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 |
|---|---|---|---|---|
| Dermabrasion other than face CPT 15782 | not published | not published | $435.61 – $854.58 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $455.82 – $1,505.86 | 29 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $380.04 – $855.09 | 29 |
| Dermabrasion total face CPT 15780 | not published | not published | $699.20 – $1,422.73 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $710.00 – $1,456.66 | 7 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $811.11 – $1,654.72 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $605.50 – $1,213.62 | 7 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,058.03 – $4,007.79 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $149.62 – $318.00 | 7 |
| Design mlc device for imrt CPT 77338 | not published | not published | $291.41 – $897.25 | 28 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $69.11 | $186.78 | $7.21 – $7.21 | 5 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $85.41 | 29 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $473.67 – $911.39 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,767.33 – $3,439.65 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,280.69 – $2,488.01 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $96.72 – $425.27 | 29 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $135.45 – $425.27 | 29 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $157.52 – $425.27 | 29 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $106.54 – $425.27 | 29 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $119.99 – $425.27 | 29 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $139.39 – $425.27 | 29 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $73.08 – $425.27 | 29 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $98.31 – $425.27 | 29 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $126.20 – $425.27 | 29 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $139.93 – $425.27 | 29 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,998.30 | $8,103.50 | $251.13 – $481.35 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $808.36 | $2,184.75 | $76.84 – $145.99 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $693.94 | $1,875.50 | $159.51 – $318.79 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $79.64 | $215.25 | $57.60 – $425.27 | 29 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $221.71 – $433.21 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $125.58 – $249.36 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $89.78 – $425.27 | 29 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $380.63 – $1,310.11 | 29 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $303.49 – $855.09 | 29 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $524.17 – $1,131.56 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.71 – $9.47 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $141.56 – $291.97 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $198.57 – $400.86 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $147.56 – $855.09 | 29 |
| Destruction benign lesions < 14 lesions CPT 17110 | $104.90 | $283.50 | $71.54 – $425.27 | 29 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $212.59 – $1,905.43 | 29 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $808.36 | $2,184.75 | $67.08 – $128.62 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,998.30 | $8,103.50 | $247.60 – $474.24 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $395.75 – $847.48 | 7 |
| Destruction ciliary body CPT 66720 | not published | not published | $414.45 – $919.29 | 7 |
| Destruction ciliary body CPT 66740 | not published | not published | $396.25 – $839.58 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $154.35 – $425.27 | 29 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $142.54 – $290.39 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $152.03 – $329.83 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $157.59 – $855.09 | 29 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $193.86 – $855.09 | 29 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $149.65 – $855.09 | 29 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $174.67 – $855.09 | 29 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $114.43 – $855.09 | 29 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $191.03 – $373.25 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $109.47 – $855.09 | 29 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $729.70 – $1,492.17 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $192.01 – $374.03 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $106.97 – $212.26 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $102.05 – $198.06 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $21.11 – $67.57 | 29 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.21 – $110.62 | 29 |
| Developmental screen/score/document 96110 CPT 96110 | $76.59 | $207.00 | $9.70 – $12.47 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $148.83 – $334.87 | 22 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $80.11 | $216.50 | $13.40 – $188.44 | 29 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $8.88 | $24.00 | $0.50 – $0.50 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $9.25 | $25.00 | $0.19 – $0.23 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $240.74 | $650.65 | $154.94 – $154.94 | 5 |
| Dextran 40 infusion HCPCS J7100 | $34.02 | $91.95 | $16.53 – $16.53 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $31.45 | $85.00 | $16.53 – $16.53 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $48.56 | $131.25 | $16.53 – $16.53 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $48.58 | $131.29 | $16.53 – $16.53 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $75.48 | $204.00 | $22.23 – $61.30 | 29 |
| Diabetes (HbA1c) Test CPT 83036 | $137.09 | $370.50 | $9.71 – $23.83 | 29 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $200.94 – $390.60 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $359.39 – $705.45 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $105.51 – $854.03 | 23 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $142.96 – $142.96 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $93.89 | $253.75 | $42.00 – $275.87 | 29 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $95.83 | $259.00 | $53.65 – $415.51 | 29 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $229.40 | $620.00 | $74.31 – $415.51 | 29 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $208.87 | $564.50 | $96.50 – $304.29 | 27 |
| Diagnostic Mammogram (one breast) CPT 77065 | $161.69 | $437.00 | $75.75 – $239.64 | 27 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $83.75 – $188.44 | 27 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $201.81 – $347.87 | 5 |
| Dialysis one evaluation CPT 90945 | not published | not published | $84.70 – $911.36 | 29 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.30 – $57.83 | 29 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $101.58 | $274.55 | $0.12 – $0.15 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $50.35 | $136.09 | $16.53 – $16.53 | 5 |
| Dicyclomine injection HCPCS J0500 | $67.84 | $183.35 | $34.06 – $34.06 | 5 |
| Diffusing capacity CPT 94729 | $71.04 | $192.00 | $45.99 – $123.35 | 6 |
| Digital analysis of eeg CPT 95957 | not published | not published | $80.75 – $203.01 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $166.61 | $450.30 | $16.53 – $16.53 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,856.16 | $10,422.05 | $1,083.96 – $1,083.96 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $57.72 | $156.00 | $13.28 – $36.62 | 29 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $162.23 | $438.45 | $34.06 – $34.06 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $156.52 – $299.99 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $97.45 – $209.11 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $89.98 – $2,006.62 | 29 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $396.01 – $955.59 | 7 |
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.