
| Remove knee joint lining CPT 27335 | not published | not published | $838.65 – $1,408.80 | 7 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $1,287.47 – $2,189.73 | 7 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $503.20 – $838.07 | 7 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $643.59 – $1,088.40 | 7 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $1,982.36 – $4,999.15 | 7 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,450.48 – $2,595.84 | 7 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,762.47 – $2,941.39 | 7 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $1,183.15 – $2,050.95 | 7 |
| Remove mastoid air cells CPT 69670 | not published | not published | $1,025.30 – $1,774.10 | 7 |
| Remove mastoid structures CPT 69505 | not published | not published | $1,295.94 – $2,250.27 | 7 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $1,200.36 – $2,105.37 | 7 |
| Remove middle ear nerve CPT 69676 | not published | not published | $899.42 – $1,563.21 | 7 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $821.07 – $1,344.86 | 7 |
| Remove nasal foreign body CPT 30310 | $2,232.95 | $6,035.00 | $215.11 – $383.65 | 7 |
| Remove nasal foreign body CPT 30320 | not published | not published | $475.95 – $839.43 | 7 |
| Remove nerve lesion CPT 64784 | not published | not published | $791.86 – $1,363.90 | 7 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $864.70 – $1,482.27 | 7 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $889.31 – $1,689.06 | 7 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,107.47 – $1,965.24 | 7 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $909.10 – $1,485.66 | 7 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $582.36 – $1,061.87 | 7 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $448.80 – $798.62 | 7 |
| Remove prostate regrowth CPT 52630 | not published | not published | $446.97 – $735.35 | 7 |
| Remove renal tube w/fluoro CPT 50389 | not published | not published | $61.77 – $115.39 | 7 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $937.41 – $1,621.71 | 7 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $965.91 – $1,583.63 | 7 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $908.34 – $1,489.76 | 7 |
| Remove/revise male sling CPT 53442 | not published | not published | $877.53 – $1,440.77 | 7 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $969.11 – $1,661.17 | 7 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,131.60 – $1,929.87 | 7 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,192.42 – $1,995.18 | 7 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $591.66 – $972.08 | 7 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $590.06 – $1,040.79 | 7 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $494.87 – $797.25 | 6 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,234.14 | $3,335.50 | $160.09 – $305.43 | 7 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $447.63 – $776.85 | 7 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $419.08 – $740.79 | 7 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $937.11 – $1,624.44 | 7 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $405.52 – $635.36 | 7 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $294.96 – $489.11 | 7 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $939.02 – $1,736.68 | 7 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $239.84 – $391.14 | 7 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $358.02 – $603.38 | 6 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $929.67 – $1,442.81 | 6 |
| Remove spine fixation device CPT 22850 | not published | not published | $783.56 – $1,329.88 | 7 |
| Remove spine fixation device CPT 22852 | not published | not published | $748.89 – $1,273.42 | 7 |
| Remove spine infusion device CPT 62365 | not published | not published | $328.55 – $544.88 | 7 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $1,592.71 – $2,718.96 | 7 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,327.16 – $2,269.99 | 7 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,264.32 – $2,165.24 | 7 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $1,197.92 – $2,014.90 | 7 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $1,335.27 – $2,271.36 | 7 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $1,333.77 – $2,298.57 | 7 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $1,641.19 – $2,780.86 | 7 |
| Remove stent via transureth CPT 50386 | not published | not published | $185.56 – $326.52 | 7 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,008.23 – $1,621.04 | 7 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $743.53 – $1,283.63 | 7 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $735.33 – $1,283.63 | 7 |
| Remove tear gland lesion CPT 68540 | not published | not published | $933.33 – $1,745.52 | 7 |
| Remove tear gland lesion CPT 68550 | not published | not published | $1,149.08 – $2,139.39 | 7 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $482.47 – $829.90 | 7 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $648.24 – $1,105.41 | 7 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $723.50 – $1,232.61 | 7 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $319.64 – $548.28 | 7 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $333.27 – $569.37 | 7 |
| Remove/transplant tendon CPT 23440 | not published | not published | $831.55 – $1,393.83 | 7 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,720.29 – $2,868.61 | 7 |
| Remove ureter calculus CPT 51065 | not published | not published | $648.98 – $1,065.27 | 7 |
| Remove ureter stent percut CPT 50384 | not published | not published | $265.66 – $466.65 | 7 |
| Remove uro sphincter CPT 53446 | not published | not published | $719.59 – $1,182.27 | 7 |
| Remove vaginal foreign body 57415 CPT 57415 | $1,159.40 | $3,133.50 | $176.02 – $298.63 | 7 |
| Remove vagina tissue part CPT 57107 | not published | not published | $1,615.97 – $2,659.09 | 7 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $729.49 – $1,253.70 | 6 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $618.31 – $1,040.79 | 7 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $406.38 – $685.00 | 7 |
| Remove ventilating tube CPT 69424 | not published | not published | $68.12 – $117.00 | 7 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,282.52 – $2,138.03 | 7 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,941.84 – $3,251.59 | 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.