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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
Salmonella antibody CPT 86768 $22.20 $60.00 $11.38 – $22.32 7
Salpingostomy 58770 CPT 58770 not published not published $964.59 – $1,609.47 7
Same day nb discharge 99463 CPT 99463 not published not published $93.22 – $131.77 2
Sargramostim injection HCPCS J2820 $451.34 $1,219.85 $23.75 – $73.06 6
S bowel endoscope w/stent CPT 44379 not published not published $469.36 – $824.46 7
Sbrt management CPT 77435 not published not published $700.41 – $1,144.86 7
Sbsq ic vlbw inf<1,500 gm CPT 99478 not published not published $155.96 – $170.20 2
Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 not published not published $146.81 – $149.38 2
Sbsq nursing facil care/day minor complj 15 min CPT 99308 not published not published $74.69 – $75.69 2
Sbsq nursing facil care/day new problem 25 min CPT 99309 not published not published $99.15 – $100.22 2
Sbsq nursing facility care/day e/m stable 10 min CPT 99307 not published not published $48.87 – $48.95 2
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 $444.65 $1,201.75 $114.12 – $648.28 7
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 $348.91 $943.00 $75.74 – $378.23 7
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 $188.52 $509.50 $41.01 – $411.56 7
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 $163.45 $441.75 $27.49 – $284.34 7
Scan duplex extracranial arteries unilateral/limited study CPT 93882 $251.05 $678.50 $25.11 – $304.75 7
Scan duplex extremity veins unilateral/limited study CPT 93971 $385.36 $1,041.50 $28.36 – $204.07 7
Scan duplex lower extremity arteries complete bilateral CPT 93925 $395.99 $1,070.25 $36.34 – $446.93 7
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $294.43 $795.75 $24.64 – $257.13 7
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $280.83 $759.00 $19.40 – $283.67 7
Scan proc cranial extra CPT 61782 not published not published $197.80 – $352.37 6
Scan proc cranial intra 61781 CPT 61781 not published not published $269.15 – $427.88 6
Scan proc spinal CPT 61783 not published not published $264.36 – $428.56 6
Sclerotherapy fluid collection pq w/img CPT 49185 $1,261.42 $3,409.25 $138.64 – $239.64 6
Scope plantar fasciotomy CPT 29893 not published not published $472.26 – $799.98 7
Screening Mammogram CPT 77067 $140.60 $380.00 $100.61 – $245.26 6
Screen/visual acuity/bilat/quant 99173 CPT 99173 not published not published $2.69 – $112.15 7
Sc ther infusion reset pump CPT 96371 $49.58 $134.00 $69.34 – $117.04 7
Sec abd wall suture evisceration/dehsn 49900 CPT 49900 not published not published $877.92 – $1,512.87 7
Sec art mech thrmbc non-intracranial add-on CPT 37186 not published not published $283.75 – $478.89 7
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 $66.51 $179.75 $6.24 – $6.24 1
Sedimentation rate erythrocyte automated CPT 85652 $20.81 $56.25 $2.87 – $6.57 7
Segmentectomy 32484 CPT 32484 not published not published $1,619.40 – $2,701.28 7
Select picture audiometry CPT 92583 not published not published $35.43 – $92.52 7
Self-mgmt educ/train 2-4 pt 30min CPT 98961 not published not published $12.65 – $39.09 7
Self-mgmt educ/train 5-8 pt 30min CPT 98962 not published not published $9.46 – $39.09 7
Semen analysis presence/motility CPT 89321 not published not published $12.77 – $29.32 7
Semen analysis w/count CPT 89310 not published not published $9.12 – $20.94 7
Sensorimotor examination CPT 92060 not published not published $20.62 – $120.41 7
Sensorineural acuity lvl tst CPT 92575 not published not published $37.65 – $135.38 7
Separate eyelid adhesions CPT 68340 not published not published $393.71 – $766.63 7
Sept9 promoter methylation analysis CPT 81327 not published not published $94.97 – $135.54 6
Sequestrectomy olecrn proces CPT 24138 not published not published $714.11 – $1,238.73 7
Sequestrectomy radial h/n CPT 24136 not published not published $651.64 – $1,158.46 7
Sequestrectomy shft/dstl hum CPT 24134 not published not published $821.47 – $1,373.43 7
Serial casting application 97139app CPT 97139 not published not published $29.26 – $31.35 5
Serial tonometry CPT 92100 not published not published $37.80 – $63.27 7
Serpina1 gene CPT 81332 $216.27 $584.50 $67.96 – $105.41 6
Set radiation therapy field CPT 77280 $350.76 $948.00 $43.56 – $316.32 7
Set radiation therapy field CPT 77285 not published not published $65.05 – $557.80 7
