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 |
|---|---|---|---|---|
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.14 – $127.13 | 29 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.72 – $52.43 | 29 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $981.10 – $1,926.96 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,814.67 | $4,904.50 | $437.33 – $860.90 | 7 |
| Idarubicin hcl injection HCPCS J9211 | $80.36 | $217.20 | $50.08 – $56.55 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $188.49 – $366.13 | 7 |
| Identify sperm tissue CPT 89264 | not published | not published | $50.82 – $940.10 | 27 |
| Idet 1 or more levels CPT 22527 | not published | not published | $180.12 – $336.15 | 7 |
| Idet single level CPT 22526 | not published | not published | $377.91 – $741.74 | 7 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $542.12 – $1,114.99 | 7 |
| Idh1 common variants CPT 81120 | $130.61 | $353.00 | $193.25 – $434.81 | 28 |
| Idh2 common variants CPT 81121 | $196.01 | $529.75 | $295.79 – $665.53 | 28 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $1,262.35 | $3,411.75 | $435.21 – $935.08 | 7 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.92 – $2,072.90 | 29 |
| I&d lacrimal sac CPT 68420 | not published | not published | $177.77 – $367.71 | 7 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $235.52 – $463.99 | 7 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $341.50 – $680.20 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $189.11 – $366.93 | 7 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $165.08 | 28 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $77.90 | $210.55 | $39.23 – $39.23 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $466.45 | 23 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $67.96 – $154.24 | 28 |
| Igh gene rearrange amp meth CPT 81261 | $209.51 | $566.25 | $197.99 – $541.84 | 28 |
| Igh@ var region somatic mutation analy CPT 81263 | $326.71 | $883.00 | $294.52 – $805.99 | 28 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $408.66 | 28 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $59.85 | $161.75 | $62.52 – $114.96 | 6 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $105.45 | $285.00 | $133.78 – $769.88 | 28 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $339.66 | $918.00 | $51.10 – $366.75 | 29 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $341.60 | 28 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,145.57 – $2,256.80 | 7 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $215.40 – $415.06 | 6 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $994.84 – $1,944.31 | 7 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $14.73 – $127.13 | 28 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $13.65 – $118.81 | 28 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $56.50 – $127.13 | 22 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $52.60 | $142.15 | $137.03 – $137.03 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $446.65 – $2,170.01 | 7 |
| Immune complex assay CPT 86332 | $224.15 | $605.80 | $24.37 – $67.20 | 29 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $2,621.62 | $7,085.45 | $77.40 – $77.40 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $185.91 | $502.45 | $77.40 – $77.40 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $141.04 | $381.20 | $34.06 – $34.06 | 5 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $211.70 – $211.70 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $65.68 | $177.50 | $20.81 – $57.39 | 29 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $65.95 | $178.25 | $20.81 – $57.39 | 29 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $14.33 – $57.53 | 29 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $50.78 | $137.25 | $11.98 – $33.03 | 29 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $38.71 | 29 |
| Immunofixation electrophoresis serum CPT 86334 | $77.70 | $210.00 | $14.92 – $61.61 | 29 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $90.56 | $244.75 | $44.19 – $128.61 | 6 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $126.73 | $342.50 | $51.96 – $366.75 | 29 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.46 – $34.34 | 29 |
| Immunology procedure CPT 86849 | not published | not published | $255.00 – $255.00 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $11.05 – $275.87 | 29 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,493.24 – $3,524.07 | 7 |
| Implant cochlear device CPT 69930 | not published | not published | $1,346.33 – $105,792.00 | 8 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,185.56 | $24,825.85 | $4,121.86 – $8,026.41 | 6 |
| Implant eye drug system CPT 67027 | not published | not published | $862.65 – $1,890.67 | 7 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $63.58 – $854.03 | 29 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,618.20 – $3,186.34 | 7 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,395.91 – $4,831.60 | 7 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $909.73 – $14,517.00 | 8 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $167.78 – $362.98 | 7 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $168.68 – $321.95 | 7 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $340.60 – $859.32 | 7 |
| Implant neurostim arrays CPT 61886 | not published | not published | $842.91 – $1,803.08 | 7 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $303.08 – $575.24 | 7 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,346.06 – $2,899.90 | 7 |
| Implant spinal canal cath CPT 62351 | not published | not published | $908.51 – $1,876.45 | 7 |
| Implant spine infusion pump CPT 62361 | not published | not published | $429.56 – $713.33 | 7 |
| Implant spine infusion pump CPT 62362 | not published | not published | $426.94 – $838.02 | 7 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,489.13 – $2,924.91 | 6 |
| Implant ureth bulk agent HCPCS L8606 | $2,342.17 | $6,330.20 | $320.57 – $367.19 | 6 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $2,446.55 | $6,612.30 | $2,558.43 – $2,558.43 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $459.53 – $7,541.00 | 8 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $241.86 – $422.48 | 6 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $434.45 – $871.15 | 7 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,179.36 – $2,348.34 | 7 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $97.71 – $184.65 | 7 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $422.36 – $840.45 | 6 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,739.79 – $3,326.81 | 7 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,749.93 – $3,330.74 | 7 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $6,662.60 – $8,280.66 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,570.15 – $2,994.59 | 7 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,608.10 – $3,056.94 | 7 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,733.45 – $3,265.25 | 7 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $220.89 – $1,345.40 | 29 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,357.94 – $4,510.45 | 7 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,488.50 – $2,877.02 | 7 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,377.83 – $2,608.73 | 7 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,577.90 – $3,092.45 | 7 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $931.14 – $1,784.93 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $637.82 – $1,243.61 | 7 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $535.67 – $1,082.63 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,615.94 – $3,161.88 | 7 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $471.92 – $934.28 | 7 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $111.57 – $2,072.90 | 29 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $349.72 – $730.70 | 7 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $404.25 – $824.60 | 7 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $533.10 – $1,190.73 | 7 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $628.62 – $1,280.69 | 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.