Ascension St. John Sapulpa (St. John Sapulpa, Inc.) prices. From its own published file.

Ascension St. John Sapulpa (St. John Sapulpa, Inc.) publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

11,340prices published

Jan 2026file last updated

$1,188cash price for ct abdomen and pelvis with contrast (list $3,210)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$69.93	$199	$69.41–$1,061
Emergency visit, high (level 4) `99284`	$128	$363	$132–$1,591
Emergency visit, highest (level 5) `99285`	$191	$543	$195–$3,183
Comprehensive metabolic panel `80053`	$40.79	$110	$11.20–$110
Basic metabolic panel `80048`	$31.73	$85.75	$8.86–$85.75
Complete blood count (CBC) `85025`	$45.33	$123	$8.08–$61.25
Blood draw (venipuncture) `36415`	$2.59	$24.25	$3.40–$24.25
Urinalysis `81001`	$33.02	$89.25	$3.39–$44.63
Troponin (heart test) `84484`	$69.38	$188	$10.42–$322
EKG tracing `93005`	$68.82	$186	$8.63–$125
Chest X-ray, 2 views `71046`	$118	$320	$23.34–$34.44
CT head without contrast `70450`	$892	$2,410	$53.78–$295
CT abdomen and pelvis with contrast `74177`	$1,188	$3,210	$222–$616
MRI lower back without contrast `72148`	$925	$2,500	$92.97–$1,591
Ultrasound, abdomen `76700`	$527	$1,424	$50.71–$252
IV push, single drug `96374`	$41.81	$229	$59.10–$99.99
IV fluids, first hour `96360`	$42.55	$391	$59.41–$101
Ketorolac injection, 15 mg `J1885`	$4.85	$26.25	$6.81–$6.81
Ondansetron injection `J2405`	$2.35	$15.68	$0.15–$7.31
Colonoscopy, diagnostic `45378`	—	—	$71.28–$409
Upper GI endoscopy with biopsy `43239`	—	—	$158–$323
Knee arthroscopy `29881`	—	—	$594–$1,001
Vaginal delivery, routine care `59400`	—	—	$2,005–$3,922
Cesarean delivery, routine care `59510`	—	—	$2,270–$4,333

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Ascension St. John Sapulpa (St. John Sapulpa, Inc.) price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.