Set radiation therapy field CPT 77290 $647.59 $1,750.25 $96.62 – $924.47 7
Set-up cardiovert-defibrill CPT 93745 not published not published $234.18 – $234.18 5
Sever cranial nerve CPT 64771 not published not published $644.14 – $1,070.04 7
Sex chromatin identification CPT 88130 not published not published $15.90 – $36.62 7
Sex chromatin identification CPT 88140 not published not published $7.16 – $14.04 7
Sex transformation f to m CPT 55980 not published not published $5,687.52 – $5,687.52 5
Sex transformation m to f CPT 55970 not published not published $5,909.30 – $5,909.30 5
Sf3b1 gene common variants CPT 81347 $167.43 $452.50 $219.34 – $219.34 1
Sgmdsc w/band ligation CPT 45350 not published not published $114.59 – $114.59 1
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 not published not published $48.55 – $87.75 7
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 not published not published $71.03 – $122.44 7
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 not published not published $81.54 – $146.25 7
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 not published not published $109.18 – $187.06 7
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 not published not published $42.64 – $73.47 7
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 not published not published $58.59 – $96.60 7
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 not published not published $75.22 – $124.48 7
Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 not published not published $83.29 – $140.13 7
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 not published not published $33.56 – $65.31 7
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 not published not published $56.97 – $99.99 7
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 not published not published $70.54 – $117.00 7
Shigella antibody CPT 86771 not published not published $13.81 – $32.09 7
Sho arthrs dx +- synovial bx CPT 29805 not published not published $509.35 – $870.04 7
Sho arthrs srg bicp tenodsis CPT 29828 not published not published $1,006.18 – $1,707.43 7
Sho arthrs srg capsulorraphy CPT 29806 not published not published $1,173.66 – $1,959.80 7
Sho arthrs srg compl synvct CPT 29821 not published not published $641.41 – $1,087.04 7
Sho arthrs srg lmtd dbrdmt CPT 29822 not published not published $622.72 – $1,061.19 7
Sho arthrs srg lss&rescj ads CPT 29825 not published not published $634.08 – $1,080.91 7
Sho arthrs srg prtl synvct CPT 29820 not published not published $587.06 – $996.57 7
Sho arthrs srg rmvl loose/fb CPT 29819 not published not published $640.41 – $1,081.61 7
Sho arthrs srg rpr slap les CPT 29807 not published not published $1,144.02 – $1,910.14 7
Sho arthrs srg xtnsv dbrdmt CPT 29823 not published not published $679.63 – $1,158.46 7
Shortening of hand tendon CPT 26479 not published not published $648.11 – $1,113.57 7
Shortening of thigh bone CPT 27465 not published not published $1,361.54 – $2,308.09 7
Shorten/lengthen thighs CPT 27468 not published not published $1,490.80 – $2,475.43 7
Shorten radius or ulna CPT 25390 not published not published $847.20 – $1,412.20 7
Shorten radius & ulna CPT 25392 not published not published $1,126.07 – $1,865.92 7
Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 not published not published $1,167.55 – $1,986.33 7
Shoulder MRI (with and without contrast) CPT 73223 $1,070.87 $2,894.25 $134.83 – $957.79 7
Shoulder MRI (with contrast) CPT 73222 $1,025.64 $2,772.00 $101.53 – $772.77 7
Shoulder MRI (without contrast) CPT 73221 $2,051.28 $5,544.00 $84.59 – $495.23 7
Shoulder prosthesis removal CPT 23334 not published not published $1,190.52 – $1,888.38 6
Shoulder prosthesis removal CPT 23335 not published not published $1,419.81 – $2,254.35 6
Shoulder X-ray CPT 73030 $263.81 $713.00 $11.52 – $56.46 7
Shrinker prosth above knee HCPCS L8460 $157.49 $425.65 $128.24 – $128.24 1
Shrinker prosth below knee HCPCS L8440 $90.54 $244.70 $73.73 – $73.73 1
Shunt as-aort to pulm art CPT 33755 not published not published $1,538.54 – $2,535.28 7
Shunt central w/prostc graft CPT 33764 not published not published $1,489.99 – $2,453.66 7
Shunt desc aorta to pulm art CPT 33762 not published not published $1,519.45 – $2,519.64 7
Shuntogram nonvascular supervision & interpretation CPT 75809 $99.25 $268.25 $29.40 – $185.72 7
Shunt subclavian to pulm art CPT 33750 not published not published $1,495.65 – $2,640.05 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.