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 |
|---|---|---|---|---|
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $922.09 – $1,831.47 | 7 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,798.62 – $3,550.91 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,487.35 – $2,933.05 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,494.48 – $3,084.55 | 7 |
| Excise lesion testis CPT 54512 | not published | not published | $606.12 – $1,152.07 | 7 |
| Excise lip or cheek fold CPT 40819 | $1,028.05 | $2,778.50 | $247.74 – $512.92 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,447.51 – $2,812.31 | 7 |
| Excise mandible lesion CPT 21040 | not published | not published | $429.84 – $897.98 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $432.23 – $897.20 | 7 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,288.01 – $2,521.14 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $287.54 – $1,089.92 | 29 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $691.28 – $1,361.97 | 7 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,178.31 – $2,312.04 | 7 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,323.60 – $2,596.90 | 7 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $931.80 – $1,831.47 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $179.68 – $355.88 | 7 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $210.73 – $429.26 | 7 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,435.32 – $4,750.32 | 7 |
| Excise sublingual gland CPT 42450 | not published | not published | $394.24 – $787.51 | 7 |
| Excise submaxillary gland CPT 42440 | not published | not published | $456.63 – $902.71 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $363.64 – $697.55 | 6 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $564.72 – $1,142.61 | 7 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $409.76 – $808.82 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $182.42 – $346.42 | 7 |
| Excision aural polyp CPT 69540 | not published | not published | $135.07 – $276.97 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $135.92 – $1,505.86 | 29 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $940.45 | $2,541.75 | $141.45 – $291.17 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $463.33 | $1,252.25 | $118.22 – $1,505.86 | 29 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $253.01 – $526.32 | 7 |
| Excision breast lesion CPT 19125 | not published | not published | $476.37 – $980.84 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $234.56 – $483.72 | 7 |
| Excision graft extremity CPT 35903 | not published | not published | $639.84 – $1,269.64 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,030.61 – $3,793.15 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $269.10 – $408.90 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $731.48 – $1,681.55 | 7 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $194.03 – $389.03 | 7 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $376.02 – $758.31 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $141.18 – $282.49 | 7 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $141.64 – $293.54 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $60.70 – $121.80 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $191.43 – $396.91 | 7 |
| Excision of gum lesion CPT 41823 | not published | not published | $341.44 – $702.30 | 7 |
| Excision of gum lesion CPT 41826 | not published | not published | $218.24 – $461.62 | 7 |
| Excision of gum lesion CPT 41827 | not published | not published | $324.99 – $668.35 | 7 |
| Excision of gum lesion CPT 41828 | not published | not published | $238.86 – $462.40 | 7 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $134.66 – $266.71 | 7 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $914.17 – $1,809.39 | 7 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $613.53 – $1,264.91 | 7 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $825.42 – $1,645.26 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $339.87 – $692.82 | 7 |
| Excision of neck cyst CPT 42815 | not published | not published | $610.39 – $1,224.66 | 7 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $309.12 – $636.00 | 7 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $144.77 – $277.76 | 7 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,079.35 – $2,198.40 | 7 |
| Excision of rectal stricture CPT 45150 | not published | not published | $402.96 – $855.37 | 7 |
| Excision of salivary cyst CPT 42408 | not published | not published | $362.41 – $716.50 | 7 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,088.19 – $4,190.86 | 7 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,068.89 – $2,110.03 | 7 |
| Excision of tongue lesion CPT 41112 | not published | not published | $267.63 – $552.36 | 7 |
| Excision of tongue lesion CPT 41114 | not published | not published | $699.00 – $1,382.48 | 7 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $298.54 – $610.76 | 7 |
| Excision of tonsil tags CPT 42860 | not published | not published | $204.44 – $413.48 | 7 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $627.40 – $1,256.23 | 7 |
| Excision of uvula CPT 42140 | not published | not published | $165.28 – $342.47 | 7 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $174.06 – $347.20 | 7 |
| Excision olecranon bursa CPT 24105 | not published | not published | $355.40 – $744.89 | 7 |
| Excision radial head CPT 24130 | not published | not published | $543.23 – $1,080.26 | 7 |
| Excision tongue lesion without closure 41110 CPT 41110 | $1,245.05 | $3,365.00 | $141.32 – $290.39 | 7 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $521.03 – $1,009.25 | 6 |
| Excis partial tal calc CPT 28120 | not published | not published | $448.88 – $1,081.06 | 7 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,344.44 – $2,644.24 | 7 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $759.01 – $1,467.71 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $516.87 – $1,028.97 | 7 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $148.74 – $330.63 | 7 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $186.46 – $401.64 | 7 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $411.99 – $879.05 | 7 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $134.33 – $280.12 | 7 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $129.41 – $1,505.86 | 29 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $513.38 | $1,387.50 | $199.81 – $1,505.86 | 29 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $312.85 – $616.27 | 7 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $441.14 – $853.80 | 7 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $123.03 – $261.19 | 7 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $158.49 – $1,505.86 | 29 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,006.31 | $2,719.75 | $226.27 – $457.67 | 7 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $121.26 – $1,505.86 | 29 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $156.82 – $1,505.86 | 29 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $172.58 – $855.09 | 29 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,394.16 | $3,768.00 | $205.92 – $1,505.86 | 29 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,394.16 | $3,768.00 | $226.69 – $1,505.86 | 29 |
| Exc mandible 21025 CPT 21025 | not published | not published | $815.62 – $1,612.89 | 7 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $449.67 – $1,148.92 | 7 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $812.19 – $1,567.91 | 6 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $518.50 – $1,072.38 | 7 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,189.61 – $2,377.54 | 7 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $895.78 – $1,706.02 | 7 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $444.89 – $890.10 | 7 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,379.93 | $6,432.25 | $193.99 – $396.13 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | $1,633.64 | $4,415.25 | $365.99 – $715.70 | 7 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $900.61 – $1,762.05 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $663.94 – $1,299.62 | 6 |
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.