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 |
|---|---|---|---|---|
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $51.48 – $529.48 | 7 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $156.53 – $289.10 | 6 |
| Map tachycard site(s) CPT 93609 | not published | not published | $119.19 – $8,949.00 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,042.79 | $5,521.05 | $276.91 – $415.37 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,211.79 – $2,437.50 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $668.64 – $1,395.11 | 7 |
| Mast mod rad CPT 19307 | not published | not published | $1,255.34 – $2,559.02 | 7 |
| Mastoidectomy CPT 69501 | not published | not published | $796.19 – $1,595.55 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,061.42 – $2,118.71 | 7 |
| Mastoids complete CPT 70130 | $93.61 | $253.00 | $21.31 – $227.59 | 29 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,371.08 – $2,733.40 | 7 |
| Mastopexy CPT 19316 | not published | not published | $847.18 – $1,655.51 | 7 |
| Mast simple complete CPT 19303 | not published | not published | $1,035.23 – $2,162.11 | 7 |
| M.avium-intra dna amp prob CPT 87561 | $113.31 | $306.25 | $35.09 – $96.76 | 29 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $21.11 – $61.40 | 29 |
| Maxillofacial fixation CPT 21100 | not published | not published | $426.65 – $740.96 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $42.09 | $113.75 | $14.46 – $39.88 | 29 |
| Mayo aathr protein s free CPT 85306 | $99.44 | $268.75 | $15.32 – $42.25 | 29 |
| Mayo activated protein c resistance assay CPT 85307 | $95.92 | $259.25 | $15.32 – $42.25 | 29 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $86.78 | 23 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $66.79 | $180.50 | $14.78 – $40.78 | 29 |
| Mayo alpha 1 antitrypsin CPT 82103 | $55.04 | $148.75 | $13.44 – $37.04 | 29 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $65.86 | $178.00 | $15.08 – $41.57 | 29 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $83.99 | $227.00 | $121.63 – $273.67 | 28 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $258.35 | $698.25 | $91.66 – $250.87 | 28 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $308.25 | 26 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,287.60 | $3,480.00 | $853.92 – $1,316.60 | 6 |
| Mayo androstenedione CPT 82157 | $115.44 | $312.00 | $29.28 – $80.72 | 29 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $61.61 | $166.50 | $14.60 – $40.26 | 29 |
| Mayo antithrombin iii antigen CPT 85301 | $103.51 | $279.75 | $10.81 – $29.80 | 29 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $59.29 | $160.25 | $15.05 – $41.53 | 29 |
| Mayo avwpr vw factor activity CPT 85397 | $159.66 | $431.50 | $24.23 – $69.44 | 29 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $78.95 | 22 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $27.38 | $74.00 | $10.18 – $25.30 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $109.24 | $295.25 | $62.01 – $325.89 | 28 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $482.89 | 28 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $55.04 | $148.75 | $12.90 – $35.58 | 29 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $34.04 | $92.00 | $13.19 – $36.36 | 29 |
| Mayo brcmg brucella antibody igm CPT 86622 | $92.50 | $250.00 | $8.93 – $24.63 | 29 |
| Mayo c1 esterase inhibitor CPT 83883 | $47.18 | $127.50 | $13.60 – $37.49 | 29 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $106.93 | $289.00 | $16.87 – $46.50 | 29 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $121.46 | $328.26 | $26.78 – $73.81 | 29 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $334.48 | 28 |
| Mayo ceruloplasmin CPT 82390 | $44.22 | $119.50 | $10.74 – $29.61 | 29 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $97.59 | $263.75 | $14.12 – $38.96 | 29 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $170.94 | $462.00 | $12.88 – $31.57 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $59.11 | $159.75 | $11.82 – $32.62 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $53.65 | $145.00 | $12.68 – $34.99 | 29 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $346.32 | $936.00 | $116.49 – $321.25 | 29 |
| Mayo chromium CPT 82495 | $134.22 | $362.75 | $20.28 – $55.93 | 29 |
