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 |
|---|---|---|---|---|
| Repair shoulder capsule CPT 23466 | not published | not published | $1,226.54 – $2,071.36 | 7 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $613.35 – $1,061.19 | 7 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $977.54 – $1,684.98 | 7 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,103.62 – $3,712.50 | 6 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,452.41 – $4,174.50 | 6 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,754.58 – $2,957.04 | 7 |
| Repair stomach opening CPT 43870 | not published | not published | $766.05 – $1,323.09 | 7 |
| Repair tear ducts CPT 68700 | not published | not published | $602.17 – $1,160.51 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $346.45 – $575.49 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,279.59 | $8,863.75 | $687.49 – $1,157.10 | 7 |
| Repair testis injury CPT 54670 | $1,709.40 | $4,620.00 | $457.54 – $744.87 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,045.18 – $1,780.89 | 7 |
| Repair throat wound CPT 42900 | not published | not published | $376.63 – $640.80 | 7 |
| Repair toe dislocation CPT 28645 | not published | not published | $529.46 – $907.46 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $365.47 | $987.75 | $179.99 – $346.94 | 7 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,119.79 – $1,874.78 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $528.17 – $880.92 | 7 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $338.08 – $616.30 | 7 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $469.62 – $823.11 | 7 |
| Repair umbilical lesion CPT 49600 | not published | not published | $739.75 – $1,351.65 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,245.56 – $2,095.84 | 7 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $781.28 – $1,376.82 | 7 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $546.37 – $933.30 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $515.23 – $845.55 | 7 |
| Repair uro sphincter CPT 53449 | not published | not published | $685.73 – $1,125.81 | 7 |
| Repair vagina CPT 57335 | not published | not published | $1,341.98 – $2,186.32 | 7 |
| Repair vagina/perineum CPT 57210 | not published | not published | $402.69 – $686.37 | 7 |
| Repair valve femoral vein CPT 34501 | not published | not published | $1,026.57 – $1,737.36 | 7 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $1,013.64 – $1,723.08 | 7 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $801.88 – $1,365.26 | 7 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,225.35 – $2,167.95 | 7 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $412.97 – $685.70 | 7 |
| Repair windpipe opening CPT 31614 | not published | not published | $789.60 – $1,412.88 | 7 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,221.59 – $2,041.42 | 7 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,571.23 – $4,282.86 | 7 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $3,263.32 – $5,453.56 | 7 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,808.94 – $6,363.73 | 7 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,775.76 – $2,848.20 | 6 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,688.99 – $2,750.93 | 6 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,843.60 – $3,027.80 | 6 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $2,028.69 – $3,318.26 | 6 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,127.13 – $1,867.29 | 6 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $852.32 – $1,414.24 | 6 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $712.97 – $1,167.32 | 6 |
| Replace duod/jej tube perc CPT 49451 | $865.06 | $2,338.00 | $103.47 – $172.78 | 7 |
| Replace elbow joint CPT 24363 | not published | not published | $1,616.29 – $2,689.03 | 7 |
| Replace eye fluid CPT 67025 | not published | not published | $626.76 – $1,207.44 | 7 |
| Replace g/c tube perc CPT 49450 | $872.28 | $2,357.50 | $76.33 – $126.53 | 7 |
| Replace g-j tube perc CPT 49452 | $790.32 | $2,136.00 | $159.43 – $265.98 | 7 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $421.69 – $701.34 | 7 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $525.41 – $963.91 | 7 |
| Replacement of contact lens CPT 92326 | not published | not published | $35.57 – $287.46 | 7 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,642.05 – $4,448.16 | 7 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $3,129.23 – $5,229.77 | 7 |
| Replace picvad cath CPT 36585 | not published | not published | $307.18 – $539.45 | 7 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $894.39 – $1,548.26 | 7 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,100.17 – $1,910.14 | 7 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $647.29 – $1,131.93 | 7 |
| Replace tunneled cv cath CPT 36578 | not published | not published | $227.44 – $408.15 | 7 |
| Replantation digit complete CPT 20822 | not published | not published | $1,987.19 – $3,369.96 | 7 |
| Replantation thumb complete CPT 20827 | not published | not published | $2,037.96 – $3,463.83 | 7 |
| Reposition intraocular lens CPT 66825 | not published | not published | $755.69 – $1,422.40 | 7 |
| Reposition pm/icd lead CPT 33215 | not published | not published | $348.18 – $561.88 | 7 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | not published | $199.43 – $342.17 | 6 |
| Repos lv lead pm/icd CPT 33226 | not published | not published | $562.32 – $903.38 | 7 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $456.93 – $721.07 | 6 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,235.00 – $2,083.61 | 7 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $759.66 – $1,296.56 | 7 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $755.17 – $1,289.76 | 7 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $179.41 – $316.32 | 7 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $73.85 – $127.20 | 7 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $75.39 – $125.85 | 7 |
| Reptilase test CPT 85635 | not published | not published | $10.42 – $23.95 | 7 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $409.88 – $708.83 | 7 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $783.95 – $1,338.05 | 7 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $801.57 – $1,325.81 | 7 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $681.62 – $1,170.03 | 7 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $2,341.91 – $3,843.42 | 7 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $2,038.02 – $3,397.84 | 7 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,145.44 – $1,910.14 | 7 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,578.18 – $2,612.16 | 6 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $290.83 – $497.26 | 7 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $3,126.80 – $5,286.90 | 7 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $889.60 – $1,472.06 | 7 |
| Resect distal finger tumor CPT 26262 | not published | not published | $489.74 – $1,163.91 | 7 |
| Resect enlarged toe CPT 28341 | not published | not published | $551.08 – $927.18 | 7 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $462.26 – $777.52 | 7 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,581.63 – $2,608.76 | 7 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $464.41 – $1,312.20 | 7 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,130.89 – $1,916.27 | 6 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,187.75 – $1,912.86 | 6 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,294.51 – $2,160.48 | 6 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $815.19 – $1,631.23 | 7 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,122.99 – $1,880.89 | 7 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,108.30 – $2,511.48 | 7 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,025.31 – $3,342.07 | 6 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,305.84 – $3,866.53 | 7 |
| Resect inferior turbinate CPT 30140 | not published | not published | $446.05 – $817.66 | 7 |
| Resection of elbow joint CPT 24155 | not published | not published | $934.41 – $1,570.02 | 7 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,050.07 – $1,870.69 | 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.