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 |
|---|---|---|---|---|
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $976.37 – $1,898.58 | 7 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,412.55 – $2,330.53 | 6 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $982.21 – $1,642.80 | 7 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,277.70 – $2,143.47 | 7 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $646.95 – $1,459.82 | 7 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,500.94 – $2,492.43 | 6 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,225.94 – $2,050.95 | 7 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,585.34 – $2,636.66 | 7 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $274.97 – $464.61 | 7 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $454.62 – $921.74 | 7 |
| Resect prox finger tumor CPT 26260 | not published | not published | $588.09 – $1,477.50 | 7 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $966.22 – $2,727.12 | 7 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $917.67 – $1,961.16 | 7 |
| Resect tarsal tumor CPT 28171 | not published | not published | $708.97 – $1,603.35 | 7 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,150.69 – $1,912.18 | 7 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,738.87 – $2,880.86 | 6 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $369.34 – $721.74 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $43.01 | $116.25 | $12.77 – $29.19 | 7 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $40.61 | $109.75 | $12.77 – $29.19 | 7 |
| Resp virus 6-11 targets CPT 87632 | $405.43 | $1,095.75 | $332.29 – $519.27 | 6 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $3,362.51 – $5,622.27 | 7 |
| Resuscitation cardiopulmonary CPT 92950 | $481.09 | $1,300.25 | $211.70 – $350.32 | 7 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $169.42 – $248.10 | 7 |
| Reticulated platelet assay CPT 85055 | $53.74 | $145.25 | $28.14 – $65.13 | 7 |
| Reticulocyte automated CPT 85045 | $23.22 | $62.75 | $4.17 – $9.73 | 7 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $5.99 – $13.57 | 7 |
| Retrieval of oocyte CPT 58970 | not published | not published | $221.65 – $363.25 | 7 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $20.59 – $47.67 | 7 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $686.50 – $1,165.95 | 7 |
| Revise additional leg tendon CPT 27692 | not published | not published | $118.09 – $198.63 | 7 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $743.07 – $1,429.89 | 7 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $519.12 – $918.35 | 7 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $829.11 – $1,438.72 | 7 |
| Revise circulation to head CPT 61708 | not published | not published | $2,418.05 – $4,075.38 | 7 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,478.69 – $2,492.43 | 7 |
| Revise eye CPT 65091 | not published | not published | $633.05 – $1,211.52 | 7 |
| Revise eyelashes CPT 67825 | not published | not published | $120.70 – $231.96 | 7 |
| Revise eyelashes CPT 67835 | not published | not published | $443.83 – $844.18 | 7 |
| Revise eyelid defect CPT 67909 | not published | not published | $444.06 – $839.43 | 7 |
| Revise eyelid defect CPT 67911 | not published | not published | $560.38 – $1,077.51 | 7 |
| Revise eyelid lining CPT 68330 | not published | not published | $455.95 – $885.00 | 7 |
| Revise eyelid lining CPT 68360 | not published | not published | $407.37 – $789.76 | 7 |
| Revise eyelid lining CPT 68362 | not published | not published | $655.18 – $1,263.22 | 7 |
| Revise eye muscle CPT 67311 | not published | not published | $598.69 – $1,138.74 | 7 |
| Revise eye muscle CPT 67314 | not published | not published | $671.68 – $1,282.95 | 7 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $702.48 – $1,294.52 | 7 |
| Revise eye socket implant CPT 67560 | not published | not published | $992.67 – $1,848.91 | 7 |
| Revise eye sockets CPT 21260 | not published | not published | $1,380.57 – $2,308.77 | 7 |
| Revise eye sockets CPT 21261 | not published | not published | $2,352.24 – $4,031.16 | 7 |
| Revise eye sockets CPT 21263 | not published | not published | $2,170.17 – $3,525.06 | 7 |
| Revise eye sockets CPT 21267 | not published | not published | $1,686.61 – $3,075.41 | 7 |
| Revise eye with implant CPT 65093 | not published | not published | $630.63 – $1,195.88 | 7 |
| Revise finger joint each CPT 26135 | not published | not published | $592.15 – $1,008.13 | 7 |
| Revise finger joint each CPT 26140 | not published | not published | $537.15 – $923.77 | 7 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $355.72 – $673.46 | 7 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $529.48 – $1,031.94 | 7 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $661.66 – $1,263.90 | 7 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $643.98 – $1,240.77 | 7 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $720.18 – $1,361.87 | 7 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $646.15 – $1,246.21 | 7 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,058.40 – $1,800.62 | 7 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,171.16 – $1,985.65 | 7 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $882.98 – $1,508.79 | 7 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,055.96 – $1,796.54 | 7 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $581.88 – $998.61 | 7 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,137.70 – $3,552.95 | 7 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,703.84 – $2,837.32 | 7 |
| Revise/implant finger joint CPT 26536 | not published | not published | $702.80 – $1,285.68 | 7 |
| Revise kneecap CPT 27437 | not published | not published | $720.38 – $1,214.92 | 7 |
| Revise kneecap with implant CPT 27438 | not published | not published | $926.11 – $1,553.01 | 7 |
| Revise knuckle joint CPT 26530 | not published | not published | $573.90 – $982.27 | 7 |
| Revise knuckle with implant CPT 26531 | not published | not published | $668.86 – $1,140.78 | 7 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $724.94 – $1,195.20 | 7 |
| Revise lower leg tendon CPT 27690 | not published | not published | $698.50 – $1,176.15 | 7 |
| Revise lower leg tendon CPT 27691 | not published | not published | $823.77 – $1,394.52 | 7 |
| Revise lower leg tendons CPT 27686 | not published | not published | $615.23 – $1,021.74 | 7 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,011.17 – $1,742.12 | 7 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,316.95 – $2,271.36 | 7 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,270.53 – $2,177.47 | 7 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,132.87 – $1,957.08 | 7 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,455.84 – $2,514.21 | 7 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,333.68 – $2,299.24 | 7 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,602.55 – $2,766.57 | 7 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,674.96 – $2,883.59 | 7 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,574.14 – $2,711.47 | 7 |
| Revise ocular implant CPT 65125 | not published | not published | $287.00 – $557.80 | 7 |
| Revise ocular implant CPT 65150 | not published | not published | $579.23 – $1,059.15 | 7 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $848.72 – $1,416.29 | 7 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,004.07 – $1,653.02 | 7 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,075.38 – $1,731.91 | 7 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,188.84 – $1,870.01 | 7 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,340.12 – $2,281.56 | 7 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $931.14 – $1,596.54 | 6 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,109.61 – $1,850.28 | 7 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,009.20 – $1,682.27 | 7 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,051.92 – $1,687.02 | 7 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $1,722.76 – $2,850.93 | 6 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $1,983.72 – $3,287.66 | 6 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $579.74 – $1,046.91 | 7 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $425.19 – $718.35 | 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.