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 |
|---|---|---|---|---|
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $367.32 | $992.75 | $38.41 – $579.26 | 29 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $73.73 | 28 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $12.77 – $79.40 | 29 |
| Infect ag ia optc obs influenza CPT 87804 | $65.58 | $177.25 | $12.77 – $37.24 | 29 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $18.78 | $50.75 | $11.98 – $33.08 | 29 |
| Infect ag if hep delta agent CPT 87380 | $78.26 | $211.50 | $17.20 – $45.25 | 29 |
| Infect ag if influenza a CPT 87276 | $40.61 | $109.75 | $12.77 – $36.16 | 29 |
| Infect ag if influenza b CPT 87275 | $43.38 | $117.25 | $12.25 – $33.08 | 29 |
| Infect ag if legionella pneumophila CPT 87278 | $64.75 | $175.00 | $12.77 – $35.10 | 29 |
| Infect ag if nos ea CPT 87299 | $60.40 | $163.25 | $12.77 – $36.23 | 29 |
| Infect ag if pneumocystis carinii CPT 87281 | $56.15 | $151.75 | $11.98 – $33.08 | 29 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $12.77 – $33.08 | 29 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $19.90 – $120.31 | 29 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $96.76 | 29 |
| Infect ag na herpes simplex quant CPT 87530 | $190.46 | $514.75 | $42.84 – $118.12 | 29 |
| Infect ag na hpv high-risk types CPT 87624 | $136.25 | $368.25 | $35.09 – $78.95 | 28 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $294.06 | $794.75 | $95.80 – $234.62 | 28 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $121.55 | $328.50 | $51.31 – $141.51 | 28 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $115.45 | 22 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $336.15 | $908.50 | $87.86 – $937.75 | 28 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $1,347.39 | 29 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $71.88 | 29 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $93.11 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $40.70 | $110.00 | $11.98 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $51.15 | $138.25 | $12.77 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $43.38 | $117.25 | $12.77 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $44.77 | $121.00 | $11.98 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $112.85 | $305.00 | $11.90 – $32.36 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $35.80 | $96.75 | $10.33 – $28.49 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $21.46 | $58.00 | $10.33 – $28.49 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $32.28 | $87.25 | $24.08 – $66.42 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $98.51 | $266.25 | $11.98 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $71.41 | $193.00 | $11.98 – $33.08 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $33.08 | 29 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $386.17 | $1,043.70 | $25.85 – $96.76 | 29 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $92.04 | $248.75 | $35.09 – $78.95 | 29 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $77.42 | $209.25 | $37.27 – $96.76 | 28 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $372.96 | $1,008.00 | $416.78 – $937.75 | 28 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $157.62 | $426.00 | $35.09 – $96.76 | 29 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $13.60 | $36.75 | $18.38 – $96.76 | 29 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $165.58 | $447.50 | $37.00 – $96.76 | 29 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $92.04 | $248.75 | $35.09 – $78.95 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $37.46 | $101.25 | $51.31 – $115.45 | 23 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $320.92 | 22 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $142.63 – $320.92 | 22 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $96.76 | 29 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $58.74 | $158.75 | $35.09 – $96.03 | 28 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $172.73 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $462.63 | $1,250.34 | $416.78 – $978.39 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $301.15 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $591.73 | 28 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $197.40 | $533.50 | $42.84 – $118.12 | 29 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $203.50 | $550.00 | $42.84 – $118.12 | 29 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $222.28 | $600.75 | $42.84 – $118.12 | 29 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $200.08 | $540.75 | $85.10 – $234.62 | 29 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $443.35 | $1,198.25 | $142.63 – $320.92 | 28 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $178.95 | $483.65 | $154.94 – $154.94 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $96.50 | $260.80 | $135.13 – $135.13 | 3 |
| Influenza dna amp prob addl CPT 87503 | $75.80 | $204.87 | $29.22 – $65.75 | 28 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $41.27 – $49.92 | 5 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $24.55 – $35.19 | 6 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,435.80 – $6,682.02 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $100.10 – $1,087.46 | 29 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $74.93 – $145.99 | 6 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $81.98 – $1,135.62 | 28 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $46.96 – $435.31 | 28 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $393.24 – $419.31 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $138.99 – $143.61 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $178.78 – $184.06 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $99.28 – $100.65 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $103.69 | $280.25 | $42.86 – $435.31 | 29 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $2,488.27 | $6,725.05 | $3.61 – $3.61 | 5 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $46.58 | $125.90 | $54.26 – $58.14 | 4 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $11.21 | $30.30 | $0.61 – $0.61 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | $164.93 | $445.75 | $5.25 – $6.34 | 5 |
| Inj, clevidipine butyrate HCPCS C9248 | $17.45 | $47.16 | $3.61 – $6.67 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $189.48 – $366.93 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $73.92 – $631.78 | 28 |
| Inj dx for sinogram CPT 20501 | $139.12 | $376.00 | $43.22 – $82.06 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $658.74 – $1,482.16 | 22 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $212.66 | $574.75 | $78.93 – $152.30 | 7 |
| Injection, cangrelor HCPCS C9460 | $19.75 | $53.38 | $18.93 – $22.91 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $424.02 | $1,146.00 | $64.28 – $631.78 | 29 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $59.79 – $103.31 | 6 |
| Injection epidural blood patch or clot CPT 62273 | $402.84 | $1,088.75 | $127.60 – $1,482.16 | 29 |
| Injection eye drug CPT 67028 | not published | not published | $109.39 – $709.90 | 29 |
| Injection for arthrography wrist (both sides) CPT 25246 | $175.29 | $473.75 | $85.03 – $161.77 | 7 |
| Injection for bladder x-ray CPT 51600 | $128.95 | $348.50 | $50.28 – $94.69 | 7 |
| Injection for hip x-ray CPT 27095 | $202.48 | $547.25 | $93.58 – $178.33 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $141.06 | $381.25 | $57.68 – $107.93 | 7 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $153.69 – $309.32 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $61.74 – $116.79 | 7 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $56.16 – $107.32 | 7 |
| Injection for ureter x-ray CPT 50690 | $99.81 | $269.75 | $78.95 – $150.72 | 7 |
| Injection, fulvestrant HCPCS J9395 | $163.24 | $441.20 | $154.94 – $154.94 | 5 |
| Injection glatiramer acetate HCPCS J1595 | $272.52 | $736.55 | $154.94 – $154.94 | 5 |
| Injection into brain canal CPT 61026 | $459.45 | $1,241.75 | $116.83 – $1,482.16 | 29 |
| Injection into brain canal CPT 61055 | $421.43 | $1,139.00 | $136.82 – $631.78 | 29 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $131.02 – $1,951.29 | 29 |
| Injection into spinal artery CPT 62294 | not published | not published | $846.86 – $1,905.43 | 29 |
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.