Ascension St. John Owasso (Owasso Medical Facility, Inc.)
12451 E 100th St N, Owasso, OK · Ascension · · NPI 1144231432
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 |
|---|---|---|---|---|
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $18.11 – $57.08 | 29 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.25 – $32.96 | 29 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.24 – $169.61 | 29 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $47.64 | $128.75 | $32.18 – $114.34 | 29 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $22.83 – $59.87 | 29 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $18.74 – $45.59 | 29 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $48.56 | $131.25 | $22.24 – $130.16 | 29 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $40.70 | $110.00 | $22.24 – $90.70 | 29 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $27.29 | $73.75 | $7.55 – $61.68 | 6 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $26.92 | $72.75 | $16.02 – $366.75 | 29 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $73.26 | $198.00 | $45.73 – $180.04 | 29 |
| Cytopath smear other source CPT 88160 | $41.07 | $111.00 | $19.15 – $106.02 | 29 |
| Cytopath smear other source CPT 88162 | $55.50 | $150.00 | $28.53 – $114.74 | 29 |
| Cytopath smear oth prep screen & interp CPT 88161 | $32.75 | $88.50 | $19.62 – $88.36 | 29 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $11.20 – $40.93 | 29 |
| Cytotoxic antibody screening CPT 86807 | $184.63 | $499.00 | $41.69 – $176.96 | 29 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $81.84 | 29 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $163.00 – $1,093.20 | 28 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $29.80 | $80.55 | $16.53 – $16.53 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $803.44 | $2,171.45 | $542.28 – $542.28 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,077.81 | $5,615.70 | $18.85 – $22.80 | 5 |
| Dalteparin sodium HCPCS J1645 | $55.19 | $149.15 | $16.53 – $16.53 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.58 | $1.57 | $0.89 – $0.89 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $556.33 | $1,503.60 | $16.53 – $16.53 | 5 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $11,312.75 | $30,575.00 | $259.07 – $259.07 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $130.13 | $351.70 | $15.24 – $16.53 | 6 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $189.01 – $425.27 | 22 |
| D&c after delivery 59160 CPT 59160 | $3,273.85 | $8,848.25 | $193.77 – $375.61 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $241.79 – $476.60 | 7 |
| Dch glucoscan CPT 82948 | not published | not published | $3.39 – $11.34 | 29 |
| Dch pulmonary stress test CPT 94621 | $246.61 | $666.50 | $87.07 – $666.47 | 29 |
| Dch validity tests CPT 81002 | $18.59 | $50.25 | $2.61 – $7.83 | 29 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $620.72 – $1,227.83 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,755.28 – $3,905.20 | 7 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $302.10 – $592.61 | 7 |
| D&c of cervical stump CPT 57558 | not published | not published | $124.10 – $247.78 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $27.11 | 22 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $798.10 – $1,521.37 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $555.65 | $1,501.75 | $32.38 – $1,310.11 | 29 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $12.30 – $122.24 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,036.00 | $2,800.00 | $259.11 – $505.80 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $63.29 – $121.52 | 6 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $112.38 – $214.63 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $406.35 | $1,098.25 | $53.29 – $855.09 | 29 |
| Debride nail1-5 11720 CPT 11720 | $110.35 | $298.25 | $16.64 – $127.13 | 29 |
| Debride nail6 or more 11721 CPT 11721 | $64.84 | $175.25 | $28.14 – $127.13 | 29 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $567.77 | $1,534.50 | $335.25 – $1,505.86 | 29 |
| Debride skin bone at fx site CPT 11012 | $2,379.93 | $6,432.25 | $475.94 – $909.03 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $655.52 – $1,249.13 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $872.44 – $1,684.70 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $29.40 – $59.18 | 6 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $57.25 – $425.27 | 29 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $847.49 | $2,290.50 | $315.09 – $1,505.86 | 29 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $16.20 – $31.56 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $381.66 | $1,031.50 | $174.22 – $1,310.11 | 29 |
| Decalcification CPT 88311 | $7.31 | $19.75 | $6.67 – $42.40 | 7 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $81.81 | $221.10 | $154.94 – $154.94 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $165.58 | $447.50 | $31.98 – $709.90 | 29 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $545.80 – $1,084.99 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $608.94 – $1,221.51 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,299.86 – $2,620.56 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $614.68 – $1,215.98 | 7 |
| Decompress fingers/hand CPT 26035 | not published | not published | $890.74 – $1,827.54 | 7 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,187.66 – $2,367.27 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $837.22 – $1,679.19 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $591.52 – $1,373.02 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $603.44 – $1,186.00 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $609.93 – $1,306.74 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $939.70 – $1,875.67 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $451.65 – $897.98 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $482.56 – $952.42 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $545.82 – $1,157.59 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $596.49 – $1,241.25 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $651.28 – $1,394.31 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $721.64 – $1,493.76 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $393.11 – $768.58 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $365.48 – $780.41 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,514.46 – $5,034.39 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,167.68 – $2,675.02 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,769.70 – $3,457.00 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $1,069.81 – $2,102.13 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,634.63 – $3,162.68 | 7 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,938.32 – $3,764.75 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $363.04 – $686.52 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $166.11 – $330.63 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $23.75 | $64.20 | $16.53 – $16.53 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $30.47 | $82.35 | $16.53 – $16.53 | 5 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $997.75 – $1,994.02 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $251.57 – $516.85 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $366.57 – $748.84 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $335.45 – $701.50 | 7 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $211.75 – $444.26 | 7 |
| Delivery of placenta 59414 CPT 59414 | $1,017.13 | $2,749.00 | $103.98 – $200.43 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,058.73 – $2,072.93 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,354.86 – $1,448.66 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $85.56 | $231.25 | $15.92 – $435.31 | 29 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,181.88 – $2,170.79 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,257.70 | $6,101.90 | $39.23 – $39.23 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $105.64 | $285.50 | $122.61 – $324.32 | 29 |
| Depo-estradiol cypionate inj HCPCS J1000 | $17.80 | $48.10 | $16.53 – $16.53 | 5 |
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.