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 |
|---|---|---|---|---|
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $34.60 | $93.50 | $6.78 – $15.73 | 7 |
| Thromboxane urine CPT 84431 | not published | not published | $26.16 – $40.89 | 6 |
| Thumb fusion with graft CPT 26820 | not published | not published | $820.73 – $1,427.16 | 7 |
| Thumb fusion with graft CPT 26842 | not published | not published | $836.64 – $1,423.08 | 7 |
| Thumb tendon transfer CPT 26510 | not published | not published | $622.58 – $1,076.16 | 7 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,533.40 – $2,565.90 | 7 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,163.13 – $1,932.59 | 7 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,261.21 – $2,106.06 | 7 |
| Thyroglobulin antibody CPT 86800 | $56.89 | $153.75 | $16.68 – $38.69 | 7 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,533.93 – $2,560.45 | 7 |
| Thyroid imaging CPT 78013 | not published | not published | $182.17 – $362.58 | 6 |
| Thyroid met imaging CPT 78015 | not published | not published | $42.26 – $387.06 | 7 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $51.68 – $502.71 | 7 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $54.25 – $559.17 | 7 |
| Thyroid met uptake CPT 78020 | not published | not published | $37.89 – $150.33 | 7 |
| Thyroid (TSH) Test CPT 84443 | $83.07 | $224.50 | $17.72 – $31.18 | 7 |
| Thyroid Ultrasound CPT 76536 | $408.02 | $1,102.75 | $34.42 – $219.04 | 7 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $74.74 – $143.53 | 6 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,335.83 | $6,313.05 | $1,023.23 – $1,023.23 | 5 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.55 – $122.66 | 7 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.42 | $166.00 | $15.63 – $35.98 | 7 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $861.62 – $1,450.98 | 7 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,097.18 – $1,837.35 | 7 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $873.63 – $1,454.37 | 6 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $455.06 – $739.42 | 6 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $378.93 – $631.27 | 6 |
| Tigecycline injection HCPCS J3243 | $178.71 | $483.00 | $15.60 – $15.60 | 5 |
| Tilt table study CPT 93660 | $487.29 | $1,317.00 | $64.68 – $234.18 | 7 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $696.08 | $1,881.30 | $7.31 – $7.98 | 6 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $173.12 – $280.26 | 7 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $191.88 – $320.40 | 7 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $124.90 – $202.71 | 7 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $155.45 – $270.06 | 7 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $10.07 – $60.54 | 6 |
| Tissue culture placenta CPT 88235 | not published | not published | $155.31 – $358.29 | 7 |
| Tissue culture skin/biopsy CPT 88233 | $560.27 | $1,514.25 | $143.53 – $319.56 | 7 |
| Tissue culture tumor CPT 88239 | $320.05 | $865.00 | $155.57 – $358.92 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | $21.09 | $57.00 | $4.43 – $10.39 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $862.33 – $1,753.68 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,131.30 – $2,184.28 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $995.13 – $1,956.40 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,351.30 – $2,507.40 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,698.79 – $4,517.53 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,773.32 – $4,633.19 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $511.81 – $877.53 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $141.75 | $383.11 | $4.14 – $4.44 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $65.95 | $178.25 | $16.94 – $39.23 | 7 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $25.62 | $69.25 | $6.81 – $6.81 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $3,246.72 – $5,446.76 | 7 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $34.97 | $94.50 | $25.50 – $92.06 | 5 |
| Tomosynthesis breast screen bilateral CPT 77063 | $34.97 | $94.50 | $25.50 – $98.64 | 6 |
| Tone decay hearing test CPT 92563 | not published | not published | $21.90 – $56.46 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,352.89 – $4,038.64 | 7 |
| Tongue base vol reduction CPT 41530 | not published | not published | $408.08 – $766.63 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $121.16 – $210.88 | 7 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $3,250.21 – $5,610.02 | 7 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,390.73 – $4,103.27 | 7 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,600.67 – $4,459.73 | 7 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $3,025.07 – $5,172.61 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $666.87 – $1,177.52 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $429.48 – $818.34 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $277.42 – $474.81 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $288.49 – $495.23 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $28.64 | $77.40 | $15.60 – $15.60 | 5 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,510.05 – $2,495.84 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,863.15 – $3,103.98 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,507.65 – $2,667.26 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $1,127.40 – $1,885.65 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,506.93 – $2,847.53 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $390.50 – $677.53 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,375.04 – $2,616.82 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,829.01 – $3,059.09 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,915.70 – $2,681.55 | 7 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $567.72 – $1,174.11 | 6 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,884.69 – $4,756.31 | 7 |
| Tot estradiol response panel CPT 80415 | not published | not published | $39.87 – $135.97 | 7 |
| Toxoplasma antibody igg CPT 86777 | $49.77 | $134.50 | $15.11 – $35.02 | 7 |
| Toxoplasma antibody igm CPT 86778 | $48.93 | $132.25 | $15.11 – $35.04 | 7 |
| Tp53 gene full gene sequence CPT 81351 | $535.76 | $1,448.00 | $728.50 – $728.50 | 1 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $349.58 – $349.58 | 1 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $373.99 – $373.99 | 1 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $198.41 – $283.19 | 6 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $226.55 – $565.29 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $381.54 – $646.25 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $127.95 – $241.49 | 7 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $3,370.37 – $5,476.02 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,562.69 – $2,570.67 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $472.94 – $846.91 | 7 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $40.89 | $110.50 | $49.10 – $58.61 | 6 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $338.01 – $583.65 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,306.99 – $2,159.11 | 6 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,426.84 – $2,348.22 | 6 |
| Transcath biopsy CPT 37200 | not published | not published | $251.02 – $421.08 | 7 |
| Transcath closure of asd CPT 93580 | not published | not published | $1,112.12 – $1,826.47 | 7 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,525.79 – $2,464.55 | 7 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $52.84 – $76.19 | 6 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $484.53 – $1,005.40 | 6 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $2,043.49 – $3,216.90 | 6 |
| Transcath occlusion cns CPT 61624 | not published | not published | $1,301.65 – $2,046.87 | 7 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $980.96 – $1,591.11 | 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.