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 |
|---|---|---|---|---|
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $421.23 – $842.75 | 7 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $338.36 – $694.40 | 7 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,265.75 – $2,464.33 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $444.93 – $879.83 | 7 |
| Drain ovary abscess open CPT 58820 | not published | not published | $354.25 – $680.20 | 7 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,160.16 – $2,327.02 | 7 |
| Drain penis lesion CPT 54015 | not published | not published | $345.61 – $659.69 | 7 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $746.44 – $1,453.51 | 7 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $231.40 – $467.14 | 7 |
| Drain shoulder lesion CPT 23030 | not published | not published | $280.07 – $547.63 | 7 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $537.79 – $1,073.16 | 7 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $155.80 – $335.37 | 7 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $824.34 – $1,590.01 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $162.15 | $438.25 | $115.38 – $425.27 | 29 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $148.93 | $402.50 | $59.17 – $425.27 | 29 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $220.61 | $596.25 | $115.38 – $855.09 | 29 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $52.74 – $1,310.11 | 29 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,051.36 | $2,841.50 | $937.30 – $1,930.90 | 7 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,577.31 | $4,263.00 | $355.18 – $666.79 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $826.82 – $1,668.14 | 7 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,334.22 | $3,606.00 | $451.76 – $922.44 | 7 |
| Drng of eyelid abscess 67700 CPT 67700 | $529.10 | $1,430.00 | $114.91 – $639.79 | 29 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,468.35 | $3,968.50 | $196.22 – $393.76 | 7 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $95.37 – $1,505.86 | 29 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $236.02 – $1,089.92 | 29 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $325.48 – $649.42 | 7 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $524.70 – $1,047.11 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $442.42 – $898.78 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $445.87 – $916.13 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $244.94 – $488.45 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,468.35 | $3,968.50 | $183.73 – $356.67 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,215.59 – $2,367.27 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,086.01 – $2,162.11 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $769.85 – $1,616.06 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,734.89 – $3,423.87 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | $957.38 | $2,587.50 | $166.27 – $335.37 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $135.69 – $1,089.92 | 29 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $19.15 | $51.75 | $16.53 – $16.53 | 5 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $111.03 – $223.58 | 6 |
| Drug assay caffeine CPT 80155 | $89.17 | $241.00 | $22.02 – $86.78 | 28 |
| Drug assay posaconazole CPT 80187 | $107.30 | $290.00 | $27.11 – $61.00 | 23 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $61.00 | 23 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $86.78 | 23 |
| Drug assay voriconazole CPT 80285 | $116.64 | $315.25 | $27.11 – $61.00 | 23 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $41.94 | 22 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $28.35 | 28 |
| Drug screen quant tiagabine CPT 80199 | $55.04 | $148.75 | $27.11 – $61.00 | 28 |
| Drug test def 15-21 classes HCPCS G0482 | $142.17 | $384.25 | $179.31 – $268.96 | 6 |
| Drug test def 1-7 classes HCPCS G0480 | $157.16 | $424.75 | $86.34 – $133.53 | 6 |
| Drug test def 22+ classes HCPCS G0483 | $426.24 | $1,152.00 | $232.45 – $348.68 | 6 |
| Drug test def 8-14 classes HCPCS G0481 | $161.88 | $437.50 | $132.83 – $199.25 | 6 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $38.56 | 28 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $268.90 | $726.75 | $62.14 – $139.81 | 28 |
| Drvvt confirm - quest CPT 85597 | $85.47 | $231.00 | $17.98 – $49.57 | 29 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $278.91 – $1,219.15 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $213.86 | $578.00 | $233.79 – $855.09 | 29 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $197.70 – $855.09 | 29 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $233.07 – $1,310.11 | 29 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $313.40 – $1,310.11 | 29 |
| Ductogram sgl duct CPT 77053 | $171.22 | $462.75 | $22.65 – $517.34 | 29 |
| Duodenal motility study CPT 91022 | not published | not published | $93.42 – $1,135.62 | 29 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $229.93 – $517.34 | 22 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $101.15 – $227.59 | 22 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $256.04 | $692.00 | $15.39 – $419.01 | 29 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $278.24 | $752.00 | $32.09 – $334.87 | 29 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $358.35 | $968.50 | $29.12 – $517.34 | 29 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $40.96 – $227.59 | 28 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $148.83 – $334.87 | 22 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,898.47 | $5,131.00 | $151.84 – $325.10 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,161.06 | $3,138.00 | $153.65 – $327.47 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,211.40 | $5,976.75 | $149.25 – $322.74 | 7 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $14.34 – $854.03 | 29 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $56.59 – $2,006.62 | 28 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $87.01 – $2,006.62 | 28 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $38.86 – $666.47 | 28 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $67.15 – $334.87 | 28 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $174.61 – $831.08 | 29 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $175.37 – $344.05 | 7 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $131.05 – $520.54 | 29 |
| Dynamic surface emg CPT 96002 | not published | not published | $24.27 – $666.47 | 29 |
| Ear and throat examination CPT 92502 | not published | not published | $105.77 – $1,089.92 | 29 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $69.56 – $138.09 | 7 |
| Ear cartilage graft CPT 21235 | not published | not published | $613.35 – $1,233.35 | 7 |
| Ear irrigation 69209 CPT 69209 | $99.16 | $268.00 | $12.94 – $127.13 | 28 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.23 – $89.96 | 29 |
| Ecg 12 lead tracing only CPT 93005 | $68.82 | $186.00 | $8.63 – $127.13 | 29 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.91 – $15.42 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $29.14 | $78.75 | $5.75 – $127.13 | 29 |
| Ecg < 30 days transmission & analysis CPT 93271 | $176.86 | $478.00 | $87.31 – $248.08 | 29 |
| Ecg external < 48 hours recording CPT 93225 | $121.18 | $327.50 | $26.96 – $275.87 | 29 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $196.10 | $530.00 | $38.45 – $248.08 | 29 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $37.34 – $84.02 | 22 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $37.34 – $84.02 | 22 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $856.37 | $2,314.50 | $88.03 – $1,173.49 | 29 |
| Echocardiography doppler color flow mapping CPT 93325 | $250.21 | $676.25 | $4.77 – $40.25 | 7 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,110.09 | $3,000.25 | $314.27 – $390.60 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $375.46 | $1,014.75 | $35.80 – $517.34 | 29 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $355.57 | $961.00 | $165.07 – $205.16 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $87.04 | $235.25 | $10.12 – $48.93 | 7 |
| Echo exam of eye CPT 76516 | not published | not published | $33.98 – $227.59 | 29 |
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.