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 |
|---|---|---|---|---|
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $266.54 – $1,905.43 | 29 |
| Epiglottidectomy CPT 31420 | not published | not published | $909.07 – $1,805.44 | 7 |
| Epilepsy gen seq alys panel CPT 81419 | $1,163.17 | $3,143.70 | $2,779.12 – $2,779.12 | 1 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $175.85 – $8,949.00 | 7 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $753.51 – $1,281.48 | 7 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $573.06 – $1,311.47 | 7 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $656.07 | $1,773.15 | $16.53 – $16.53 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $1,428.39 | $3,860.50 | $165.78 – $323.54 | 7 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $34.97 | $94.50 | $0.96 – $3.61 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $536.54 | $1,450.10 | $18.54 – $18.54 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $417.79 | $1,129.17 | $16.53 – $16.53 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $27.27 | $73.70 | $16.53 – $16.53 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $46.44 | $125.50 | $13.12 – $36.18 | 29 |
| Epstein barr nuclear antigen antibody CPT 86664 | $42.83 | $115.75 | $15.29 – $42.19 | 29 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $43.38 | $117.25 | $18.14 – $50.03 | 29 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $66.06 | $178.55 | $38.94 – $47.10 | 5 |
| Ercp biliary & pancreas CPT 74330 | $421.80 | $1,140.00 | $56.92 – $96.37 | 6 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $530.87 – $1,003.72 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $434.04 – $832.49 | 6 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $496.52 – $946.91 | 6 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $496.91 – $1,253.08 | 7 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $417.26 – $1,116.56 | 7 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $431.69 – $826.97 | 6 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $410.17 – $920.86 | 7 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $552.75 – $1,043.97 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $369.24 – $754.38 | 7 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,346.95 | $3,640.40 | $154.94 – $154.94 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $64.55 | $174.45 | $34.06 – $34.06 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $141.62 | $382.75 | $23.74 – $188.44 | 29 |
| ER Visit (level 2) CPT 99282 | $314.96 | $851.25 | $46.32 – $338.94 | 28 |
| ER Visit (level 3) CPT 99283 | $529.47 | $1,431.00 | $69.41 – $592.61 | 28 |
| ER Visit (level 4) CPT 99284 | $757.95 | $2,048.50 | $131.75 – $911.36 | 28 |
| ER Visit (level 5, high severity) CPT 99285 | $1,152.46 | $3,114.75 | $194.56 – $1,312.18 | 28 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $107.65 | $290.95 | $7.57 – $16.53 | 6 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $35.07 – $60.13 | 6 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $132.43 – $246.70 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $47.14 – $860.02 | 29 |
| Esophageal recording CPT 93615 | not published | not published | $15.73 – $8,949.00 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $25.19 – $8,949.00 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,450.79 – $2,870.70 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,509.35 – $2,922.00 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $219.68 – $409.54 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $112.42 – $2,006.62 | 28 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $269.56 – $508.97 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $217.25 – $401.64 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $182.58 – $414.28 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $134.13 – $277.76 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $188.42 – $463.99 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $117.31 – $253.29 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $98.96 – $2,006.62 | 29 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $94.07 – $2,006.62 | 28 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $161.47 – $336.93 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $225.50 – $431.62 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $153.19 – $324.32 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $295.42 – $565.78 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $207.66 – $373.25 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $172.84 – $261.97 | 6 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $613.43 – $1,132.34 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $183.35 – $376.40 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $226.30 – $568.14 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $221.78 – $408.74 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $190.11 – $372.45 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $190.45 – $312.49 | 6 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $218.85 – $340.10 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $161.06 – $488.45 | 7 |
| Esophagus motility study CPT 91010 | not published | not published | $81.89 – $1,135.62 | 29 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $65.98 – $1,135.62 | 29 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $175.48 – $378.76 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $148.62 – $307.75 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $920.09 – $1,755.73 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,274.24 – $2,507.72 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.01 – $52.08 | 6 |
| Esoph imped function test CPT 91037 | not published | not published | $64.38 – $666.47 | 29 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $72.87 – $1,135.62 | 29 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $152.06 – $298.27 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $154.77 – $490.82 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $116.95 – $278.56 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $477.46 – $948.49 | 7 |
| Establish access to aorta CPT 36160 | not published | not published | $141.66 – $281.71 | 7 |
| Establish access to artery CPT 36100 | not published | not published | $175.58 – $351.15 | 7 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,109.09 – $2,243.38 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $92.87 | $251.00 | $10.21 – $17.58 | 7 |
| Established Patient Office Visit (level 2) CPT 99212 | $131.07 | $354.25 | $28.20 – $47.80 | 7 |
| Established Patient Office Visit (level 3) CPT 99213 | $165.39 | $447.00 | $55.58 – $97.00 | 7 |
| Established Patient Office Visit (level 4) CPT 99214 | $213.21 | $576.25 | $85.98 – $149.74 | 7 |
| Established Patient Office Visit (level 5) CPT 99215 | $264.46 | $714.75 | $122.03 – $210.89 | 7 |
| Estradiol total CPT 82670 | $88.43 | $239.00 | $27.94 – $77.04 | 29 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $137.64 | $372.00 | $16.53 – $16.53 | 5 |
| Estrogens total-sendout CPT 82672 | $83.71 | $226.25 | $21.70 – $59.82 | 29 |
| Etanercept injection HCPCS J1438 | $2,306.67 | $6,234.25 | $154.94 – $154.94 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $922.29 – $1,950.63 | 7 |
| Ethylene glycol -sendout CPT 82693 | $64.75 | $175.00 | $14.90 – $41.09 | 29 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $20.35 | $55.00 | $16.53 – $16.53 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | $110.87 | $299.65 | $0.46 – $39.23 | 6 |
| Euglobulin lysis CPT 85360 | $84.92 | $229.50 | $8.41 – $23.17 | 29 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $522.15 – $1,021.87 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $84.73 – $334.87 | 29 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $114.21 – $256.97 | 29 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $122.29 | $330.50 | $98.11 – $220.75 | 28 |
| Evaluation heart device CPT 93640 | not published | not published | $80.75 – $8,949.00 | 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.