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 |
|---|---|---|---|---|
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $574.77 – $1,023.78 | 7 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $23.26 – $38.77 | 6 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $140.19 – $249.65 | 7 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,484.50 – $2,584.28 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,315.55 – $2,297.20 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $198.41 – $283.19 | 6 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $35.00 – $65.03 | 6 |
| U2af1 gene common variants CPT 81357 | not published | not published | $219.34 – $219.34 | 1 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.39 – $7.70 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $183.46 – $265.59 | 6 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $67.19 – $169.37 | 6 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $3.44 – $12.24 | 7 |
| Ultrasound breast complete CPT 76641 | $695.23 | $1,879.00 | $72.22 – $185.72 | 6 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $695.23 | $1,879.00 | $55.33 – $153.06 | 6 |
| Ultrasound chest CPT 76604 | $263.90 | $713.25 | $34.35 – $158.50 | 7 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $340.03 | $919.00 | $23.00 – $74.83 | 7 |
| Ultrasound dx ophth b-scan CPT 76512 | $256.50 | $693.25 | $40.25 – $172.78 | 7 |
| Ultrasound elastography ea l target les CPT 76983 | $114.33 | $309.00 | $38.73 – $38.73 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $114.33 | $309.00 | $80.21 – $80.21 | 1 |
| Ultrasound encephalogram CPT 76506 | $226.26 | $611.50 | $40.47 – $225.16 | 7 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $24.13 – $179.58 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $398.49 | $1,077.00 | $47.67 – $274.81 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $294.06 | $794.75 | $47.35 – $163.94 | 7 |
| Ultrasound guidance for vascular access CPT 76937 | $155.49 | $420.25 | $17.24 – $64.62 | 7 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $289.99 | $783.75 | $28.39 – $363.25 | 7 |
| Ultrasound guide intraoperative CPT 76998 | $193.42 | $522.75 | $75.63 – $119.04 | 6 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $72.39 – $193.19 | 6 |
| Ultrasound hips infant dynamic CPT 76885 | $175.75 | $475.00 | $46.34 – $267.35 | 7 |
| Ultrasound infant hips ltd without stress CPT 76886 | $93.80 | $253.50 | $38.32 – $189.79 | 7 |
| Ultrasound joint complete left CPT 76881 | $205.63 | $555.75 | $88.38 – $219.04 | 6 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $154.75 | $418.25 | $11.51 – $64.62 | 6 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $192.22 | $519.50 | $44.19 – $177.54 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $125.34 | $338.75 | $22.63 – $122.44 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $479.89 | $1,297.00 | $87.32 – $342.17 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $446.22 | $1,206.00 | $52.19 – $214.97 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $350.02 | $946.00 | $40.13 – $163.26 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $272.04 | $735.25 | $46.01 – $185.03 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | $295.45 | $798.50 | $44.69 – $131.97 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $277.13 | $749.00 | $30.19 – $195.22 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $299.15 | $808.50 | $36.65 – $223.13 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | $175.01 | $473.00 | $60.01 – $238.77 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | $137.55 | $371.75 | $108.53 – $361.26 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $378.88 | $1,024.00 | $42.80 – $136.72 | 7 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $243.84 – $402.07 | 5 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $178.96 – $293.19 | 5 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.23 – $13.61 | 7 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $82.11 – $138.09 | 7 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $529.06 – $979.56 | 7 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $518.35 – $1,557.00 | 6 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $234.18 – $234.18 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $355.54 – $355.54 | 5 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $117.04 – $117.04 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $428.50 – $3,050.83 | 6 |
| Unlisted CT procedure CPT 76497 | not published | not published | $158.09 – $169.38 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $40.00 – $42.85 | 5 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $143.53 – $143.53 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $83.41 – $83.41 | 5 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $320.59 – $320.59 | 5 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $1,169.26 – $1,169.26 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $937.64 – $937.64 | 5 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $259.19 – $259.19 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $182.21 – $195.22 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $937.64 – $937.64 | 5 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $937.64 – $937.64 | 5 |
| Unlisted hematology&coagj px CPT 85999 | $22.20 | $60.00 | $30.00 – $38.05 | 6 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $8,714.62 – $8,714.62 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $463.48 – $496.59 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $1,039.33 – $1,113.57 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $1,318.06 – $1,412.20 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $921.87 – $987.72 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $7,633.42 – $7,633.42 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $7,633.42 – $7,633.42 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $1,676.77 – $1,796.54 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlisted maaa CPT 81599 | not published | not published | $58.54 – $58.54 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $210.00 – $225.00 | 5 |
| Unlisted mr procedure CPT 76498 | not published | not published | $540.93 – $579.57 | 5 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $937.64 – $937.64 | 5 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $486.66 – $486.66 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $937.64 – $937.64 | 5 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $433.62 – $433.62 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $115.39 – $115.39 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $360.63 – $386.38 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $2,548.19 – $2,548.19 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $1,642.30 – $1,642.30 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $738.50 – $2,548.19 | 6 |
| Unlisted procedure microbiology CPT 87999 | $234.58 | $634.00 | $210.00 – $317.00 | 6 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $1,642.30 – $1,642.30 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $2,548.19 – $2,548.19 | 5 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $3,754.82 – $3,754.82 | 5 |
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.