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 |
|---|---|---|---|---|
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,008.70 – $1,690.42 | 7 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $723.83 – $1,227.16 | 7 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $1,232.89 – $2,052.32 | 7 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $892.59 – $1,690.42 | 7 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $1,199.92 – $2,070.68 | 7 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $175.97 – $325.85 | 7 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $170.16 – $300.68 | 7 |
| Treat spine fracture CPT 22325 | not published | not published | $1,529.76 – $2,643.45 | 7 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.86 – $268.69 | 7 |
| Treat tail bone fracture CPT 27202 | not published | not published | $608.88 – $980.92 | 7 |
| Treat thigh fracture CPT 27230 | $728.90 | $1,970.00 | $494.38 – $869.36 | 7 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,005.35 – $1,676.13 | 7 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,323.63 – $2,212.17 | 7 |
| Treat thigh fracture CPT 27238 | $2,289.56 | $6,188.00 | $484.69 – $848.96 | 7 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,365.09 – $2,274.75 | 7 |
| Treat thigh fracture CPT 27246 | $720.76 | $1,948.00 | $411.12 – $710.87 | 7 |
| Treat thigh fracture CPT 27248 | not published | not published | $821.13 – $1,371.39 | 7 |
| Treat thigh fracture CPT 27240 | $2,008.18 | $5,427.50 | $1,056.17 – $1,773.40 | 7 |
| Treat thigh fracture CPT 27244 | not published | not published | $1,362.08 – $2,274.07 | 7 |
| Treat thigh fx growth plate CPT 27516 | $1,114.44 | $3,012.00 | $485.79 – $874.80 | 7 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $705.65 – $1,259.82 | 7 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $989.36 – $1,642.80 | 7 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,583.56 – $2,730.53 | 7 |
| Treat thumb fracture CPT 26650 | not published | not published | $500.53 – $872.76 | 7 |
| Treat thumb fracture CPT 26665 | not published | not published | $650.68 – $1,154.38 | 7 |
| Treat toe dislocation CPT 28636 | not published | not published | $226.61 – $362.58 | 7 |
| Treat toe dislocation CPT 28665 | not published | not published | $145.79 – $247.60 | 7 |
| Treat toe dislocation CPT 28666 | not published | not published | $204.55 – $359.18 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $428.23 – $746.91 | 7 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $909.44 – $1,595.19 | 7 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,179.66 – $2,037.35 | 7 |
| Treat ulnar fracture CPT 24675 | $2,628.48 | $7,104.00 | $436.11 – $765.28 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $704.21 – $1,204.05 | 7 |
| Treat vaginal bleeding CPT 57180 | $142.27 | $384.50 | $115.76 – $197.96 | 7 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $402.71 – $739.42 | 7 |
| Treat wrist dislocation CPT 25675 | $534.93 | $1,445.75 | $410.32 – $746.24 | 7 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.77 – $29.19 | 7 |
| Treponema pallidum antibody CPT 86780 | $59.02 | $159.50 | $20.61 – $32.22 | 6 |
| Treprostinil injection HCPCS J3285 | $4,774.98 | $12,905.36 | $55.89 – $146.26 | 6 |
| Trg gene rearrangement anal CPT 81342 | $214.32 | $579.25 | $313.71 – $486.57 | 6 |
| Trh stimulation panel CPT 80439 | not published | not published | $53.16 – $163.54 | 7 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $27.12 | $73.30 | $6.81 – $6.81 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $10.38 | $28.05 | $3.59 – $15.60 | 6 |
| Trichinella antibody CPT 86784 | $41.07 | $111.00 | $13.29 – $30.57 | 7 |
| Trichomonas assay w/optic CPT 87808 | $23.31 | $63.00 | $12.77 – $29.19 | 7 |
| Triglycerides CPT 84478 | $19.80 | $53.50 | $5.99 – $13.98 | 7 |
| Trimethobenzamide hcl inj HCPCS J3250 | $77.98 | $210.75 | $15.60 – $15.60 | 5 |
| Trim nail(s) HCPCS G0127 | $132.92 | $359.25 | $8.73 – $14.28 | 6 |
| Trim nondyst nails CPT 11719 | $120.25 | $325.00 | $8.73 – $14.28 | 7 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,027.81 – $1,812.87 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,077.08 – $2,023.07 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $754.80 | $2,040.00 | $512.05 – $880.25 | 7 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $1,238.00 – $1,919.67 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $1,133.45 – $2,038.04 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $928.36 – $1,506.75 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $245.60 – $392.50 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $173.52 – $274.14 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $344.42 – $588.42 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $346.62 – $582.30 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $442.76 – $762.55 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $268.70 – $470.73 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $141.22 – $274.81 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $386.33 – $673.46 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $976.30 – $1,645.53 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $248.35 – $408.82 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,456.14 | $3,935.50 | $740.17 – $1,256.41 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $919.78 – $1,548.26 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $791.89 – $1,338.73 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $714.14 – $1,216.29 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $536.33 – $935.34 | 7 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,179.66 – $1,879.53 | 7 |
| Troponin quantitative CPT 84484 | $119.05 | $321.75 | $10.42 – $23.95 | 7 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $1,169.59 – $2,148.91 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $458.06 | $1,238.00 | $332.68 – $356.44 | 5 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $941.56 | $2,544.75 | $1,091.51 – $1,091.51 | 5 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $400.77 – $688.41 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $114.81 | $310.30 | $91.37 – $91.37 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $1,120.18 | $3,027.50 | $92.23 – $92.23 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $84.57 – $135.38 | 7 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,273.33 – $2,165.91 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,160.06 – $1,991.78 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $1,273.90 – $11,285.00 | 7 |
| Tx closed distal humerus fx CPT 24999 | $135.14 | $365.25 | $182.63 – $1,647.09 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | $526.79 | $1,423.75 | $205.25 – $344.88 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $622.14 – $1,061.87 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $417.27 | $1,127.75 | $319.27 – $585.01 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $128.04 – $214.28 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $79.75 – $140.13 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,041.03 – $1,579.55 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $985.51 – $1,710.15 | 7 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $482.10 – $11,285.00 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,679.52 | $4,539.25 | $752.58 – $1,359.13 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,930.49 | $7,920.25 | $495.49 – $919.02 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,238.80 | $8,753.50 | $541.93 – $1,002.01 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $490.47 – $865.97 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $678.04 – $1,199.95 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,391.29 | $3,760.25 | $611.43 – $1,094.52 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $486.31 – $816.30 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $376.11 | $1,016.50 | $195.31 – $356.44 | 7 |
| Tympanic membrane repair CPT 69610 | not published | not published | $321.59 – $546.91 | 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.