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 |
|---|---|---|---|---|
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $217.84 – $486.87 | 7 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $232.66 – $485.29 | 7 |
| Intra-atrial pacing CPT 93610 | not published | not published | $61.34 – $8,949.00 | 7 |
| Intra-atrial recording CPT 93602 | not published | not published | $50.39 – $8,949.00 | 7 |
| Intracard echo interv w/s&i CPT 93662 | $857.66 | $2,318.00 | $55.86 – $306.95 | 6 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,622.39 – $2,976.44 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,485.13 – $2,731.83 | 7 |
| Intracranial complete study CPT 93886 | $336.61 | $909.75 | $58.19 – $766.21 | 29 |
| Intracranial limited study CPT 93888 | $238.37 | $644.25 | $39.31 – $445.84 | 29 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $75.03 – $149.94 | 7 |
| Intranasal reconstruction CPT 30620 | not published | not published | $649.07 – $1,353.29 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $148.26 – $8,949.00 | 7 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $119.62 – $1,089.92 | 29 |
| Intrapul surf admin endo tube CPT 94610 | $100.64 | $272.00 | $62.75 – $435.31 | 29 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $389.66 – $935.66 | 29 |
| Intraventricular pacing CPT 93612 | not published | not published | $71.59 – $8,949.00 | 7 |
| Intrinsic factor antibody CPT 86340 | $59.66 | $161.25 | $15.08 – $41.57 | 29 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $56.88 – $275.81 | 29 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $165.15 – $284.61 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $246.16 – $424.45 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $337.07 – $581.88 | 5 |
| Intro catheter aorta CPT 36200 | not published | not published | $160.69 – $336.15 | 7 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $125.35 – $266.71 | 7 |
| Intro long gi tube CPT 44500 | $481.00 | $1,300.00 | $22.02 – $2,006.62 | 29 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $33.88 – $57.05 | 6 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $169.30 – $320.37 | 7 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $105.59 – $209.50 | 6 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $85.13 – $167.93 | 6 |
| Intubation endotracheal emergency procedure CPT 31500 | $263.53 | $712.25 | $132.58 – $497.00 | 29 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $19.44 – $127.13 | 29 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.47 – $80.75 | 29 |
| Ionm in operatng room 15 min CPT 95940 | $82.79 | $223.75 | $36.33 – $70.23 | 6 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $117.87 – $146.49 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $11.99 | $32.40 | $0.30 – $0.36 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $153.98 | $416.15 | $0.25 – $0.30 | 5 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $596.30 – $596.30 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $596.30 – $596.30 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $230.57 | $623.15 | $154.94 – $154.94 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $25.55 | $69.05 | $6.37 – $7.71 | 5 |
| Iron CPT 83540 | $70.67 | $191.00 | $6.47 – $15.37 | 29 |
| Iron binding capacity CPT 83550 | $24.14 | $65.25 | $8.74 – $24.11 | 29 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $62.12 | $167.90 | $16.53 – $16.53 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.78 – $17.83 | 29 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $53.50 | $144.60 | $1.54 – $1.54 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $71.04 | $192.00 | $15.37 – $163.20 | 28 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $100.36 | $271.25 | $25.34 – $127.13 | 29 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $203.60 – $432.42 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $255.21 | $689.75 | $32.51 – $127.13 | 29 |
| Island pedicle flap graft CPT 15740 | not published | not published | $934.03 – $1,840.95 | 7 |
| Ivc venogram s&i CPT 75825 | not published | not published | $71.85 – $305.30 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $75.94 | $205.25 | $32.19 – $152.33 | 29 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $71.87 | $194.25 | $21.67 – $123.99 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $67.62 | $182.75 | $19.92 – $123.99 | 29 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $229.40 | $620.00 | $71.10 – $450.92 | 29 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $46.88 – $860.02 | 29 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $122.24 – $854.03 | 29 |
| Ivp w/nephrotomography CPT 74415 | $322.92 | $872.75 | $30.74 – $381.01 | 29 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $330.32 | $892.75 | $30.74 – $381.01 | 29 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $139.88 | $378.05 | $77.40 – $77.40 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $215.62 | $582.75 | $185.20 – $416.70 | 23 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $563.45 – $1,099.21 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $702.42 – $1,393.53 | 7 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $275.12 – $561.05 | 7 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $39.70 | 28 |
| J-tube placement CPT 44015 | not published | not published | $161.78 – $306.95 | 7 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,435.01 – $3,336.28 | 7 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $14.85 – $39.08 | 29 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $64.10 | $173.25 | $8.17 – $22.53 | 29 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $9.71 | $26.25 | $7.21 – $7.21 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $333.78 – $632.86 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $354.71 – $677.83 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $560.01 – $1,055.01 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $812.30 – $1,536.35 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $386.82 – $733.86 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $642.24 – $1,215.98 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $392.65 – $744.11 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $446.97 – $848.27 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $640.66 – $1,212.05 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $690.55 – $1,306.74 | 7 |
| Kidney function study CPT 78725 | not published | not published | $23.59 – $860.02 | 29 |
| Kidney imaging morphology CPT 78700 | not published | not published | $28.46 – $860.02 | 29 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $89.00 – $1,152.02 | 29 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $60.53 – $1,152.02 | 29 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $400.16 | $1,081.50 | $46.34 – $276.19 | 29 |
| Kit gene analys d816 variant CPT 81273 | $269.27 | $727.75 | $124.87 – $280.96 | 28 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $22,008.58 | $59,482.65 | $4,499.08 – $4,499.08 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $670.83 – $1,334.35 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $556.58 – $1,099.21 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $441.53 – $882.20 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $593.82 – $1,161.54 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $629.11 – $1,331.99 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $998.63 – $1,993.24 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $552.05 – $1,120.51 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $584.72 – $1,152.07 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $538.28 – $1,060.53 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $709.77 – $1,406.16 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $718.77 – $1,421.95 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $617.52 – $1,207.32 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $758.58 – $1,500.05 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $927.09 – $1,799.91 | 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.