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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
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 $4,227.25 $11,425.00 $3.40 – $3.40 5
Sup of prep of antigen # of vials 95144 CPT 95144 not published not published $3.53 – $3.90 2
Supprelin la implant HCPCS J9226 $25,852.66 $69,872.05 $5,064.91 – $5,064.91 5
Suprv interfacilty transport CPT 99485 not published not published $85.24 – $129.01 6
Suprv interfac trnsport addl CPT 99486 not published not published $73.85 – $112.26 6
Surg dx exam anorectal CPT 45990 not published not published $120.08 – $199.32 7
Surg ect salp-oophorectomy 59120 CPT 59120 not published not published $884.13 – $1,489.76 7
Surg ect without salp-oophorectomy 59121 CPT 59121 not published not published $886.93 – $1,491.11 7
Surgery for urethra pouch CPT 53240 not published not published $475.07 – $780.24 7
Surgery of pancreatic cyst CPT 48500 not published not published $1,222.28 – $2,133.27 7
Surgery to stop leg growth CPT 27475 not published not published $716.55 – $1,216.29 7
Surgery to stop leg growth CPT 27477 not published not published $805.18 – $1,347.57 7
Surgery to stop leg growth CPT 27479 not published not published $1,017.65 – $1,611.51 7
Surgery to stop leg growth CPT 27485 not published not published $733.23 – $1,233.30 7
Surgical exposure prostate 55860 CPT 55860 not published not published $985.95 – $1,614.91 7
Surgical opening esophagus CPT 43351 not published not published $1,502.14 – $2,469.32 7
Surgical opening esophagus CPT 43352 not published not published $1,204.20 – $2,003.34 7
Surgical opening of stomach CPT 43510 not published not published $1,038.28 – $1,701.30 7
Surgical opening of stomach 43500 CPT 43500 not published not published $850.58 – $1,458.45 7
Surgical opening of throat CPT 42955 not published not published $805.35 – $1,416.96 7
Surgical pathology level 1 gross examination only CPT 88300 $23.31 $63.00 $5.24 – $25.84 7
Surgical pathology level 2 gross & microscopic examination CPT 88302 $48.56 $131.25 $7.98 – $54.42 7
Surgical pathology level 3 gross & microscopic examination CPT 88304 $50.14 $135.50 $13.40 – $78.22 7
Surgical pathology level 4 gross & microscopic examination CPT 88305 $68.45 $185.00 $29.83 – $85.89 7
Surgical pathology level 5 gross & microscopic examination CPT 88307 $160.30 $433.25 $97.83 – $182.17 7
Surgical pathology level 6 gross & microscopic examination CPT 88309 $208.22 $562.75 $143.53 – $258.70 7
Surgical repair stomach bleedin ulcer 43501 CPT 43501 not published not published $1,467.01 – $2,497.20 7
Surgical repair stomach gastric lac 43502 CPT 43502 not published not published $1,662.19 – $2,824.39 7
Surgical revision intestine CPT 44680 not published not published $1,165.74 – $1,986.33 7
Surg tx anal fistula 2nd stage 46285 CPT 46285 not published not published $408.56 – $771.40 7
Susceptibility agar dilution per agent CPT 87181 $20.72 $56.00 $1.84 – $3.62 7
Susceptibility enzyme detection per enzyme CPT 87185 $13.97 $37.75 $1.84 – $3.62 7
Susceptibility mic per plate CPT 87186 $163.98 $443.20 $9.12 – $21.03 7
Suscept studies macrobroth dilution ea CPT 87188 not published not published $7.04 – $16.14 7
Suspend bowel w/prosthesis CPT 44700 not published not published $1,128.97 – $1,906.74 7
Suspension of testis CPT 54620 not published not published $336.60 – $551.68 7
Suspension of uterus CPT 58410 not published not published $891.45 – $1,517.64 7
Suspension of uterus 58400 CPT 58400 not published not published $484.76 – $822.42 7
Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 not published not published $1,163.76 – $1,963.88 7
Suture bile duct injury 47900 CPT 47900 not published not published $1,482.23 – $2,549.58 7
Svc venogram s&i CPT 75827 not published not published $70.46 – $275.50 7
Sweat collection by iontophoresis CPT 89230 $50.14 $135.50 $2.73 – $4.31 7
Sympathectomy cervical CPT 64802 not published not published $675.86 – $993.16 7
Sympathectomy digital artery CPT 64820 not published not published $784.98 – $1,382.95 7
Sympathectomy lumbar CPT 64818 not published not published $645.88 – $1,203.36 7
Sympathectomy supfc palmar CPT 64823 not published not published $837.88 – $1,463.89 7
Sympathectomy thoracolumbar CPT 64809 not published not published $965.84 – $1,369.35 7
