Ascension St. John Owasso (Owasso Medical Facility, Inc.)

12451 E 100th St N, Owasso, OK · Ascension · · NPI 1144231432

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Dilate ic vasospasm ea add vsl same territory CPT 61641 not published not published $198.00 – $478.19 7
Dilate ic vasospasm init CPT 61640 not published not published $563.80 – $1,359.60 7
Dilate tear duct opening CPT 68801 $547.97 $1,481.00 $84.46 – $854.03 29
Dilate urethra stricture CPT 53600 $254.65 $688.25 $72.02 – $520.54 29
Dilate urethra stricture CPT 53601 not published not published $60.47 – $275.87 29
Dilate urethra stricture CPT 53605 not published not published $73.43 – $138.09 7
Dilate urethra stricture CPT 53621 $269.73 $729.00 $81.69 – $520.54 29
Dilation/female urethra/initial 53660 CPT 53660 $207.39 $560.50 $46.94 – $334.87 29
Dilation of anal sphincter CPT 45905 not published not published $179.68 – $365.35 7
Dilation of cervical canal 57800 CPT 57800 not published not published $53.71 – $105.74 7
Dilation of rectal stricture 45910 CPT 45910 not published not published $213.17 – $423.74 7
Dilation of salivary duct CPT 42660 not published not published $87.51 – $1,089.92 29
Dilation of urethra CPT 53661 not published not published $45.56 – $275.87 29
Dilation of urethra CPT 53665 not published not published $43.96 – $83.64 7
Dilation of vagina CPT 57400 not published not published $149.47 – $290.39 7
Dilation salivary duct 42650 CPT 42650 not published not published $64.85 – $129.40 7
Dilation/urethral strict/male/ini 53620 CPT 53620 $1,310.45 $3,541.75 $98.81 – $1,428.55 29
Dimecaprol injection HCPCS J0470 $147.91 $399.75 $34.06 – $34.06 5
Dimethyl sulfoxide 50% 50 ml HCPCS J1212 $807.90 $2,183.50 $77.40 – $77.40 5
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $9.56 $25.85 $16.53 – $16.53 5
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 not published not published $29.06 – $51.63 6
Dir nsl mucous membrane test CPT 95065 not published not published $23.01 – $84.02 29
Disability dlco CPT 94727 $89.45 $241.75 $30.19 – $334.87 28
Disaccharidases CPT 82657 $174.09 $470.50 $19.02 – $49.88 29
Disarticulation sho sec clsr CPT 23921 not published not published $431.43 – $1,010.04 7
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 not published not published $1,659.82 – $3,175.29 7
Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 not published not published $220.08 – $413.48 7
Discography cerv/thor spine CPT 72285 not published not published $52.82 – $243.63 7
Dissolve clot heart vessel CPT 92975 not published not published $429.23 – $841.95 7
Dist revas ligation hemo CPT 36838 not published not published $1,313.62 – $2,566.92 7
Diverticulectomy/hypophar/esoph 43130 CPT 43130 not published not published $875.92 – $1,718.63 7
Division of fallopian tube 58605 CPT 58605 not published not published $361.03 – $718.86 7
Dmd dup/delet analysis CPT 81161 not published not published $88.36 – $627.75 28
Dmpk gene detc abnor allele CPT 81234 not published not published $137.00 – $308.25 26
Dna antibody native/double stranded CPT 86225 $65.77 $177.75 $13.74 – $37.88 29
Dna gardnerella CPT 87510 $66.05 $178.50 $20.05 – $55.30 29
Dna probe chlamydia CPT 87490 not published not published $21.11 – $55.30 29
Dna probe gc CPT 87590 not published not published $21.11 – $60.48 29
Dna trichomonas CPT 87660 $66.05 $178.50 $20.05 – $55.30 29
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 $33.23 $89.80 $16.53 – $16.53 5
Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 $32.38 $87.50 $5.59 – $6.76 5
Dolasetron mesylate HCPCS J1260 $33.30 $90.00 $7.21 – $7.21 5
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 $31.45 $85.00 $0.61 – $0.61 5
Doppler echo complete CPT 93320 $265.66 $718.00 $25.28 – $93.11 7
Doppler intravascular pressure flow initial vessel CPT 93571 not published not published $121.63 – $193.33 6
Doppler upper/lower extremity arteries complete bilateral CPT 93923 $280.46 $758.00 $28.25 – $334.87 29
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $194.71 $526.25 $15.50 – $275.87 29
Doripenem 50 mg/ml inj 10 ml HCPCS J1267 $70.91 $191.65 $0.61 – $0.61 5
Dornhoffer fixed part w/window HCPCS L8614 $32,112.76 $86,791.25 $28,194.84 – $32,295.99 6
Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 $87.26 $235.85 $16.53 – $16.53 5
