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 |
|---|---|---|---|---|
| Echo exam of eye CPT 76519 | not published | not published | $34.38 – $227.59 | 29 |
| Echo exam of eye CPT 76529 | not published | not published | $36.08 – $188.44 | 29 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.88 – $118.81 | 29 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $102.28 – $1,173.49 | 29 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $50.16 – $517.34 | 29 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $35.35 – $227.59 | 29 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $25.88 – $227.59 | 29 |
| Echo exam uterus 76831- CPT 76831 | $242.07 | $654.25 | $43.81 – $517.34 | 29 |
| Echograp trans r pros study CPT 76873 | not published | not published | $94.85 – $360.62 | 29 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $24.44 – $188.11 | 7 |
| Echo guide for amniocentesis CPT 76946 | $264.92 | $716.00 | $13.30 – $67.07 | 7 |
| Echo guide for artery repair CPT 76936 | $699.76 | $1,891.25 | $126.22 – $666.47 | 29 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $44.76 – $69.39 | 6 |
| Echo guide for transfusion CPT 76941 | not published | not published | $62.13 – $147.25 | 6 |
| Echo guide villus sampling CPT 76945 | not published | not published | $41.06 – $73.24 | 6 |
| Echo stress CPT 93350 | $640.10 | $1,730.00 | $98.62 – $1,173.49 | 29 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $30.59 – $1,173.49 | 29 |
| Echo tee guidance CPT 93355 | not published | not published | $255.08 – $486.87 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $847.95 | $2,291.75 | $138.33 – $1,173.49 | 29 |
| Echo transesophageal CPT 93313 | not published | not published | $13.12 – $1,173.49 | 29 |
| Echo transesophageal CPT 93314 | not published | not published | $80.91 – $579.19 | 7 |
| Echo transesophageal CPT 93315 | $855.35 | $2,311.75 | $162.00 – $1,173.49 | 28 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $123.07 – $1,174.95 | 28 |
| Echo transthoracic CPT 93303 | $890.41 | $2,406.50 | $84.85 – $1,173.49 | 29 |
| Echo transthoracic CPT 93304 | $314.69 | $850.50 | $48.11 – $1,173.49 | 29 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $535.39 | $1,447.00 | $61.15 – $517.34 | 29 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $267.01 – $514.48 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $272.63 – $527.12 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $390.70 – $750.43 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $351.97 – $687.30 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $954.40 – $1,934.85 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $951.80 – $1,838.59 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $544.80 – $956.37 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $487.63 – $858.53 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $545.41 – $934.28 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $488.16 – $838.80 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $590.30 – $1,354.09 | 6 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $596.95 – $1,295.69 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $314.85 – $730.70 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $212.30 – $614.71 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $327.16 – $718.08 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $270.65 – $687.30 | 6 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $552.10 – $1,217.57 | 6 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $538.51 – $1,198.63 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $269.11 – $722.01 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $212.30 – $621.01 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $269.39 – $691.25 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $207.67 – $607.61 | 6 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.47 – $79.81 | 22 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $33.08 | 29 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $629.69 – $1,369.07 | 7 |
| Edetate calcium disodium inj HCPCS J0600 | $141.69 | $382.95 | $154.94 – $154.94 | 5 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $26.20 – $52.01 | 7 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $461.85 | $1,248.25 | $66.35 – $911.39 | 29 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $45.44 – $1,135.62 | 28 |
| Eeg during surgery CPT 95955 | $744.81 | $2,013.00 | $61.18 – $486.09 | 7 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $182.76 – $2,177.46 | 29 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $141.01 – $1,135.62 | 29 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $245.31 | $663.00 | $66.35 – $666.47 | 29 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $660.27 | $1,784.50 | $105.68 – $1,052.65 | 29 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $245.31 | $663.00 | $66.35 – $666.47 | 29 |
| Eeg recording awake and asleep CPT 95819 | $245.31 | $663.00 | $66.35 – $666.47 | 29 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $296.21 – $666.47 | 22 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $296.21 – $666.47 | 22 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $504.72 – $1,135.62 | 22 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $504.72 – $1,135.62 | 22 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $296.21 – $666.47 | 22 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $504.72 – $1,135.62 | 22 |
| E equine encephalitis igg CPT 86652 | $48.38 | $130.75 | $13.19 – $36.36 | 29 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $260.33 – $486.09 | 6 |
| Egd control bleeding any CPT 43255 | not published | not published | $229.78 – $615.49 | 7 |
| Egd dilate stricture CPT 43245 | not published | not published | $200.52 – $410.33 | 7 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $309.86 – $585.51 | 6 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $249.90 – $484.50 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $491.98 – $961.92 | 6 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $891.83 – $2,006.62 | 22 |
| Egd guide wire insertion CPT 43248 | not published | not published | $189.59 – $2,006.62 | 29 |
| Egd injection varices CPT 43243 | not published | not published | $271.34 – $583.14 | 7 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $162.76 – $340.10 | 7 |
| Egd lesion ablation CPT 43270 | not published | not published | $257.13 – $508.97 | 6 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $192.37 – $374.03 | 6 |
| Egd remove foreign body CPT 43247 | $871.07 | $2,354.25 | $202.09 – $2,006.62 | 29 |
| Egd remove lesion snare CPT 43251 | not published | not published | $223.96 – $476.60 | 7 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $194.24 – $412.69 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $258.71 – $662.05 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $266.49 – $634.42 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $300.89 – $922.44 | 7 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $300.89 – $563.41 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $280.96 – $642.32 | 7 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $265.76 – $706.23 | 7 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $450.00 – $864.05 | 7 |
| Egfr gene com variants CPT 81235 | $144.71 | $391.10 | $62.01 – $730.30 | 28 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $78.95 | 22 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $18.08 – $126.70 | 7 |
| Elbow arthroscopy CPT 29830 | not published | not published | $491.94 – $970.59 | 7 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $534.28 – $1,049.50 | 7 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $549.67 – $1,083.43 | 7 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $627.95 – $1,231.76 | 7 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $573.84 – $1,132.34 | 7 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $645.38 – $1,262.54 | 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.