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 |
|---|---|---|---|---|
| Lap myotomy heller CPT 43279 | not published | not published | $1,430.15 – $2,782.33 | 7 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,741.23 – $3,326.81 | 6 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,959.49 – $3,740.29 | 6 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,930.15 – $3,797.10 | 7 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,208.98 – $2,405.93 | 7 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,694.39 – $3,327.59 | 7 |
| Lap radical hyst CPT 58548 | not published | not published | $2,044.35 – $3,984.91 | 7 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $2,186.13 – $4,312.38 | 7 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,381.75 – $2,731.83 | 7 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $273.90 – $520.80 | 7 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $3,889.20 – $4,833.72 | 5 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $461.07 – $906.66 | 7 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $1,045.29 – $2,066.63 | 7 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $1,044.17 – $2,050.05 | 7 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $903.46 – $1,558.69 | 5 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $725.53 – $1,251.60 | 5 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,249.74 – $9,231.81 | 6 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,630.58 – $3,718.99 | 7 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,968.20 – $3,893.37 | 7 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,059.10 – $2,044.53 | 7 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $832.13 – $1,502.42 | 7 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $1,038.66 – $1,874.08 | 7 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $214.66 – $407.18 | 7 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $201.96 – $348.57 | 5 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $166.43 – $287.43 | 5 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $166.43 – $376.40 | 7 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $447.15 | $1,208.50 | $149.79 – $831.08 | 29 |
| Largsc w/ther injection CPT 31573 | not published | not published | $166.43 – $287.43 | 5 |
| Laryngeal function studies CPT 92520 | not published | not published | $45.67 – $275.87 | 29 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,100.91 – $2,172.37 | 7 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,510.86 – $3,258.95 | 7 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,569.13 – $2,706.99 | 5 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,580.39 – $2,726.67 | 5 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,721.40 – $2,969.82 | 5 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,806.91 – $3,117.41 | 5 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,298.41 – $2,633.19 | 7 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,138.96 – $1,964.89 | 5 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $256.83 – $501.07 | 7 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $74.79 – $302.20 | 29 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $351.17 – $686.52 | 7 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $279.97 – $546.05 | 7 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $161.45 – $316.42 | 7 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $180.59 – $354.30 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,256.91 | $6,099.75 | $178.55 – $347.98 | 7 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $217.62 – $427.69 | 7 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $132.82 – $831.08 | 29 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $211.69 – $415.06 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $235.88 – $461.62 | 7 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $271.02 – $530.26 | 7 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $237.10 – $463.99 | 7 |
| Laryngoscopy w/fb removal CPT 31530 | $2,423.50 | $6,550.00 | $221.75 – $431.62 | 7 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $132.50 – $268.29 | 7 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $135.18 – $264.34 | 7 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $116.20 – $831.08 | 29 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $384.74 – $750.43 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $295.61 – $578.41 | 7 |
| Laser surgery eye strands CPT 67031 | not published | not published | $351.46 – $1,174.14 | 29 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $146.82 – $288.81 | 7 |
| Laser surgery of prostate CPT 52647 | not published | not published | $726.71 – $1,383.28 | 7 |
| Laser surgery of prostate CPT 52648 | not published | not published | $775.05 – $1,476.39 | 7 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $104.75 – $200.43 | 7 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,047.48 – $2,738.15 | 7 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,133.55 – $3,107.43 | 7 |
| Lateral canthopexy CPT 21282 | not published | not published | $372.91 – $832.49 | 7 |
| Lat retinacular release open CPT 27425 | not published | not published | $472.09 – $954.01 | 7 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $111.70 – $497.00 | 29 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,259.80 – $2,488.79 | 7 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $788.35 – $1,574.23 | 7 |
| Lead capillary CPT 83655 | $41.16 | $111.25 | $12.11 – $33.39 | 29 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,487.39 – $2,925.95 | 7 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,474.94 – $3,008.81 | 7 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,873.81 – $3,760.02 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,528.63 – $3,176.87 | 7 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,872.63 – $3,342.59 | 7 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,088.73 – $2,092.66 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $407.46 | $1,101.25 | $42.81 – $517.34 | 29 |
| Leishmania antibody CPT 86717 | not published | not published | $11.38 – $27.56 | 29 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $655.11 – $1,302.01 | 7 |
| Lengthening of palate CPT 42227 | not published | not published | $935.02 – $1,829.91 | 7 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $992.00 – $1,950.63 | 7 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $548.32 – $1,087.36 | 7 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $698.85 – $1,391.16 | 7 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $966.35 – $1,874.08 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,163.92 – $2,276.53 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $947.07 – $1,893.03 | 7 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,099.71 – $2,125.81 | 7 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,239.94 – $2,413.83 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,026.49 | $5,477.00 | $198.61 – $825.00 | 6 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $269.71 | $728.95 | $198.61 – $198.61 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $115.27 | $311.55 | $7.75 – $7.75 | 5 |
| Leukacyte transfusion CPT 86950 | not published | not published | $33.88 – $668.10 | 28 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.34 – $23.38 | 29 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $8,124.05 | $21,956.90 | $154.94 – $214.57 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,175.52 | $11,285.20 | $542.28 – $542.28 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.11 | $0.31 | $0.19 – $0.23 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $70.39 | $190.25 | $13.25 – $36.30 | 28 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $34.00 | $91.90 | $16.53 – $16.53 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $59.29 | $160.25 | $14.69 – $40.49 | 29 |
| Ligate leg veins open CPT 37761 | not published | not published | $620.58 – $1,214.42 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $696.71 – $1,347.77 | 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.