ASCENSION ST JOHN SAPULPA

CCN 371312

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
6,057
Insurances with rates
13
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

781025040
$44,766
GLUCARPIDASE 1000 UNIT INJ 25040
Gross
$120,988
781024837
$27,257
ALEMTUZUMAB 12MG/1.2ML 24837
Gross
$73,668
781014212
$25,853
SUPPRELIN LA IMPLANT 50 MG 14212
Gross
$69,872
781024982
$20,238
EMICIZUMAB 150MG/ML SOLN 24982
Gross
$54,697
781024852
$19,860
OCRELIZUMAB 300MG/10ML 24852
Gross
$53,675
632050593
$14,223
ABLAT/REN/CRYO 1 OR > BIL 50593
Gross
$38,440
781024981
$14,168
EMICIZUMAB 105MG/0.7ML SOLN 24981
Gross
$38,291
781025037
$13,435
UBLITUXIMAB XILY 150MG/6ML 25037
Gross
$36,310
632050592
$12,485
ABLAT RENAL/RF 1 OR > BIL 50592
Gross
$33,742
781025044
$11,313
CYTARABINE DAUNOR 100MG INJ25044
Gross
$30,575
781025045
$10,938
DARATUMUMAB/HYAL 15ML 25045
Gross
$29,561
781025049
$10,355
ELRANATAMAB BCMM 40MG/ML 25049
Gross
$27,986
781025016
$9,976
CAPLACIZUMAB 11MG KIT 25016
Gross
$26,962
781014094
$9,532
EMICIZUMAB KXWH 60MG/0.4ML 14094
Gross
$25,763
781014104
$9,257
TISOTUMAB VEDOTIN TFTB 40MG 14104
Gross
$25,019
781024854
$8,377
LANREOTIDE 120 MG/0.5 ML 24854
Gross
$22,641
781090192
$8,124
LEUPROLIDE ACETATE 7.5 MG 90192
Gross
$21,957
781014024
$7,983
ECULIZUMAB INJ PER 2 MG 14024
Gross
$21,577
781024955
$7,570
TENECTEPLASE INJECTION 24955
Gross
$20,460
632026915
$7,143
ABLATION BONE BY CRYO 26915
Gross
$19,306
632000846
$7,111
ABLAT RENAL/CRYO 1 OR> LT 846
Gross
$19,220
632000848
$7,111
ABLAT RENAL/CRYO 1 OR> RT 848
Gross
$19,220
632032998
$6,899
ABLAT LUNG / RF 1 OR > UNI 32998
Gross
$18,647
632032994
$6,835
CR DEST LUNG BILAT 32994
Gross
$18,474
632020982
$6,488
ABLATION BONE BY RF 20982
Gross
$17,535
781017546
$6,371
SOMATULINE PER 1 MG 17546
Gross
$17,219
632000877
$6,242
ABLAT RENAL/RF 1 OR > LT 877
Gross
$16,871
632000878
$6,242
ABLAT RENAL/RF 1 OR > RT 878
Gross
$16,871
632047382
$6,242
ABLATE LIVER/RF/1>LES 47382
Gross
$16,871
781014072
$6,218
ANIFROLUMAB FNIA 300MG/2ML 14072
Gross
$16,804
781032042
$6,117
LEUPROLIDE ACETATE 7.5 MG 32042
Gross
$16,532
632047383
$5,791
ABLATE LIVER/CR/1>LES 47383
Gross
$15,650
632055899
$5,359
CT IRE ABLATE PROSTATE 55899
Gross
$14,483
632059507
$5,227
TISSUE APPLICATOR MW 14CM 59507
Gross
$14,126
632059509
$5,227
TISSUE APPLICATOR MW 19CM 59509
Gross
$14,126
781016632
$4,780
BENDAMUSTINE INJ 1MG 16632
Gross
$12,918
781014113
$4,613
OCTREOTIDE 10M INJ 14113
Gross
$12,468
781024989
$4,547
SARILUMAB 200MG/1.14ML SLN 24989
Gross
$12,290
734046939
$4,468
SERV- PLASMAPHERESIS 46939
Gross
$12,075
781024894
$4,351
RABIES IG 1500 UNITS 24894
Gross
$11,759
632050432
$4,237
NEPHROSTOMY BILAT 50432
Gross
$11,450
781017525
$4,227
PRAXBIND 2.5GM 17525
Gross
$11,425
655066641
$4,114
ELECTRODE ABLTON 150MM 2 66641
Gross
$11,119
781024857
$3,993
CLOFARABINE INJ 1MG 24857
Gross
$10,793
734046941
$3,794
SERV- LEUKAPHERESIS 46941
Gross
$10,253
630075716
$3,675
ANGIO EXTREMITY 75716
Gross
$9,932
632045158
$3,666
NEEDLE 2.1X175MM 90D 45158
Gross
$9,908
632045159
$3,666
NEEDLE 2.1MM 90D 45159
Gross
$9,908
632045160
$3,666
NEEDLE 2.1X175MM STRAIGHT 45160
Gross
$9,908
632045161
$3,666
NEEDLE 2.1X175MM 90D 45161
Gross
$9,908
Showing top 50 of 6,057 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.