| Mayo coccidioides antibody CPT 86635 | $58.37 | $157.75 | $11.47 – $31.64 | 29 |
| Mayo cocou cortisone urine CPT 82542 | $195.82 | $529.25 | $19.02 – $54.20 | 29 |
| Mayo cortisol free CPT 82530 | $120.34 | $325.25 | $16.71 – $46.07 | 29 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $42.13 – $94.79 | 22 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $79.83 | $215.75 | $12.12 – $33.42 | 29 |
| Mayo cyanide CPT 82600 | $71.97 | $194.50 | $19.40 – $53.48 | 29 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $163.00 – $1,217.34 | 28 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $43.75 | $118.25 | $13.25 – $36.53 | 29 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $117.85 | $318.50 | $25.27 – $69.68 | 29 |
| Mayo dihydrotestosterone CPT 82642 | $93.98 | $254.00 | $29.28 – $65.88 | 26 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $8.86 – $23.38 | 29 |
| Mayo efpo chloride stool CPT 82438 | $62.62 | $169.25 | $5.00 – $13.48 | 29 |
| Mayo estriol CPT 82677 | $98.70 | $266.75 | $24.18 – $66.71 | 29 |
| Mayo estrone CPT 82679 | $75.20 | $203.25 | $24.95 – $68.83 | 29 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $66.51 | $179.75 | $16.34 – $45.07 | 29 |
| Mayo everolimus therapeutic drug level CPT 80169 | $75.85 | $205.00 | $13.73 – $37.57 | 28 |
| Mayo factor ii CPT 85210 | $96.76 | $261.50 | $12.98 – $35.80 | 29 |
| Mayo factor v CPT 85220 | $104.16 | $281.50 | $17.65 – $48.67 | 29 |
| Mayo factor vii CPT 85230 | $97.22 | $262.75 | $17.90 – $49.37 | 29 |
| Mayo factor viii vw factor antigen CPT 85246 | $100.46 | $271.50 | $22.94 – $63.27 | 29 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $147.63 | $399.00 | $22.94 – $63.27 | 29 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $92.41 | $249.75 | $22.94 – $63.27 | 29 |
| Mayo factor x CPT 85260 | $103.69 | $280.25 | $17.90 – $49.37 | 29 |
| Mayo factor xi CPT 85270 | $97.68 | $264.00 | $17.90 – $49.37 | 29 |
| Mayo fat/lipids feces quantitative CPT 82710 | $70.67 | $191.00 | $16.80 – $46.34 | 29 |
| Mayo fbl culture fungi blood CPT 87103 | $45.70 | $123.50 | $9.64 – $46.04 | 29 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $9.12 – $181.03 | 29 |
| Mayo ffspg allergen clam igg CPT 86001 | $22.66 | $61.25 | $5.47 – $17.59 | 29 |
| Mayo fibrinogen antigen CPT 85385 | $71.87 | $194.25 | $8.86 – $32.54 | 29 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $70.39 | $190.25 | $20.63 – $48.76 | 28 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,460.30 | $3,946.75 | $62.01 – $62.01 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $27.01 | $73.00 | $4.75 – $13.11 | 29 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $170.57 | $461.00 | $35.09 – $96.76 | 29 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $158.64 | $428.75 | $35.09 – $96.76 | 29 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $36.82 | $99.50 | $13.29 – $34.46 | 29 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $69.00 | 29 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $16.28 | $44.00 | $8.89 – $24.50 | 29 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $22.02 | $59.50 | $13.52 – $37.26 | 29 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $106.65 | $288.25 | $27.17 – $74.92 | 29 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $229.31 | $619.75 | $13.55 – $38.86 | 29 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $95.46 | $258.00 | $14.99 – $36.48 | 29 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $71.87 | $194.25 | $20.81 – $57.39 | 29 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $172.70 | $466.75 | $20.81 – $57.39 | 29 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $78.95 | 22 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $28.21 | $76.25 | $12.77 – $36.16 | 29 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $150.13 | $405.75 | $11.98 – $33.08 | 29 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $219.13 | $592.25 | $35.09 – $96.76 | 29 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $44.81 | $121.10 | $35.09 – $78.95 | 23 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $225.15 | $608.50 | $35.09 – $96.76 | 29 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $78.95 | 22 |
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.