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 |
|---|---|---|---|---|
| Assay of corticosterone CPT 82528 | not published | not published | $23.71 – $54.78 | 7 |
| Assay of digoxin free CPT 80163 | not published | not published | $20.67 – $31.17 | 6 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $55.24 – $127.33 | 7 |
| Assay of estrogen CPT 84233 | not published | not published | $68.01 – $156.72 | 7 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $24.76 – $57.39 | 7 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $8.08 – $18.51 | 7 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $26.84 – $61.97 | 7 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $13.29 – $30.36 | 7 |
| Assay of fluoride CPT 82735 | not published | not published | $19.54 – $45.12 | 7 |
| Assay of galactose CPT 82760 | $49.21 | $133.00 | $11.73 – $27.24 | 7 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $8.08 – $18.81 | 7 |
| Assay of glucosidase CPT 82963 | not published | not published | $22.67 – $52.27 | 7 |
| Assay of glutathione CPT 82978 | not published | not published | $15.11 – $34.70 | 7 |
| Assay of haptoglobins CPT 83012 | not published | not published | $18.24 – $41.85 | 7 |
| Assay of idh enzyme CPT 83570 | not published | not published | $9.38 – $21.52 | 7 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $16.68 – $38.69 | 7 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.64 – $22.29 | 7 |
| Assay of leflunomide CPT 80193 | not published | not published | $43.78 – $43.78 | 1 |
| Assay of lrh hormone CPT 83727 | not published | not published | $18.24 – $41.85 | 7 |
| Assay of methemalbumin CPT 83857 | not published | not published | $11.20 – $26.13 | 7 |
| Assay of neonatal thyroxine CPT 84437 | $19.06 | $51.50 | $5.09 – $10.01 | 7 |
| Assay of osteocalcin CPT 83937 | $54.58 | $147.50 | $31.53 – $68.78 | 7 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.91 – $8.91 | 7 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.06 – $46.55 | 7 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.06 – $46.08 | 7 |
| Assay of procainamide w/metab CPT 80192 | $42.64 | $115.25 | $17.72 – $40.77 | 7 |
| Assay of progesterone CPT 84234 | not published | not published | $68.53 – $157.84 | 7 |
| Assay of prostaglandin CPT 84150 | $462.96 | $1,251.25 | $26.32 – $60.73 | 7 |
| Assay of PSA complexed CPT 84152 | not published | not published | $19.28 – $44.76 | 7 |
| Assay of quinine CPT 84228 | not published | not published | $12.25 – $28.30 | 7 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.04 – $16.39 | 7 |
| Assay of salicylate CPT 80179 | not published | not published | $21.16 – $21.16 | 1 |
| Assay of semen fructose CPT 82757 | not published | not published | $18.24 – $42.20 | 7 |
| Assay of sialic acid CPT 84275 | not published | not published | $14.07 – $32.69 | 7 |
| Assay of silica CPT 84285 | not published | not published | $24.76 – $57.30 | 7 |
| Assay of somatostatin CPT 84307 | $131.91 | $356.50 | $19.28 – $44.48 | 7 |
| Assay of thiocyanate CPT 84430 | $62.72 | $169.50 | $12.25 – $28.30 | 7 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.08 – $18.75 | 7 |
| Assay of tyrosine CPT 84510 | $67.53 | $182.50 | $10.94 – $25.30 | 7 |
| Assay of urine sulfate CPT 84392 | $19.52 | $52.75 | $4.95 – $11.56 | 7 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $7.56 – $17.27 | 7 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.21 – $12.22 | 7 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $17.46 – $40.20 | 7 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.94 – $25.11 | 7 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.30 – $16.75 | 7 |
| Assay toxin or antitoxin CPT 87230 | $57.54 | $155.50 | $20.85 – $48.05 | 7 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $119.60 | $323.25 | $79.42 – $117.68 | 2 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $43.58 – $72.78 | 7 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $22.94 | $62.00 | $4.43 – $10.39 | 7 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $69.52 – $115.65 | 7 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $217.38 – $353.06 | 7 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $39.28 – $66.66 | 7 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $3,614.80 – $3,873.00 | 5 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $4,225.20 – $4,527.00 | 5 |
| Ast/sgot CPT 84450 | $37.93 | $102.50 | $5.47 – $12.59 | 7 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $697.13 – $1,178.88 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $815.41 – $1,376.14 | 6 |
| Atomic absorption CPT 82190 | $45.42 | $122.75 | $15.63 – $36.27 | 7 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $9.25 | $25.00 | $0.57 – $0.57 | 5 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $878.25 – $1,463.22 | 7 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $735.67 – $1,229.89 | 7 |
| Attach ocular implant CPT 65140 | not published | not published | $802.41 – $1,509.48 | 7 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $85.60 – $88.04 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $94.35 – $193.19 | 7 |
| Audiometry air + bone CPT 92553 | not published | not published | $30.86 – $66.66 | 7 |
| Auditory function 60 min CPT 92620 | not published | not published | $89.04 – $155.10 | 7 |
| Augmentation cheek bone CPT 21270 | not published | not published | $771.47 – $1,378.18 | 7 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $815.80 – $1,448.25 | 7 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $958.53 – $1,658.44 | 7 |
| Augmentation of facial bones CPT 21208 | not published | not published | $901.56 – $1,596.54 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $254.80 – $7,441.26 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $585.64 – $12,328.17 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,144.98 – $1,935.32 | 7 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,835.94 – $3,052.97 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $670.34 – $670.34 | 1 |
| Autologous blood op salvage CPT 86891 | not published | not published | $68.01 – $436.50 | 6 |
| Autologous blood process CPT 86890 | not published | not published | $43.52 – $429.00 | 6 |
| Automated diff wbc count CPT 85004 | $32.65 | $88.25 | $6.78 – $15.73 | 7 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $43.23 – $115.39 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $30.88 – $115.39 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $55.62 – $115.39 | 7 |
| Av fistula revision CPT 36833 | not published | not published | $790.13 – $1,255.74 | 7 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $837.13 – $1,413.56 | 7 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $791.69 – $1,284.99 | 7 |
| Av fusion direct any site CPT 36821 | not published | not published | $757.99 – $1,327.85 | 7 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $835.31 – $1,546.21 | 7 |
| Avul nail plate addl CPT 11732 | $63.64 | $172.00 | $20.17 – $38.10 | 7 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $105.45 | $285.00 | $62.23 – $95.91 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $738.45 – $1,281.59 | 7 |
| Azacitidine injection HCPCS J9025 | $201.43 | $544.40 | $4.81 – $15.60 | 6 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.36 | $3.68 | $0.57 – $0.57 | 5 |
| Azathioprine parenteral HCPCS J7501 | $160.88 | $434.80 | $146.26 – $146.26 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.71 | $26.25 | $15.60 – $15.60 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,062.64 | $2,872.00 | $146.26 – $146.26 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $162.80 | $440.00 | $73.06 – $73.06 | 5 |
| Baclofen eval charges CPT 97750 | $44.49 | $120.25 | $34.84 – $61.23 | 7 |
| Bacterial meningitis antigen CPT 86403 | $52.17 | $141.00 | $10.68 – $24.80 | 7 |
| Bacterial vaginosis pcr CPT 87801 | $298.04 | $805.50 | $36.26 – $159.40 | 7 |
| Bactericidal level serum CPT 87197 | $51.06 | $138.00 | $15.90 – $36.55 | 7 |
| #bac vag cand-c. albicans naa CPT 87481 | $171.87 | $464.50 | $23.44 – $45.83 | 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.