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
Shunt supr v/c p-art 1 lung CPT 33766 not published not published $1,581.06 – $2,578.83 7
Shunt supr v/c p-art bth lng CPT 33767 not published not published $1,615.54 – $2,696.51 7
Sialidase enzyme assay CPT 87905 not published not published $12.77 – $29.73 7
Sialography s&i CPT 70390 $168.72 $456.00 $23.98 – $182.31 7
Sialolithotomy 42330 CPT 42330 $1,805.60 $4,880.00 $181.48 – $312.24 7
Sickling rbc CPT 85660 $25.81 $69.75 $5.73 – $13.44 7
Sigmoidoscopy and biopsy CPT 45331 not published not published $81.39 – $142.86 7
Sigmoidoscopy flex decompression 45337 CPT 45337 not published not published $132.11 – $269.38 7
Sigmoidoscopy for bleeding CPT 45334 not published not published $134.11 – $308.16 7
Sigmoidoscopy/submucosal injection 45335 CPT 45335 not published not published $75.17 – $174.15 7
Sigmoidoscopy w/ablation CPT 45346 not published not published $183.36 – $351.01 6
Sigmoidoscopy w/fb removal 45332 CPT 45332 not published not published $119.66 – $209.52 7
Sigmoidoscopy w/plcmt stent CPT 45347 not published not published $176.45 – $329.24 6
Sigmoidoscopy w/resection CPT 45349 not published not published $226.72 – $226.72 1
Sigmoidoscopy w/tumr remove CPT 45338 not published not published $137.24 – $265.98 7
Sigmoidoscopy w/ultrasound CPT 45341 not published not published $141.16 – $295.23 7
Sigmoidoscopy w/us guide bx CPT 45342 not published not published $193.88 – $449.64 7
Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 not published not published $106.78 – $208.16 7
Signal avg ecg w or without ecg 93278 CPT 93278 not published not published $16.00 – $119.60 7
Sig w/tndsc balloon dilation CPT 45340 not published not published $88.05 – $219.04 7
Simple cystometrogram 51725 CPT 51725 not published not published $97.04 – $339.45 7
Sincalide 5 mcg solution for injection HCPCS J2805 $196.15 $530.14 $73.06 – $73.06 5
Single transfer toe-hand CPT 26553 not published not published $3,142.92 – $5,081.48 7
Sinus CT scan (with and without contrast) CPT 70488 $786.90 $2,126.75 $89.07 – $587.05 7
Sinus CT scan (with contrast) CPT 70487 $741.48 $2,004.00 $82.24 – $489.11 7
Sinus CT scan (without contrast) CPT 70486 $756.00 $2,043.25 $71.66 – $406.79 7
Sinus/juglr venogram s&i CPT 75860 not published not published $73.36 – $279.58 7
Sinusotomy maxillary sinus 31020 CPT 31020 not published not published $365.52 – $665.28 7
Sinusotomy sinus remove polyps 31032 CPT 31032 not published not published $610.62 – $1,061.87 7
Sinusotomy sphenoid w/wo bx 31050 CPT 31050 not published not published $518.93 – $898.61 7
Sirolimus, oral HCPCS J7520 $22.20 $60.00 $15.60 – $15.60 5
Skin and muscle repair face CPT 15845 not published not published $1,037.99 – $1,897.21 7
Skin full graft 20sq cm less 15200 CPT 15200 not published not published $710.42 – $1,248.94 7
Skin full graft add-on 15241 CPT 15241 not published not published $124.85 – $208.16 7
Skin pedicle flap arms/legs CPT 15572 not published not published $785.88 – $1,372.07 7
Skin pedicle flap trunk CPT 15570 not published not published $777.67 – $1,371.39 7
Skin split graft addl 100sq cm 15101 CPT 15101 not published not published $123.86 – $205.44 7
Skin test unlisted antigen ea CPT 86486 $26.09 $70.50 $3.51 – $9.53 7
Skull base/brainstem surgery CPT 61575 not published not published $2,564.09 – $4,569.91 7
Skull base/brainstem surgery CPT 61576 not published not published $3,816.70 – $6,427.01 7
Slco1b1 gene com variants CPT 81328 not published not published $198.41 – $283.19 6
Sleep study attended CPT 95807 not published not published $99.31 – $866.64 7
Sleep Study (Polysomnography) CPT 95810 not published not published $209.89 – $1,127.85 7
Sleep study unattended CPT 95806 not published not published $100.11 – $325.15 7
Sleeve pneumonectomy CPT 32442 not published not published $3,481.12 – $5,753.55 7
Sling arm deluxe w/pad xs HCPCS A4565 $103.58 $279.95 $14.95 – $14.95 1
Slitting of prepuce CPT 54000 not published not published $119.87 – $197.28 7
Slitting of prepuce CPT 54001 not published not published $154.66 – $255.09 7
Slp eval for nonspeech dev ea addl 30 mins CPT 92618 not published not published $36.92 – $60.54 6
