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 |
|---|---|---|---|---|
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,745.91 – $2,946.84 | 7 |
| Breast reduction CPT 19318 | not published | not published | $1,219.01 – $2,059.11 | 7 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $12.86 – $173.46 | 7 |
| Breathing response hypoxia CPT 94450 | not published | not published | $23.33 – $124.48 | 7 |
| Breath recording infant CPT 94772 | not published | not published | $666.40 – $714.00 | 5 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $101.40 – $158.44 | 7 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $12.24 – $19.14 | 7 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $206.39 | $557.80 | $146.26 – $146.26 | 5 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $981.06 | $2,651.50 | $144.25 – $268.02 | 7 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $77.24 – $132.12 | 6 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $252.39 – $455.38 | 6 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $279.62 – $502.47 | 6 |
| Bronchial allergy tests CPT 95070 | not published | not published | $31.27 – $53.74 | 7 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $122.40 – $208.83 | 7 |
| Bronchial challenge CPT 94070 | $156.51 | $423.00 | $31.62 – $110.20 | 7 |
| Bronchial valve init insert CPT 31647 | not published | not published | $239.45 – $425.16 | 6 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $79.23 – $140.13 | 6 |
| Bronchial valve remov init CPT 31648 | not published | not published | $219.34 – $440.81 | 6 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $249.89 – $423.12 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | $910.40 | $2,460.53 | $169.02 – $308.16 | 7 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $226.32 – $381.62 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $259.60 – $434.00 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,079.11 | $2,916.50 | $56.02 – $93.87 | 7 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $3,799.90 | $10,270.00 | $200.13 – $363.25 | 7 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $72.17 – $121.08 | 7 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $212.99 – $390.46 | 7 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $284.73 – $482.99 | 7 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $292.19 – $491.14 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,583.69 | $4,280.25 | $177.90 – $325.85 | 7 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,536.52 | $4,152.75 | $198.84 – $358.49 | 7 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $226.06 – $394.55 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,799.90 | $10,270.00 | $286.39 – $488.42 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $222.80 – $425.16 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $235.15 – $448.29 | 6 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $219.89 – $382.98 | 6 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Br punct aspir ea add, l CPT 19001 | $167.15 | $451.75 | $24.69 – $40.14 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,543.96 – $2,511.48 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $62.07 | $167.75 | $32.68 – $160.64 | 7 |
| Bundled special stain group 2 CPT 88313 | $208.11 | $562.45 | $14.34 – $118.36 | 7 |
| Bundle his recording CPT 93600 | not published | not published | $86.93 – $8,949.00 | 7 |
| Buprenorphine hydrochloride HCPCS J0592 | $14.13 | $38.20 | $15.60 – $15.60 | 5 |
| Buprenorphine oral 1mg HCPCS J0571 | $18.07 | $48.85 | $2.67 – $2.87 | 5 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $768.74 – $1,368.66 | 7 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $414.69 – $672.09 | 7 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,338.55 – $2,310.81 | 7 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,339.93 – $2,325.78 | 7 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $19.22 | $51.95 | $6.81 – $6.81 | 5 |
| Buttock fasciotomy CPT 27027 | not published | not published | $962.09 – $1,580.89 | 7 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,068.78 – $1,774.10 | 7 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $179.18 – $311.55 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $1,064.12 | $2,876.00 | $121.58 – $204.75 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,256.00 | $8,800.00 | $210.70 – $355.77 | 6 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,598.62 | $9,726.00 | $191.77 – $324.48 | 6 |
| Bx breast add lesion mr imag CPT 19086 | $98.24 | $265.50 | $104.79 – $161.22 | 6 |
| Bx breast add lesion strtctc CPT 19082 | $386.19 | $1,043.75 | $96.45 – $155.78 | 6 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $93.33 | $252.25 | $89.84 – $146.25 | 6 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $78.89 – $128.56 | 7 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $4,395.19 – $4,395.19 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $150.80 – $256.45 | 7 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $2,285.45 – $3,867.90 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $465.56 – $784.34 | 7 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $273.59 – $470.73 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,689.34 – $2,854.34 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $3,297.44 | $8,912.00 | $447.84 – $759.16 | 7 |
| Bx liver with other CPT 47001 | $601.53 | $1,625.75 | $118.32 – $191.15 | 7 |
| Bx muscle CPT 20200 | not published | not published | $104.31 – $175.50 | 7 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $144.53 – $249.65 | 7 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $234.83 – $408.15 | 7 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $180.56 – $308.16 | 7 |
| Bx pancreas pq ndl CPT 48102 | $719.65 | $1,945.00 | $274.75 – $454.41 | 7 |
| Bx perianal mass CPT 46999 | not published | not published | $3,754.82 – $3,754.82 | 5 |
| Bx pleura pq ndl CPT 32400 | $1,907.07 | $5,154.25 | $99.11 – $163.94 | 7 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $416.90 – $676.85 | 7 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $364.57 – $648.28 | 7 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $181.33 – $314.28 | 7 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $176.37 – $304.75 | 7 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $220.60 – $365.30 | 7 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $759.33 – $1,264.59 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,196.40 | $3,233.50 | $365.21 – $657.12 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,907.07 | $5,154.25 | $172.58 – $301.35 | 7 |
| Bx spinal cord pq ndl CPT 62269 | $1,907.07 | $5,154.25 | $301.85 – $499.31 | 7 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,907.07 | $5,154.25 | $192.61 – $331.27 | 7 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $803.18 | $2,170.75 | $89.52 – $147.62 | 7 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $349.37 | $944.25 | $75.25 – $124.48 | 7 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $67.54 – $114.28 | 7 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $33.60 – $55.09 | 7 |
| Bypass temp external fem-fem CPT 37799 | $796.98 | $2,154.00 | $234.18 – $1,077.00 | 6 |
| C-1 esterase, berinert HCPCS J0597 | $108.76 | $293.95 | $32.15 – $32.15 | 5 |
| C-1 esterase, cinryze HCPCS J0598 | $114.15 | $308.50 | $32.15 – $32.15 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $83.90 | $226.75 | $12.77 – $29.20 | 7 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $242.72 | $656.00 | $146.26 – $146.26 | 5 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,490.43 – $4,168.57 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,781.22 – $4,646.79 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,998.86 – $4,978.76 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,115.74 – $3,525.74 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,188.33 – $3,667.23 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $599.70 – $997.25 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,405.34 – $4,027.08 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,735.34 – $4,577.40 | 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.