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 |
|---|---|---|---|---|
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $85.77 – $170.45 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $540.00 – $1,069.21 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $484.52 – $973.74 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $398.92 – $796.99 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,044.33 | $2,822.50 | $227.50 – $456.89 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $278.76 – $556.31 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $803.28 – $1,557.67 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $897.34 – $1,788.08 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $817.14 – $1,672.87 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,044.42 | $2,822.75 | $430.20 – $853.00 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $548.94 – $1,124.46 | 7 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $622.50 – $1,246.76 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,518.64 – $2,937.00 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $527.21 – $1,029.77 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,873.07 – $3,708.72 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $585.65 – $1,253.08 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $226.50 – $455.31 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $901.35 – $1,806.22 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,071.93 | $8,302.50 | $293.67 – $579.98 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $424.85 – $838.02 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $666.43 – $1,418.78 | 7 |
| Limb exercise test CPT 95875 | not published | not published | $40.42 – $334.87 | 29 |
| Limited visual field xm CPT 92081 | not published | not published | $17.97 – $127.13 | 29 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $64.58 | $174.54 | $34.06 – $34.06 | 5 |
| Lipase CPT 83690 | $44.68 | $120.75 | $6.89 – $18.99 | 29 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $388.09 – $773.31 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $26.06 – $76.19 | 29 |
| Lipoprotein blood quant CPT 83704 | $40.05 | $108.25 | $33.35 – $86.97 | 29 |
| Lipoprotein direct measurement hdl CPT 83718 | $36.72 | $99.25 | $8.19 – $22.59 | 29 |
| Lipoprotein direct measurement ldl CPT 83721 | $29.79 | $80.50 | $10.16 – $26.30 | 29 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $76.93 | 26 |
| Lip surgery procedure CPT 40799 | not published | not published | $220.89 – $3,231.89 | 27 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $36.36 | 29 |
| Lithium therapeutic drug level CPT 80178 | $45.51 | $123.00 | $6.61 – $18.24 | 29 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,297.06 – $2,586.63 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $396.43 | 22 |
| Liver elastography 91200 CPT 91200 | not published | not published | $25.15 – $334.87 | 28 |
| Liver Function Test CPT 80076 | $44.31 | $119.75 | $8.17 – $22.53 | 29 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,546.03 – $3,111.38 | 7 |
| Liver imaging CPT 78201 | not published | not published | $27.20 – $1,152.02 | 29 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $31.67 – $1,152.02 | 29 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $30.74 – $860.02 | 29 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $35.68 – $860.02 | 29 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $79.04 – $152.30 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $511.34 – $1,001.35 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.55 | $4.20 | $1.54 – $1.86 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.56 | $36.65 | $16.53 – $16.53 | 5 |
| Loudness balance test CPT 92562 | not published | not published | $24.29 – $666.47 | 29 |
| Low back disk surgery CPT 63030 | not published | not published | $1,045.75 – $2,059.53 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $715.30 | $1,933.25 | $80.04 – $646.27 | 29 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $902.80 | $2,440.00 | $77.00 – $764.35 | 29 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $843.69 | $2,280.25 | $73.00 – $433.21 | 29 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,396.84 | $3,775.25 | $147.87 – $1,137.07 | 29 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,054.87 | $2,851.00 | $112.11 – $974.52 | 29 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $924.82 | $2,499.50 | $92.97 – $774.09 | 29 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $148.46 | $401.25 | $13.80 – $227.59 | 29 |
| Lower jaw bone graft CPT 21215 | not published | not published | $941.97 – $1,965.63 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $17.85 – $628.18 | 28 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $791.97 – $1,891.45 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $914.31 – $2,147.91 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $905.34 – $2,113.98 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $997.27 – $2,327.02 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $60.62 | 29 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $51.04 – $211.24 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,758.47 – $3,406.50 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $69.75 | $188.50 | $6.65 – $127.13 | 29 |
| Lung Function Test (Spirometry) CPT 94010 | $99.16 | $268.00 | $10.26 – $334.87 | 29 |
| Lung perfusion imaging CPT 78580 | not published | not published | $46.74 – $860.02 | 29 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,656.82 – $3,202.92 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.30 – $60.54 | 29 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $783.21 – $1,504.79 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $75.96 – $1,152.02 | 29 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $155.69 | 29 |
| Lymphocyte transformation mitogen CPT 86353 | $95.55 | $258.25 | $49.03 – $135.18 | 29 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $55.24 – $426.40 | 29 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $50.29 – $1,323.23 | 28 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $74.26 – $659.16 | 6 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $51.80 – $648.36 | 6 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $74.26 – $659.16 | 6 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $144.65 – $1,089.92 | 29 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $151.79 – $298.27 | 7 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $222.10 – $425.33 | 7 |
| Macro exam dissect molec study ea CPT 88387 | $36.54 | $98.75 | $7.55 – $71.71 | 6 |
| Macroscopic exam arthropod CPT 87168 | $49.03 | $132.50 | $4.27 – $11.78 | 29 |
| Macroscopic exam parasite CPT 87169 | $30.43 | $82.25 | $4.31 – $11.78 | 29 |
| Magnesium CPT 83735 | $51.06 | $138.00 | $6.70 – $18.48 | 29 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $31.45 | $85.00 | $0.31 – $0.38 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $100.99 – $904.30 | 29 |
| Malaria antibody CPT 86750 | not published | not published | $11.38 – $29.68 | 29 |
| Male sling procedure CPT 53440 | not published | not published | $846.35 – $1,610.53 | 7 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,346.88 – $6,506.05 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $319.63 – $709.40 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $411.63 – $879.83 | 7 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $27.47 | $74.25 | $20.91 – $275.87 | 29 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $78.81 | $213.00 | $22.19 – $275.87 | 29 |
| Manipulation of hip joint CPT 27275 | not published | not published | $194.96 – $391.40 | 7 |
| Manipulation of spine CPT 22505 | not published | not published | $136.52 – $265.14 | 7 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $81.74 – $513.40 | 28 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $9.25 | $25.00 | $7.21 – $7.21 | 5 |
| Manual diff wbc count b-coat CPT 85009 | $15.73 | $42.50 | $3.91 – $11.41 | 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.