Slp eval non-spch gen comm dev CPT 92605 not published not published $99.02 – $164.63 6
Slp pure tone screening CPT 92551 not published not published $11.45 – $21.77 7
Slp stdy unatnd w/anal CPT 95801 not published not published $42.04 – $172.11 6
Slp ther svc non-spch gen CPT 92606 not published not published $79.36 – $131.97 6
Small animal inoculation CPT 87003 not published not published $17.72 – $40.97 7
Small bowel endoscopy CPT 44360 not published not published $164.18 – $295.23 7
Small bowel endoscopy CPT 44364 not published not published $233.71 – $414.27 7
Small bowel endoscopy CPT 44366 not published not published $274.70 – $487.74 7
Small bowel endoscopy CPT 44369 not published not published $281.72 – $498.63 7
Small bowel endoscopy CPT 44376 not published not published $325.60 – $570.04 7
Small bowel endoscopy CPT 44378 not published not published $441.08 – $774.12 7
Small bowel endoscopy CPT 44382 not published not published $82.98 – $153.06 7
Small bowel endoscopy CPT 44384 not published not published $174.89 – $304.06 6
Small bowel endoscopy >2nd w/remove 44363 CPT 44363 not published not published $219.26 – $387.75 7
Small bowel endoscopy 44365 CPT 44365 not published not published $206.10 – $368.70 7
Small bowel endoscopy/biopsy CPT 44361 not published not published $181.35 – $324.48 7
Small bowel endoscopy/biopsy CPT 44377 not published not published $343.09 – $603.38 7
Small bowel endoscopy br/wa CPT 44380 not published not published $63.54 – $127.20 7
Small bowel endoscopy br/wa CPT 44381 not published not published $96.23 – $96.23 1
Small bowel endoscopy/stent 44370 CPT 44370 not published not published $304.68 – $538.75 7
Smear fluorescent and/or acid fast stain CPT 87206 $23.13 $62.50 $5.73 – $13.08 7
Smear gram stain CPT 87205 $42.37 $114.50 $4.43 – $10.39 7
Smear nasal eosinophil CPT 89190 $21.65 $58.50 $4.95 – $11.56 7
Smear special stain inclusion bodies/parasites CPT 87207 $52.08 $140.75 $6.25 – $14.58 7
Smear wet mount CPT 87210 $21.74 $58.75 $4.43 – $10.39 7
Smn1 gene full gene sequence CPT 81336 not published not published $316.41 – $342.03 5
Smn1 gen nown famil seq vrnt CPT 81337 not published not published $194.46 – $210.20 5
Smpd1 gene common variants CPT 81330 not published not published $53.34 – $316.31 6
Snrpn/ube3a gene CPT 81331 $479.34 $1,295.50 $57.96 – $166.13 6
Sodium 24 hour urine CPT 84300 $47.18 $127.50 $5.21 – $11.84 7
Sodium chloride 0.9 % intravenous solution HCPCS J7030 $48.58 $131.31 $15.60 – $15.60 5
Sodium chloride 0.9 % IV bolus HCPCS J7040 $48.71 $131.64 $6.81 – $6.81 5
Sodium chloride 0.9 % IV bolus HCPCS J7050 $24.18 $65.34 $6.81 – $6.81 5
Sodium chloride 3 % ivpb HCPCS J7131 $17.39 $47.00 $15.60 – $15.60 5
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 $9.45 $25.55 $15.60 – $15.60 5
Sodium serum/plasma/whole blood CPT 84295 $24.88 $67.25 $4.95 – $11.71 7
Somatosensory testing CPT 95927 $358.35 $968.50 $34.07 – $300.68 7
Somatropin injection HCPCS J2941 $339.59 $917.80 $58.84 – $73.06 6
Sp bone agrft morsel add-on CPT 20937 not published not published $189.99 – $308.83 7
Sp bone agrft struct add-on CPT 20938 not published not published $209.93 – $338.08 7
Sp bone algrft morsel add-on CPT 20930 not published not published $138.18 – $988.50 6
Special physics consult CPT 77370 not published not published $124.40 – $202.03 7
Special pump services CPT 99190 not published not published $115.39 – $561.83 6
Special pump services CPT 99191 not published not published $115.39 – $393.63 6
Special pump services CPT 99192 not published not published $115.39 – $280.86 6
Special radiation dosimetry CPT 77331 not published not published $19.41 – $114.28 7
Special radiation treatment CPT 77470 not published not published $39.53 – $278.91 7
Special supplies phys/qhp CPT 99070 not published not published $40.60 – $43.50 5
Special teletx port plan CPT 77321 not published not published $44.56 – $164.63 7
Specific gravity body fluid CPT 84315 $14.99 $40.50 $2.61 – $6.11 7
Specimen fat stain CPT 89125 not published not published $4.43 – $10.50 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.