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 |
|---|---|---|---|---|
| Harvest eye tissue alograft CPT 68371 | not published | not published | $418.93 – $881.41 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $398.18 – $754.77 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $55.99 – $935.66 | 29 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $368.31 – $703.10 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $18.31 – $275.87 | 29 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $23.73 – $275.87 | 29 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,350.00 | 28 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $455.40 | 28 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $844.31 | 28 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $730.30 | 28 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $393.32 | 28 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $455.40 | 28 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $844.31 | 28 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $20.51 – $95.70 | 6 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $425.78 | $1,150.75 | $43.60 – $863.27 | 29 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $41.53 | 29 |
| Hcg qualitative CPT 84703 | $33.39 | $90.25 | $7.52 – $20.72 | 29 |
| Hcg quantitative CPT 84702 | $64.47 | $174.25 | $15.05 – $41.53 | 29 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $35.67 – $120.06 | 6 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $21.78 – $81.78 | 6 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $69.21 – $257.52 | 6 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $54.05 – $234.90 | 6 |
| Hc metata joint dislocation anes CPT 28635 | $2,307.69 | $6,237.00 | $146.10 – $283.29 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $423.53 – $1,310.11 | 29 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $225.32 – $433.21 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $379.78 – $1,310.11 | 29 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $59.61 – $113.62 | 7 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $209.06 – $402.44 | 7 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $65.56 – $1,152.02 | 29 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $382.23 – $993.28 | 27 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $30.74 – $860.02 | 29 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $59.96 – $1,152.02 | 29 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $97.70 – $2,133.69 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $224.22 – $1,484.93 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $408.54 – $1,484.93 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $646.42 – $1,883.90 | 28 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $173.55 – $562.84 | 28 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $250.15 – $720.62 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $1,065.14 | $2,878.75 | $80.04 – $453.72 | 29 |
| Head CT scan (with contrast) CPT 70460 | $883.28 | $2,387.25 | $71.19 – $448.21 | 29 |
| Head CT scan (without contrast) CPT 70450 | $891.79 | $2,410.25 | $53.78 – $341.68 | 29 |
| Heart first pass add-on CPT 78496 | not published | not published | $20.85 – $95.47 | 7 |
| Heart first pass multiple CPT 78483 | not published | not published | $99.49 – $1,152.02 | 29 |
| Heart image spect CPT 78494 | not published | not published | $77.59 – $860.02 | 29 |
| Heart infarct image CPT 78466 | not published | not published | $44.79 – $860.02 | 29 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $53.14 – $1,152.02 | 29 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $150.23 – $289.59 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $11.59 | 29 |
| Helicobacter pylori antibody igm CPT 86677 | $65.49 | $177.00 | $15.37 – $40.02 | 29 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $22.59 | 29 |
| Hematocrit CPT 85014 | $19.24 | $52.00 | $2.37 – $6.55 | 29 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $84.09 – $479.70 | 29 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $690.12 – $1,249.91 | 7 |
| Hemodialysis one evaluation CPT 90935 | $824.45 | $2,228.25 | $80.46 – $1,497.58 | 29 |
| Hemoglobin CPT 85018 | $19.61 | $53.00 | $2.37 – $6.55 | 29 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.61 – $9.02 | 29 |
| Hemoglobin fetal qualitative CPT 83033 | $26.36 | $71.25 | $6.25 – $18.00 | 29 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.60 – $24.16 | 29 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $43.01 | $116.25 | $7.82 – $20.20 | 29 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.42 – $30.02 | 29 |
| Hemoglobin plasma CPT 83051 | $46.81 | $126.50 | $7.31 – $20.16 | 29 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $10.90 | 29 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $24.48 | 29 |
| Hemolysins/agglutinins auto CPT 86940 | $27.75 | $75.00 | $8.60 – $22.61 | 29 |
| Hemolysins and agglutinins incubated CPT 86941 | $61.79 | $167.00 | $12.11 – $33.41 | 29 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $43.69 | 29 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $596.72 | $1,612.75 | $192.39 – $1,951.29 | 29 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $401.41 – $826.17 | 7 |
| Hepagam b im injection HCPCS J1571 | $1,118.05 | $3,021.75 | $34.06 – $34.06 | 5 |
| Heparin assay CPT 85520 | $77.24 | $208.75 | $13.09 – $36.11 | 29 |
| Heparin bolus from bag HCPCS J1644 | $48.58 | $131.30 | $0.29 – $0.34 | 5 |
| Heparin neutralization CPT 85525 | $49.21 | $133.00 | $11.84 – $32.66 | 29 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $4.69 | $12.68 | $0.22 – $0.27 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,547.76 – $4,999.68 | 7 |
| Hepatitis a antibody igm CPT 86709 | $69.38 | $187.50 | $11.26 – $31.03 | 29 |
| Hepatitis b core antibody igm CPT 86705 | $50.97 | $137.75 | $11.77 – $32.45 | 29 |
| Hepatitis b core antibody total CPT 86704 | $46.25 | $125.00 | $12.05 – $33.24 | 29 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $113.34 – $559.38 | 28 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $56.97 | 22 |
| Hepatitis b surface antibody CPT 86706 | $41.26 | $111.50 | $10.74 – $29.61 | 29 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $107.06 – $160.28 | 6 |
| Hepatitis c antibody CPT 86803 | $53.10 | $143.50 | $14.27 – $39.36 | 29 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $21.11 – $70.25 | 29 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $96.39 | 22 |
| Hepatobiliary system imaging CPT 78226 | not published | not published | $310.43 – $860.02 | 28 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $910.64 – $910.64 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $556.37 – $1,118.14 | 7 |
| Herpes simplex 1 ag if CPT 87274 | $50.97 | $137.75 | $11.98 – $33.08 | 29 |
| Herpes simplex 2 ag if CPT 87273 | $47.45 | $128.25 | $11.98 – $33.08 | 29 |
| Herpes simplex type 1 antibody igg CPT 86695 | $60.68 | $164.00 | $13.19 – $36.36 | 29 |
| Herpes simplex type 2 antibody igg CPT 86696 | $77.52 | $209.50 | $19.35 – $53.36 | 29 |
| Herpes simplex virus isolation CPT 87255 | $59.44 | $160.65 | $33.86 – $93.38 | 29 |
| Heterophile antibodies screening CPT 86308 | $24.14 | $65.25 | $5.18 – $14.26 | 29 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $17.83 | 29 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $20.32 | 29 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $480.56 | 28 |
| Hhv-6 dna quant CPT 87533 | $184.63 | $499.00 | $19.90 – $93.96 | 29 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $249.97 – $492.39 | 7 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $881.60 – $1,752.56 | 7 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $872.53 – $1,754.15 | 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.