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 |
|---|---|---|---|---|
| Unlisted procedure spine CPT 22899 | not published | not published | $4,464.41 – $4,464.41 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,046.58 – $1,737.36 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $4,464.41 – $4,464.41 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,308.74 – $1,308.74 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $5,737.90 – $5,737.90 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $2,548.19 – $2,548.19 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $110.25 – $764.89 | 6 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $1,308.74 – $1,308.74 | 5 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,548.19 – $2,548.19 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $1,052.03 – $1,127.17 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $411.11 – $411.11 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $3,017.73 – $3,017.73 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $1,178.79 – $1,178.79 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $1,647.09 – $1,647.09 | 5 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $1,178.79 – $1,178.79 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $1,642.30 – $1,642.30 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $4,464.41 – $4,464.41 | 5 |
| Unlisted px male genital sys CPT 55899 | $5,358.53 | $14,482.50 | $4,170.88 – $7,241.25 | 6 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,581.47 – $1,581.47 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $207.93 – $207.93 | 5 |
| Unlisted px middle ear CPT 69799 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $164.75 – $3,050.83 | 6 |
| Unlisted px pelvis/hip joint CPT 27299 | $2,108.82 | $5,699.50 | $2,849.75 – $4,464.41 | 6 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $4,290.52 – $4,290.52 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px small intestine CPT 44799 | not published | not published | $586.38 – $2,548.19 | 6 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $628.57 – $628.57 | 5 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $3,050.83 – $3,050.83 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $1,076.07 – $1,076.07 | 5 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $359.98 – $385.69 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $481.61 – $481.61 | 5 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $83.41 – $83.41 | 5 |
| Unlisted transfusion med px CPT 86999 | $512.27 | $1,384.50 | $36.26 – $692.25 | 6 |
| Unlisted ultrasound procedure CPT 76999 | $74.09 | $200.25 | $100.13 – $252.38 | 6 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $44.11 – $44.11 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $6,872.74 – $6,872.74 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $937.64 – $937.64 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,998.20 – $5,998.20 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $735.21 – $787.73 | 5 |
| Upgrade pm system CPT 33214 | not published | not published | $535.32 – $31,789.00 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,390.28 | $3,757.50 | $161.59 – $933.99 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $972.27 | $2,627.75 | $120.96 – $770.73 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $976.62 | $2,639.50 | $100.59 – $678.88 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $139.96 – $273.46 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $158.31 – $323.12 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $291.48 – $487.74 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $157.94 – $329.93 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $716.16 – $1,172.07 | 7 |
| Urea nitrogen CPT 84520 | $20.44 | $55.25 | $4.17 – $9.62 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.47 | $87.75 | $4.95 – $11.56 | 7 |
| Urea nitrogen clearance CPT 84545 | $47.73 | $129.00 | $7.04 – $16.07 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.91 – $9.15 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $227.69 – $393.54 | 6 |
| Ureteral reflux study CPT 78740 | not published | not published | $36.38 – $413.60 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $420.34 – $686.37 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $399.76 – $674.80 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $536.97 – $876.16 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $406.18 – $663.93 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $402.47 – $656.45 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $359.70 – $587.73 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $529.50 – $863.92 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $403.83 – $659.16 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,247.82 – $2,044.83 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,266.90 – $2,088.38 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $257.15 | $695.00 | $21.24 – $367.33 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $839.60 – $1,388.38 | 7 |
| Urethrocystography void s&i CPT 74455 | $269.36 | $728.00 | $21.24 – $151.69 | 7 |
| Uric acid blood CPT 84550 | $25.25 | $68.25 | $4.69 – $10.99 | 7 |
| Uric acid urine CPT 84560 | $23.59 | $63.75 | $4.95 – $11.56 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.57 – $7.00 | 7 |
| Urinalysis microscopic only CPT 81015 | $22.57 | $61.00 | $3.13 – $7.39 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.35 – $5.28 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $33.02 | $89.25 | $3.39 – $7.70 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $21.46 | $58.00 | $2.35 – $5.47 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $10.81 – $117.69 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $70.37 – $158.81 | 7 |
| Urine Culture Test CPT 87086 | $47.82 | $129.25 | $8.60 – $19.65 | 7 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $7.20 – $115.39 | 7 |
| Urine pregnancy test CPT 81025 | $27.01 | $73.00 | $6.78 – $15.40 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.61 – $5.54 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,381.37 – $2,255.03 | 7 |
| Urography, antegrade CPT 74425 | $297.67 | $804.50 | $23.05 – $367.33 | 7 |
| Urography inf drip &/or bolus CPT 74410 | $292.12 | $789.50 | $31.13 – $200.67 | 7 |
| Use 1st target lesion CPT 76982 | $114.33 | $309.00 | $72.19 – $72.19 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $133.50 | $360.80 | $17.57 – $18.82 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $51.45 | $139.05 | $22.15 – $35.20 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $128.52 | $347.35 | $75.19 – $119.86 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $75.81 – $81.22 | 5 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $72.91 – $136.46 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $23.34 – $38.72 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $50.17 | $135.60 | $22.83 – $44.61 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $45.55 – $97.31 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $166.00 | $448.65 | $86.54 – $157.75 | 6 |
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.