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 |
|---|---|---|---|---|
| Revision of hip bones CPT 27156 | not published | not published | $1,885.26 – $3,166.56 | 7 |
| Revision of hip tendon CPT 27097 | not published | not published | $730.70 – $1,247.58 | 7 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,286.03 – $2,116.93 | 7 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,106.82 – $1,878.16 | 7 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $647.43 – $1,099.29 | 7 |
| Revision of infusion pump CPT 36261 | not published | not published | $365.41 – $748.95 | 7 |
| Revision of iris CPT 66761 | not published | not published | $254.93 – $446.25 | 7 |
| Revision of iris CPT 66762 | not published | not published | $421.90 – $798.62 | 7 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $185.29 – $360.54 | 7 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $451.74 – $819.01 | 7 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,306.84 – $2,138.03 | 7 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,578.24 – $2,576.10 | 7 |
| Revision of knee joint CPT 27440 | not published | not published | $848.42 – $1,467.97 | 7 |
| Revision of knee joint CPT 27441 | not published | not published | $876.76 – $1,516.28 | 7 |
| Revision of knee joint CPT 27442 | not published | not published | $959.76 – $1,604.03 | 7 |
| Revision of knee joint CPT 27443 | not published | not published | $896.87 – $1,502.67 | 7 |
| Revision of knee joint CPT 27446 | not published | not published | $1,247.11 – $2,042.79 | 7 |
| Revision of knee joint CPT 27445 | not published | not published | $1,389.73 – $2,315.57 | 7 |
| Revision of larynx CPT 31400 | not published | not published | $1,068.31 – $1,852.32 | 7 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $282.18 – $484.33 | 7 |
| Revision of lung CPT 32940 | not published | not published | $1,393.89 – $2,317.61 | 7 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,631.71 – $2,731.20 | 7 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,890.02 – $3,186.28 | 7 |
| Revision of neck muscle CPT 21700 | not published | not published | $414.32 – $697.26 | 7 |
| Revision of neck muscle CPT 21720 | not published | not published | $449.18 – $955.07 | 7 |
| Revision of neck muscle CPT 21725 | not published | not published | $581.28 – $910.86 | 7 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $621.70 – $1,041.46 | 7 |
| Revision of nose CPT 30120 | not published | not published | $477.40 – $814.93 | 7 |
| Revision of nose CPT 30430 | not published | not published | $912.06 – $1,632.60 | 7 |
| Revision of nose CPT 30435 | not published | not published | $1,268.42 – $2,068.64 | 7 |
| Revision of nose CPT 30450 | not published | not published | $1,617.30 – $2,786.31 | 7 |
| Revision of nose CPT 30460 | not published | not published | $831.62 – $1,510.15 | 7 |
| Revision of nose CPT 30462 | not published | not published | $1,538.53 – $2,676.78 | 7 |
| Revision of pelvis CPT 27158 | not published | not published | $1,542.53 – $2,359.78 | 7 |
| Revision of penis CPT 54300 | not published | not published | $721.55 – $1,180.92 | 7 |
| Revision of penis CPT 54304 | not published | not published | $841.26 – $1,381.59 | 7 |
| Revision of penis CPT 54420 | $1,609.22 | $4,349.25 | $790.58 – $1,298.60 | 7 |
| Revision of penis CPT 54430 | $1,609.22 | $4,349.25 | $717.27 – $1,178.88 | 7 |
| Revision of penis CPT 54435 | $4,367.48 | $11,804.00 | $465.85 – $765.28 | 7 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,003.51 – $3,531.18 | 7 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,571.38 – $4,453.59 | 7 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,824.05 – $3,058.41 | 7 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,461.17 – $4,097.82 | 7 |
| Revision of radius CPT 25350 | not published | not published | $738.64 – $1,236.02 | 7 |
| Revision of radius CPT 25355 | not published | not published | $837.45 – $1,407.43 | 7 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $601.75 – $1,050.99 | 7 |
| Revision of scrotum CPT 55175 | not published | not published | $406.31 – $668.68 | 7 |
| Revision of scrotum CPT 55180 | not published | not published | $771.14 – $1,272.75 | 7 |
| Revision of spinal shunt CPT 63744 | not published | not published | $687.68 – $1,254.38 | 7 |
| Revision of testis CPT 54660 | not published | not published | $405.31 – $655.75 | 7 |
| Revision of thigh muscles CPT 27430 | not published | not published | $811.25 – $1,365.94 | 7 |
| Revision of toe CPT 28312 | not published | not published | $352.70 – $597.25 | 7 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,237.14 – $4,648.83 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,754.53 – $4,600.53 | 7 |
| Revision of ulna CPT 25360 | not published | not published | $716.12 – $1,201.99 | 7 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $817.11 – $1,342.82 | 7 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $816.28 – $1,370.70 | 7 |
| Revision of upper arm CPT 24940 | not published | not published | $1,151.85 – $2,961.00 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $1,040.10 – $1,706.74 | 7 |
| Revision of urethra CPT 53450 | not published | not published | $456.67 – $749.64 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $512.83 – $840.79 | 7 |
| Revision of urethra CPT 57220 | not published | not published | $350.32 – $599.99 | 7 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,315.85 – $1,997.22 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $698.84 – $1,110.16 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $887.84 – $1,563.90 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $818.48 – $1,374.78 | 7 |
| Revision tips CPT 37183 | not published | not published | $433.26 – $748.27 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,807.95 – $3,014.86 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,953.97 – $3,258.41 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,427.16 – $2,414.89 | 7 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,388.77 – $2,348.91 | 7 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,140.64 – $1,966.61 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,212.23 – $2,091.76 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,111.83 – $3,574.71 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,598.57 – $2,615.57 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,188.37 – $2,046.19 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $393.87 – $685.70 | 7 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $5,072.20 – $5,434.50 | 5 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $158.36 – $268.69 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $139.14 – $234.69 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,214.46 – $4,097.82 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,224.90 – $3,525.74 | 7 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $327.65 – $534.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.99 – $13.80 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $26.36 | $71.25 | $5.99 – $13.80 | 7 |
| Rh ig IV CPT 90386 | not published | not published | $199.84 – $199.84 | 5 |
| Rh ig minidose im CPT 90385 | not published | not published | $26.30 – $199.84 | 6 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,081.94 – $1,875.45 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $57.73 | $156.03 | $15.60 – $15.60 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $633.74 | $1,712.80 | $15.60 – $15.60 | 5 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $111.30 – $199.84 | 6 |
| Rhythm ecg with report CPT 93040 | not published | not published | $13.67 – $119.60 | 7 |
| Rib cartilage graft CPT 21230 | not published | not published | $825.95 – $1,370.70 | 7 |
| Right heart cath congenital CPT 93530 | not published | not published | $285.70 – $422.43 | 6 |
| Right ventric recording CPT 93603 | not published | not published | $76.27 – $8,949.00 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,059.07 | $2,862.35 | $795.82 – $1,106.93 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $833.15 | $2,251.75 | $15.60 – $15.60 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $194.05 | $524.45 | $134.16 – $134.16 | 4 |
| R & l heart cath congenital CPT 93531 | not published | not published | $559.93 – $835.35 | 6 |
| R & l heart cath congenital CPT 93532 | not published | not published | $664.44 – $999.98 | 6 |
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.