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 $2,469.31 $6,673.80 $542.28 – $542.28 5
Dpyd gene common variants CPT 81232 not published not published $174.81 – $393.32 28
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 $579.70 $1,566.75 $133.74 – $1,505.86 29
Drainage ext aud canal abscess 69020 CPT 69020 not published not published $151.97 – $1,505.86 29
Drainage external ear complex 69005 CPT 69005 not published not published $171.57 – $342.47 7
Drainage external ear simple 69000 CPT 69000 $579.70 $1,566.75 $126.25 – $1,505.86 29
Drainage lymph node lesion 38300 CPT 38300 $1,062.27 $2,871.00 $196.35 – $401.64 7
Drainage lymph node lesion 38305 CPT 38305 not published not published $503.55 – $998.99 7
Drainage mouth roof lesion CPT 42000 $315.33 $852.25 $111.16 – $497.00 29
Drainage of arm bursa 23931 CPT 23931 not published not published $167.62 – $340.88 7
Drainage of bladder abscess CPT 51080 not published not published $458.19 – $871.15 7
Drainage of eye CPT 65800 $1,095.20 $2,960.00 $100.84 – $202.80 7
Drainage of eye CPT 65810 $3,667.81 $9,913.00 $464.60 – $1,016.35 7
Drainage of eye CPT 65815 not published not published $471.74 – $1,056.60 7
Drainage of forearm bursa CPT 25031 not published not published $394.38 – $742.53 7
Drainage of kidney lesion CPT 50390 $685.43 $1,852.50 $109.78 – $1,505.86 29
Drainage of mouth lesion CPT 41005 not published not published $134.88 – $497.00 29
Drainage of mouth lesion CPT 41006 not published not published $280.85 – $575.24 7
Drainage of mouth lesion CPT 41007 not published not published $272.31 – $537.36 7
Drainage of mouth lesion CPT 41008 not published not published $291.32 – $583.93 7
Drainage of mouth lesion CPT 41009 not published not published $315.93 – $1,089.92 29
Drainage of mouth lesion CPT 41015 not published not published $361.28 – $1,089.92 29
Drainage of mouth lesion CPT 41016 not published not published $374.87 – $765.43 7
Drainage of mouth lesion CPT 41017 not published not published $376.47 – $763.84 7
Drainage of mouth lesion CPT 41018 not published not published $442.72 – $900.35 7
Drainage of nose lesion int 30000 CPT 30000 $326.80 $883.25 $126.51 – $497.00 29
Drainage of nose lesion sept 30020 CPT 30020 $425.59 $1,150.25 $127.31 – $1,089.92 29
Drainage of pelvis bursa CPT 26991 not published not published $564.68 – $1,120.51 7
Drainage of pelvis lesion 26990 CPT 26990 not published not published $665.69 – $1,334.35 7
Drainage of prostate abscess CPT 52700 not published not published $495.03 – $939.81 7
Drainage of prostate abscess CPT 55720 not published not published $506.63 – $964.27 7
Drainage of prostate abscess CPT 55725 not published not published $728.47 – $1,266.49 7
Drainage of rectal abscess CPT 45005 $1,318.50 $3,563.50 $164.09 – $342.47 7
Drainage of rectal abscess 45020 CPT 45020 not published not published $583.59 – $1,230.98 7
Drainage of salivary gland CPT 42305 not published not published $478.87 – $938.23 7
Drainage of salivary gland CPT 42320 not published not published $192.86 – $1,089.92 29
Drainage of throat abscess CPT 42725 not published not published $908.20 – $1,773.08 7
Drainage of urethra abscess CPT 53040 $2,186.61 $5,909.75 $439.06 – $837.22 7
Drainage of urethra abscess 53060 CPT 53060 not published not published $183.42 – $352.72 7
Drainage of urinary leakage CPT 53080 not published not published $469.25 – $1,428.55 29
Drainage of urinary leakage CPT 53085 not published not published $738.14 – $1,406.95 7
Drain bladder by trocar/cath CPT 51101 not published not published $58.87 – $2,177.46 29
Drain blood from under nail 11740 CPT 11740 $64.29 $173.75 $34.47 – $275.87 29
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 not published not published $241.31 – $478.19 6
Drain cath image guided visceral pq CPT 49405 $817.05 $2,208.25 $226.78 – $448.21 6
Drain cerebro spinal fluid 62272 CPT 62272 $735.84 $1,988.75 $94.01 – $1,482.16 29
Drain chest lesion CPT 21502 not published not published $562.42 – $1,084.21 7
Drain chst dry seal exp thorastat HCPCS A7041 $58.28 $157.50 $148.45 – $148.45 1
Drain finger abscess;simple 26010 CPT 26010 $178.90 $483.50 $140.21 – $425.27 29
Drain lower leg bursa CPT 27604 not published not published $371.23 – $729.91 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.