healthcosts.net

Ascension St. John Sapulpa (St. John Sapulpa, Inc.)

1004 E Bryan Ave, Sapulpa, OK · Ascension · · NPI 1922076603

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
R & l heart cath congenital CPT 93533 not published not published $447.05 – $670.05 6
Rmv anterior spine instrumentation 22855 CPT 22855 not published not published $1,221.09 – $2,056.39 7
Rmv implant contraceptive capsule 11976 CPT 11976 not published not published $105.71 – $180.27 7
Rmvl esophgl sphnctr dev CPT 43285 not published not published $735.12 – $1,268.46 6
Rmvl ext fixj sys under anes CPT 20694 not published not published $365.25 – $622.42 7
Rmvl fb upr arm/elbow deep CPT 24201 $3,295.59 $8,907.00 $391.15 – $672.76 7
Rmvl fecal impaction/fb spx under anes CPT 45915 not published not published $238.68 – $421.75 7
Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 $3,165.91 $8,556.50 $145.93 – $257.82 7
Rmvl icd by tv extr CPT 33244 not published not published $965.12 – $1,579.55 7
Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 not published not published $434.80 – $87,973.00 7
Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 not published not published $453.39 – $87,973.00 7
Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 not published not published $417.28 – $87,973.00 7
Rmvl icd pulse gen only CPT 33241 not published not published $238.95 – $410.87 7
Rmvl left heart vent thor inscn ecmo CPT 33989 not published not published $567.16 – $930.59 6
Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 not published not published $2,660.74 – $4,420.95 7
Rmvl ndwellg tun pleural cath CPT 32552 not published not published $115.39 – $176.98 6
Rmvl perm pm pulse gen CPT 33233 not published not published $254.54 – $436.04 7
Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 not published not published $418.62 – $31,789.00 7
Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 not published not published $377.85 – $31,789.00 7
Rmvl pq iabp CPT 33968 not published not published $38.39 – $63.27 7
Rmvl pq vad left hrt vein sep session CPT 33992 not published not published $228.46 – $389.79 6
Rmvl prosthhumrl&ulnar cmpnt CPT 24160 not published not published $656.04 – $1,402.45 7
Rmvl sq defib electrode CPT 33272 not published not published $390.53 – $87,973.00 7
Rmvl tiss expndr without implant insrtn CPT 11971 not published not published $316.14 – $591.83 7
Rmvl tongs/halo anthr indiv CPT 20665 $348.36 $941.50 $100.02 – $115.39 7
Rmvl tot arthrp 1ntrspc crv CPT 22864 not published not published $2,065.40 – $3,657.03 7
Rmvl tot arthrp 1ntrspc lmbr CPT 22865 not published not published $2,279.50 – $3,866.53 7
Rmvl transplanted rnl algrft CPT 50370 not published not published $1,279.13 – $2,222.37 7
Rmvl tv pm lead dual CPT 33235 not published not published $713.55 – $1,174.79 7
Rmvl tv pm lead sgl CPT 33234 not published not published $543.61 – $900.64 7
Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 not published not published $311.21 – $510.19 7
Rmv suture/anesthesia/not local 15850 CPT 15850 not published not published $46.58 – $74.14 7
Rnl altrnsplj without rcp nfrct CPT 50360 not published not published $2,713.24 – $4,761.07 7
Rnl altrnsplj w/rcp nfrct CPT 50365 not published not published $3,087.42 – $5,290.31 7
Rnl autotrnsplj rimpltj kdn CPT 50380 not published not published $2,146.08 – $3,708.05 7
Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 $229.40 $620.00 $0.07 – $0.18 6
Rotavirus antibody CPT 86759 not published not published $13.81 – $32.09 7
Routine footcare pt w lops HCPCS G0247 $116.27 $314.25 $26.14 – $44.22 6
Rplcmt oi implt skl prq esp CPT 69717 not published not published $1,241.32 – $2,123.05 7
Rpl non-tun cvc wo sbq prt/pmp CPT 36580 $1,063.20 $2,873.50 $75.75 – $126.53 7
Rp loclzj tum 2+area 1+d img CPT 78801 not published not published $50.07 – $436.04 7
Rp loclzj tum spect w/ct 1 CPT 78830 not published not published $434.19 – $434.19 1
Rp loclzj tum spect w/ct 2 CPT 78832 not published not published $847.80 – $847.80 1
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 $877.73 $2,372.25 $74.83 – $234.18 7
Rpl tun-cvad w subq port CPT 36582 not published not published $328.19 – $577.53 7
Rpl tun-cvad w subq pump CPT 36583 not published not published $355.83 – $629.91 7
Rpl tun cvc wo subq port CPT 36581 not published not published $206.58 – $372.78 7
Rpr acq av fistula thrx&abd CPT 35189 not published not published $1,821.38 – $2,956.36 7
Rpr blood ves w/vein graft/up ext 35236 CPT 35236 not published not published $1,123.57 – $1,893.81 7
