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 penis & nodes CPT 54130 | not published | not published | $1,345.51 – $2,201.97 | 7 |
| Remove penis & nodes CPT 54135 | not published | not published | $1,707.70 – $2,791.74 | 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 pituit tumor w/scope CPT 62165 | not published | not published | $1,674.92 – $2,848.20 | 7 |
| Remove prostate regrowth CPT 52630 | not published | not published | $446.97 – $735.35 | 7 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $327.33 – $538.08 | 7 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $2,147.86 – $3,658.38 | 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 duct pouch CPT 55650 | not published | not published | $807.70 – $1,323.77 | 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 & treat brain lesion CPT 61544 | not published | not published | $1,923.51 – $3,144.12 | 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 CPT 33978 | not published | not published | $1,520.59 – $2,550.95 | 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 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $2,176.19 – $3,635.25 | 7 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $2,476.02 – $4,129.80 | 7 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $2,082.74 – $3,488.32 | 7 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $2,485.58 – $4,252.92 | 7 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $216.48 – $350.32 | 7 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $295.09 – $475.50 | 7 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $201.19 – $329.93 | 7 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $329.97 – $536.72 | 7 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $366.74 – $589.77 | 7 |
| Remove vert idrl body crvcl CPT 63304 | not published | not published | $2,468.94 – $4,286.94 | 7 |
| Remove vert idrl body thrc CPT 63305 | not published | not published | $2,528.13 – $4,188.30 | 7 |
| Remove vert xdrl body crvcl CPT 63300 | not published | not published | $1,994.47 – $3,362.47 | 7 |
| Remove vert xdrl body thrc CPT 63301 | not published | not published | $2,242.78 – $3,911.45 | 7 |
| Remove vert xdrl body thrlmb CPT 63302 | not published | not published | $2,228.00 – $3,975.38 | 7 |
| Remove windpipe lesion CPT 31785 | not published | not published | $1,206.94 – $2,028.51 | 7 |
| Remove windpipe lesion CPT 31786 | not published | not published | $1,675.96 – $2,705.36 | 7 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $831.98 – $1,391.12 | 7 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $654.91 – $1,101.33 | 7 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $657.74 – $1,127.17 | 7 |
| Remove wrist joint implant CPT 25449 | not published | not published | $1,140.07 – $1,913.55 | 7 |
| Remove wrist joint lining CPT 25105 | not published | not published | $525.52 – $885.69 | 7 |
| Remove wrist joint lining CPT 26130 | not published | not published | $484.64 – $838.07 | 7 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $370.99 – $622.42 | 7 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $333.10 – $585.69 | 7 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $1,154.57 – $1,891.77 | 7 |
| Remov/replc ur sphinctr comp CPT 53448 | not published | not published | $1,445.01 – $2,361.82 | 7 |
| Remov vertbr dcmprn thrclmbr CPT 63087 | not published | not published | $2,660.01 – $4,404.61 | 7 |
| Remov vert idrl bdy lmbr/sac CPT 63307 | not published | not published | $2,451.10 – $4,391.01 | 7 |
| Remov vert idrl bdy thrclmbr CPT 63306 | not published | not published | $2,348.49 – $3,946.82 | 7 |
| Remov vert xdrl bdy lmbr/sac CPT 63303 | not published | not published | $2,332.52 – $4,221.63 | 7 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $932.47 – $1,587.03 | 7 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $1,011.35 – $1,657.77 | 7 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $795.91 – $1,308.80 | 7 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $1,141.79 – $1,970.68 | 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.