Synthetic sentence id test CPT 92576 not published not published $22.59 – $61.23 7
Synvisc or synvisc-one HCPCS J7325 $1,242.63 $3,358.45 $15.60 – $15.60 5
Syphilis test non-treponemal antibody quantitative rpr CPT 86593 $45.70 $123.50 $4.69 – $10.71 7
T3 (triiodothyronine) free CPT 84481 $89.82 $242.75 $17.98 – $41.22 7
T3 (triiodothyronine) total CPT 84480 $59.02 $159.50 $14.85 – $34.50 7
T4 (thyroxine) free CPT 84439 $61.33 $165.75 $9.64 – $21.95 7
T4 (thyroxine) total CPT 84436 $41.26 $111.50 $7.30 – $16.71 7
Tacrol envarsus ex rel oral HCPCS J7503 $2.74 $7.40 $1.39 – $1.49 5
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 $1.36 $3.68 $2.32 – $2.49 5
Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 $176.77 $477.75 $146.26 – $146.26 5
Tacrolimus therapeutic drug level CPT 80197 $96.66 $261.25 $14.59 – $33.41 7
Tah rad debulk/lymph remove 58954 CPT 58954 not published not published $2,410.24 – $3,994.43 7
Tah rad dissect for debulk 58953 CPT 58953 not published not published $2,219.74 – $3,685.59 7
Tah w/mmk 58152 CPT 58152 not published not published $1,383.96 – $2,352.99 7
Tap block bilat cont infusion 64489 CPT 64489 not published not published $89.95 – $369.38 6
Tap block uni by cont infusion 64487 CPT 64487 not published not published $76.90 – $265.98 6
Target gsa panel hmtlmph neop CPT 81450 $925.19 $2,500.50 $741.09 – $741.09 1
Target gsa panel organ/hmtlmph neop CPT 81455 $1,259.70 $3,404.60 $3,313.75 – $3,313.75 1
Target gsa panel organ neop CPT 81445 $1,426.07 $3,854.25 $683.38 – $683.38 1
Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 not published not published $147.82 – $251.70 7
Tavr perq femoral CPT 33361 not published not published $1,547.39 – $2,514.21 6
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 $332.56 $898.80 $1.19 – $1.27 5
Tbp gene detc abnor alleles CPT 81344 not published not published $143.85 – $155.50 5
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 $85.93 $232.25 $116.67 – $182.29 6
Tb test cell mediated immunity antigen response gamma interferon CPT 86480 $77.52 $209.50 $65.41 – $150.81 7
Tca peel dermal 15789 CPT 15789 not published not published $454.09 – $772.77 7
Tcd emboli detect w/inj CPT 93893 not published not published $70.83 – $628.54 7
Tcd emboli detect without inj CPT 93892 not published not published $70.43 – $589.77 7
Tcd vasoreactivity study CPT 93890 not published not published $61.80 – $521.75 7
T-cell depletion of harvest CPT 38210 not published not published $93.21 – $148.98 7
T cells absolute cd4/cd8 including ratio CPT 86360 $185.28 $500.75 $49.51 – $114.33 7
T cells absolute cd 4 count CPT 86361 $110.72 $299.25 $28.14 – $65.13 7
T cells total count CPT 86359 $68.92 $186.26 $38.03 – $74.55 7
Tcranial magn stim tx deli CPT 90868 not published not published $562.89 – $562.89 5
Tcranial magn stim tx plan CPT 90867 not published not published $628.57 – $628.57 5
Tcran magn stim redetemine CPT 90869 not published not published $562.89 – $562.89 5
Tdh sdrl/ventr pnxr CPT 61105 not published not published $469.34 – $848.96 7
Teaec w/wo patch graft iliofemoral CPT 35355 not published not published $1,188.10 – $2,010.13 7
Team conf without pat by hc pro CPT 99368 $27.20 $73.50 $40.85 – $62.02 7
Team conf without pat by phys CPT 99367 $27.94 $75.50 $62.46 – $95.52 7
Team conf w/pat by hc prof CPT 99366 $27.94 $75.50 $46.73 – $70.71 7
Telavancin injection HCPCS J3095 $464.05 $1,254.20 $3.40 – $3.40 5
Telethx isodose plan cplx CPT 77307 not published not published $141.58 – $491.14 6
Telethx isodose plan simple CPT 77306 not published not published $78.34 – $251.01 6
Temozolomide HCPCS J8700 $427.46 $1,155.30 $15.60 – $15.60 5
Temozolomide 100 mg intravenous solution HCPCS J9328 $29.19 $78.90 $7.31 – $7.31 5
Temperature gradient studies CPT 93740 not published not published $1.89 – $115.39 7
Temple bne implnt w/stimulat CPT 69715 not published not published $1,482.53 – $2,497.88 7
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 $116.48 $314.80 $53.80 – $146.26 6
Tendon lengthening CPT 26476 not published not published $597.30 – $1,050.99 7
Tendon lngth upr a/e ea tdn CPT 24305 not published not published $626.24 – $1,060.52 7
Tendon shortening CPT 26477 not published not published $602.06 – $1,046.91 7
Tendon transfer with graft CPT 26492 not published not published $928.77 – $1,599.94 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.