Rpr blood vsl grf oth vein lo ex CPT 35286 not published not published $1,067.40 – $1,800.62 7
Rpr blvs gr ot/th vn ntrth w CPT 35271 not published not published $1,570.13 – $2,631.21 7
Rpr blvs gr ot/t vn ntrth wo CPT 35276 not published not published $1,658.65 – $2,761.82 7
Rpr blvsl gr ot/th vn ntr-ab CPT 35281 not published not published $1,847.05 – $3,124.39 7
Rpr blvsl vn grf intra-abdl CPT 35251 not published not published $1,957.69 – $3,250.23 7
Rpr blvsl vn grf ntrthrc w/b CPT 35241 not published not published $1,566.36 – $2,733.93 7
Rpr cgen av fistula thrx&abd CPT 35182 not published not published $2,027.55 – $3,327.11 7
Rpr choanal atresia ntranasl CPT 30540 not published not published $718.66 – $1,278.87 7
Rpr choanal atresia trsnpltn CPT 30545 not published not published $961.65 – $1,582.26 7
Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 not published not published $1,189.85 – $2,029.86 7
Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 not published not published $1,048.11 – $1,750.96 7
Rpr diaphragm lac/any approach 39501 CPT 39501 not published not published $949.08 – $1,582.93 7
Rpr fem hernia init blocked CPT 49553 not published not published $677.56 – $1,168.66 7
Rpr hern preemie reduc CPT 49491 not published not published $841.09 – $1,468.66 7
Rpr hypopl a-arch w/byp CPT 33853 not published not published $2,080.76 – $3,474.72 7
Rpr hypopl a-arch wo byp CPT 33852 not published not published $1,585.60 – $2,650.26 7
Rpr hypspad comp dsj & urtp CPT 54348 not published not published $1,142.21 – $1,845.53 7
Rpr hypspad comp simple CPT 54340 not published not published $634.42 – $1,048.26 7
Rpr ing hernia baby blocked CPT 49496 not published not published $609.02 – $1,060.52 7
Rpr ing hernia baby reduc CPT 49495 not published not published $423.11 – $730.59 7
Rpr ing hernia init blocked CPT 49501 not published not published $642.99 – $1,120.37 7
Rpr ing hernia init reduce CPT 49500 not published not published $422.46 – $692.49 7
Rpr ing hern premie blocked CPT 49492 not published not published $1,028.57 – $1,727.84 7
Rpr pul art unifocal without cpb CPT 33925 not published not published $1,956.55 – $3,236.63 7
Rpr&refitg spect xcp aphakia CPT 92370 not published not published $18.08 – $287.46 7
Rpr&refit spct prsth aphakia CPT 92371 not published not published $11.86 – $287.46 7
Rpr rem hernia init reduce CPT 49550 not published not published $618.66 – $1,066.63 7
Rpr tga aortic pulm art rcns CPT 33778 not published not published $2,674.26 – $4,467.19 7
Rpr tga atr bfl clsr vsd CPT 33776 not published not published $2,326.89 – $3,852.93 7
Rpr tga atr bfl rmvl plm bnd CPT 33775 not published not published $2,202.80 – $3,647.51 7
Rpr tga atrial baffle px CPT 33774 not published not published $2,041.67 – $3,413.49 7
Rpr tga bfl rpr sbpulm obstr CPT 33777 not published not published $2,151.54 – $3,734.58 7
Rpr tga rcnstj clsr vsd CPT 33780 not published not published $2,845.97 – $4,708.01 7
Rpr tga rcnstj rmvl plm bnd CPT 33779 not published not published $2,741.87 – $4,626.38 7
Rpr tga rcnstj rpr sbpl obst CPT 33781 not published not published $2,784.69 – $4,605.98 7
Rpr tga without surg enlgmnt vsd CPT 33770 not published not published $2,541.32 – $4,166.53 7
Rpr tga w/surg enlgmnt vsd CPT 33771 not published not published $2,622.38 – $4,335.91 7
Rpr umbil hern block < 5 yr CPT 49582 not published not published $505.47 – $893.85 7
Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 not published not published $396.91 – $674.13 7
Rp therapy unlisted px CPT 79999 not published not published $624.97 – $624.97 5
Rrp hypspad comp moblj&urtp CPT 54344 not published not published $1,067.43 – $1,747.56 7
Rsect hip tum incl femur CPT 27078 not published not published $1,122.71 – $3,825.05 7
Rsv assay w/optic CPT 87807 $53.00 $143.25 $12.77 – $29.19 7
Rubella antibody igg CPT 86762 $60.40 $163.25 $15.11 – $35.02 7
Rubeola ag if CPT 87283 not published not published $12.77 – $29.19 7
Rubeola antibody igg CPT 86765 $50.23 $135.75 $13.55 – $31.35 7
Runx1 gene targeted seq alys CPT 81334 not published not published $373.99 – $533.80 6
Russell viper venom diluted CPT 85613 $60.22 $162.75 $10.16 – $23.30 7
Salivary gland function exam CPT 78232 not published not published $29.80 – $174.82 7
Salivary gland imaging CPT 78230 not published not published $28.06 – $308.83 7
Salivary glnd img serial img CPT 78231 not published not published $32.54 – $231.28 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.