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 |
|---|---|---|---|---|
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,570.16 | $20,459.90 | $73.06 – $73.06 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $665.07 – $1,131.26 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $598.56 – $1,037.38 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $653.14 – $1,124.46 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $842.33 – $1,436.01 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $546.45 – $937.38 | 7 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $796.75 – $1,338.05 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $328.31 – $538.75 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $268.59 – $457.81 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.71 | $26.25 | $15.60 – $15.60 | 5 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $194.46 – $210.20 | 5 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.25 – $14.61 | 7 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.43 – $10.41 | 7 |
| Test for urine cystines CPT 82615 | $18.50 | $50.00 | $8.60 – $19.86 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $44.93 – $386.38 | 7 |
| Testosterone response panel CPT 80414 | not published | not published | $39.87 – $125.64 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $365.84 | $988.75 | $39.88 – $74.83 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $5.73 – $13.38 | 7 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.12 – $20.95 | 7 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.39 – $7.91 | 7 |
| Tetanus ig im CPT 90389 | not published | not published | $539.22 – $577.74 | 5 |
| Tetanus immune globulin inj HCPCS J1670 | $404.61 | $1,093.55 | $434.94 – $466.00 | 5 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $143.85 – $155.50 | 5 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $83.41 – $83.41 | 5 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $960.40 – $1,029.00 | 5 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $83.41 – $83.41 | 5 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $190.40 – $204.00 | 5 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.65 – $53.74 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $60.77 | $164.25 | $14.85 – $34.42 | 7 |
| Therapeutic procd strg endur HCPCS G0237 | $35.71 | $96.50 | $10.07 – $18.36 | 7 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $210.44 | $568.75 | $96.52 – $96.52 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.29 | $130.50 | $33.91 – $60.54 | 7 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.64 | $72.00 | $29.36 – $51.70 | 7 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $128.71 – $246.25 | 7 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.90 – $230.61 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.19 | $687.00 | $106.35 – $369.38 | 7 |
| Ther/proph/diag inj ia CPT 96373 | $221.54 | $598.75 | $20.23 – $36.06 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $184.48 – $300.68 | 7 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $125.57 – $203.40 | 7 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $84.35 – $135.38 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.68 | $31.57 | $15.60 – $15.60 | 5 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,700.24 – $2,833.92 | 6 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,831.99 – $3,051.60 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $967.18 | $2,614.00 | $127.81 – $212.24 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,371.83 – $5,208.00 | 7 |
| Thoracic duct procedure CPT 38380 | not published | not published | $621.91 – $1,072.76 | 7 |
| Thoracic duct procedure CPT 38381 | not published | not published | $902.95 – $1,500.63 | 7 |
| Thoracic duct procedure CPT 38382 | not published | not published | $750.69 – $1,251.66 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $245.04 – $406.11 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,143.50 – $6,929.70 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,391.06 – $2,292.45 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,809.56 – $3,014.86 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $348.52 – $581.61 | 7 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,719.82 – $2,859.09 | 6 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $245.76 – $406.11 | 6 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $2,007.93 – $3,342.75 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,232.33 – $2,057.07 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,516.80 – $2,525.09 | 6 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,191.17 – $1,983.62 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,074.18 – $1,799.27 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $745.08 – $1,251.66 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,333.05 – $2,214.90 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $949.01 – $1,591.79 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,873.37 – $3,120.30 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $523.52 – $870.04 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $547.01 – $904.05 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,579.78 – $2,631.21 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,002.21 – $1,672.05 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $897.39 – $1,497.91 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $898.39 – $1,497.91 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $819.62 – $1,366.62 | 7 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $799.81 – $1,338.73 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,370.48 – $2,255.03 | 6 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $977.52 – $1,670.70 | 6 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $178.75 – $310.88 | 6 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $178.75 – $311.55 | 6 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $863.76 – $1,459.14 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $807.67 – $1,355.06 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,040.44 – $1,744.85 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $911.62 – $1,531.92 | 7 |
| Thoracotomy with cardiac massage CPT 32160 | $921.49 | $2,490.50 | $883.71 – $1,481.58 | 7 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,352.15 – $2,316.93 | 7 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $243.80 – $243.80 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $292.19 – $508.14 | 6 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $348.52 – $601.34 | 6 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $428.12 – $740.12 | 6 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $19.68 – $146.25 | 7 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $201.34 – $328.56 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $388.12 – $669.72 | 6 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $487.19 – $840.50 | 6 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $568.56 – $981.04 | 6 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,289.40 – $2,030.55 | 7 |
| Thrombin time CPT 85670 | $42.83 | $115.75 | $3.36 – $6.57 | 7 |
| Thrombin time titer CPT 85675 | not published | not published | $7.30 – $16.65 | 7 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $938.77 – $1,589.74 | 7 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,020.24 – $1,719.67 | 7 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,469.68 – $2,483.59 | 7 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,290.71 – $2,185.65 | 7 |
| Thrombomodulin CPT 85337 | not published | not published | $10.94 – $25.36 | 7 |
| Thromboplastin inhibition CPT 85705 | $64.38 | $174.00 | $10.16 – $23.41 | 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.