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Critical Access HospitalVoluntary Non-Profit - Private

St John Sapulpa

Ascension Health ยท Sapulpa, OK

1004 East Bryan Avenue, Sapulpa, OK 74066(918) 227-8601

37

In-network payers

243

Disclosed rate categories

25

Beds

About this hospital

St John Sapulpa is a 25-bed voluntary non-profit - private hospital in Sapulpa, OK, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 243 disclosed rate categories.

CCN (Medicare provider number)

371312

NPI

1922076603

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneCommunity Care Oklahoma

Prices for common services

The 24 services St John Sapulpa most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$536 - $2,568

from 4 insurers ยท median $1,479

Aetna$536
Insurer A*$598
Insurer B*est.$2,359
Insurer C*est.$2,568
Medicare $356Nearby hospitals $80185% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,622 - $13,500

from 3 insurers ยท median $4,007

Blue Cross$4,007
Insurer A*$2,622
Insurer B*$13,500
Medicare $1,223Nearby hospitals $1,456175% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$520 - $1,852

from 4 insurers ยท median $1,623

Blue Cross$520
Insurer A*$1,524
Insurer B*est.$1,722
Insurer C*est.$1,852
Medicare $558Nearby hospitals $1,09448% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$360 - $3,242

from 4 insurers ยท median $1,818

Aetna$360
Insurer A*$657
Insurer B*est.$2,978
Insurer C*est.$3,242
Medicare $179Nearby hospitals $795129% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,329 - $13,500

from 3 insurers ยท median $2,622

Blue Cross$1,329
Insurer A*$2,622
Insurer B*$13,500
Medicare $927Nearby hospitals $1,36093% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$256 - $1,991

from 4 insurers ยท median $1,214

Aetna$256
Insurer A*$599
Insurer B*est.$1,829
Insurer C*est.$1,991
Medicare $244Nearby hospitals $1,175In line with nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$11,048 - $16,350

from 3 insurers ยท median $13,302

UnitedHealthcare$11,048
Insurer A*$13,302
Insurer B*$16,350
Medicare $6,176Nearby hospitals $9,88235% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,383 - $13,500

from 3 insurers ยท median $2,622

Blue Cross$1,383
Insurer A*$2,622
Insurer B*$13,500
Medicare $1,223Nearby hospitals $1,122134% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$220 - $315

from 4 insurers ยท median $292

Aetna$220
Insurer A*est.$279
Insurer B*est.$304
Insurer C*$315
Medicare $92Nearby hospitals $98198% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$11,048 - $17,500

from 3 insurers ยท median $14,852

Aetna$17,500
Insurer A*$11,048
Insurer B*$14,852
Medicare $10,860Nearby hospitals $10,65239% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$4,256 - $16,350

from 3 insurers ยท median $6,711

UnitedHealthcare$4,256
Insurer A*$6,711
Insurer B*$16,350
Medicare $2,358Nearby hospitals $2,169209% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$10,214 - $15,900

from 3 insurers ยท median $13,302

Blue Cross$13,302
Insurer A*$10,214
Insurer B*$15,900
Medicare $6,176Nearby hospitals $5,550140% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$135 - $1,928

from 4 insurers ยท median $256

Aetna$135
Insurer A*$231
Insurer B*$281
Insurer C*est.$1,928
Medicare $107Nearby hospitals $32922% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,256 - $15,600

from 3 insurers ยท median $9,337

Aetna$15,600
Insurer A*$4,256
Insurer B*$9,337
Medicare $3,307Nearby hospitals $3,024209% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$10,214 - $16,350

from 3 insurers ยท median $13,302

Aetna$16,350
Insurer A*$10,214
Insurer B*$13,302
Medicare $6,176Nearby hospitals $5,943124% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$10,214 - $16,350

from 3 insurers ยท median $14,882

Aetna$16,350
Insurer A*$10,214
Insurer B*$14,882
Medicare $6,176Nearby hospitals $6,382133% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$2,836 - $15,600

from 3 insurers ยท median $5,851

UnitedHealthcare$2,836
Insurer A*$5,851
Insurer B*$15,600
Medicare $1,585Nearby hospitals $2,94599% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$62 - $256

from 4 insurers ยท median $149

Blue Cross$62
Insurer A*$62
Insurer B*est.$235
Insurer C*est.$256
Medicare $89Nearby hospitals $11331% above nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$10,214 - $18,600

from 3 insurers ยท median $15,413

UnitedHealthcare$10,214
Insurer A*$15,413
Insurer B*$18,600
Medicare $3,601Nearby hospitals $7,404108% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$4,256 - $15,600

from 3 insurers ยท median $7,108

UnitedHealthcare$4,256
Insurer A*$7,108
Insurer B*$15,600
Medicare $6,048Nearby hospitals $5,25235% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$425 - $2,765

from 4 insurers ยท median $806

Cignaest.$2,765
Insurer A*$425
Insurer B*$792
Insurer C*$821
Medicare $356Nearby hospitals $1,48846% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$364 - $833

from 4 insurers ยท median $670

Blue Cross$364
Insurer A*$564
Insurer B*est.$775
Insurer C*est.$833
Medicare $107Nearby hospitals $47042% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$4,256 - $15,900

from 3 insurers ยท median $11,389

UnitedHealthcare$4,256
Insurer A*$11,389
Insurer B*$15,900
Medicare $3,387Nearby hospitals $3,085269% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Arthroscopic shoulder decompression

CPT 29826

$1,615 - $15,600

from 3 insurers ยท median $9,392

UnitedHealthcare$1,615
Insurer A*$9,392
Insurer B*$15,600
Nearby hospitals $1,456545% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at St John Sapulpa

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*9
776%
80
Insurer B*24
265%
131
Insurer C*24
230%
1311
Insurer D*24
215%
180

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St John Sapulpa.

Location

1004 East Bryan Avenue, Sapulpa, OK 74066

(918) 227-8601

Get directions

Frequently asked questions

About St John Sapulpa's rates and hospital price transparency.

How much does an MRI cost at St John Sapulpa?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St John Sapulpa range from $425 to $2,765 across 4 insurers. Cigna's rate is $2,765. The median at nearby comparable hospitals is $1,488. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St John Sapulpa?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St John Sapulpa range from $536 to $2,568 across 4 insurers. Aetna's rate is $536. The median at nearby comparable hospitals is $801. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St John Sapulpa?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St John Sapulpa range from $2,622 to $13,500 across 3 insurers. Blue Cross Blue Shield's rate is $4,007. The median at nearby comparable hospitals is $1,456. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St John Sapulpa?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St John Sapulpa range from $220 to $315 across 4 insurers. Aetna's rate is $220. The median at nearby comparable hospitals is $98. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does St John Sapulpa have?

St John Sapulpa has 25 beds. Facility type: Critical Access Hospital.

Where is St John Sapulpa and what is its phone number?

St John Sapulpa is located at 1004 East Bryan Avenue, Sapulpa, OK 74066. Its main phone number is (918) 227-8601.

What is St John Sapulpa's CCN (Medicare provider number)?

St John Sapulpa's CMS Certification Number (CCN), also called its Medicare provider number, is 371312.

What is St John Sapulpa's NPI number?

The National Provider Identifier (NPI) on file for St John Sapulpa is 1922076603.

What health system is St John Sapulpa part of?

St John Sapulpa is affiliated with Ascension Health.

Which insurance plans are in network at St John Sapulpa?

St John Sapulpa lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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