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 |
|---|---|---|---|---|
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $13.25 | $35.80 | $34.06 – $34.06 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $21.13 | $57.10 | $16.53 – $16.53 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $52.04 | $140.65 | $16.53 – $16.53 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | $101.75 | $275.00 | $38.57 – $86.78 | 23 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $344.73 | $931.70 | $0.71 – $0.85 | 5 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $35.98 | $97.25 | $16.53 – $16.53 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $0.39 | $1.06 | $0.29 – $0.29 | 5 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.39 | $6.45 | $0.61 – $0.61 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $9.25 | $25.00 | $16.53 – $16.53 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $118.96 | $321.50 | $62.01 – $280.44 | 28 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $135.03 | $364.95 | $7.21 – $7.21 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.95 – $14.02 | 29 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $10.04 – $90.38 | 29 |
| Microdissection laser CPT 88380 | $463.98 | $1,254.00 | $81.21 – $323.03 | 7 |
| Microdissection manual CPT 88381 | $42.74 | $115.50 | $47.23 – $97.02 | 7 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $50.58 | 28 |
| Microsatellite instability CPT 81301 | $422.36 | $1,141.50 | $348.56 – $792.46 | 28 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $246.58 – $447.92 | 7 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $50.39 – $334.87 | 29 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $22.29 | $60.25 | $0.20 – $0.24 | 5 |
| Middle cerebral artery echo CPT 76821 | $220.98 | $597.25 | $42.87 – $227.59 | 29 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $24.64 | $66.60 | $4.66 – $5.64 | 5 |
| Minocycline hydrochloride HCPCS J2265 | $34.97 | $94.50 | $0.29 – $0.29 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $246.05 | $665.00 | $18.09 – $39.23 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $78.44 | $212.00 | $39.23 – $39.23 | 5 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,170.49 – $6,128.85 | 7 |
| Mlh1 gene CPT 81288 | $118.96 | $321.50 | $182.46 – $432.72 | 23 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $455.40 | 28 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,519.65 | 28 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $295.64 – $744.75 | 28 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,159.47 – $2,307.29 | 7 |
| Mnl appl strs jt radiography CPT 77071 | $45.70 | $123.50 | $45.70 – $188.44 | 29 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,854.53 | $5,012.25 | $211.73 – $417.43 | 7 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $410.52 – $879.05 | 7 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $261.63 – $550.00 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $137.90 – $261.19 | 7 |
| Modification of contact lens CPT 92325 | not published | not published | $28.99 – $304.52 | 29 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,540.40 – $2,998.54 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $653.96 – $678.94 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $84.89 | 22 |
| Mopath procedure level 1 CPT 81400 | $212.47 | $574.25 | $63.96 – $209.03 | 28 |
| Mopath procedure level 3 CPT 81402 | $212.01 | $573.00 | $150.33 – $338.24 | 28 |
| Mopath procedure level 5 CPT 81404 | $966.72 | $2,612.75 | $62.01 – $618.37 | 28 |
| Mopath procedure level 6 CPT 81405 | $1,126.65 | $3,045.00 | $62.01 – $678.04 | 28 |
| Mopath procedure level 7 CPT 81406 | $906.32 | $2,449.50 | $62.01 – $636.48 | 28 |
| Mopath procedure level 8 CPT 81407 | $710.68 | $1,920.75 | $62.01 – $1,904.11 | 28 |
| Mopath procedure level 9 CPT 81408 | $1,144.13 | $3,092.25 | $62.01 – $2,270.00 | 6 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $48.56 | $131.25 | $8.13 – $9.84 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $210.23 | $568.20 | $13.02 – $15.75 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $281.94 | $762.00 | $163.00 – $366.75 | 28 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $71.42 – $769.88 | 29 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $153.18 | $414.00 | $66.49 – $366.75 | 29 |
| Motion analysis video/3d CPT 96000 | not published | not published | $106.10 – $1,135.62 | 29 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $126.86 – $2,177.46 | 29 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $69.70 – $854.03 | 28 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $324.46 – $665.20 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $51.37 – $103.39 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,293.52 | $3,496.00 | $163.00 – $367.33 | 28 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $75.09 – $126.53 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $60.01 – $374.68 | 29 |
| Mpl gene analysis common variants CPT 81338 | $174.83 | $472.50 | $150.33 – $338.24 | 23 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $113.45 – $961.91 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $114.72 – $954.01 | 7 |
| MRA chest w IV cont HCPCS C8909 | $595.98 | $1,610.75 | $767.59 – $954.01 | 5 |
| MRA chest wo IV cont HCPCS C8910 | $560.27 | $1,514.25 | $1,304.30 – $1,304.30 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | $843.69 | $2,280.25 | $767.59 – $954.01 | 5 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $114.79 – $968.21 | 7 |
| MRA pelvis CPT 72198 | not published | not published | $113.45 – $962.69 | 7 |
| MRA spinal canal CPT 72159 | not published | not published | $112.44 – $976.11 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $107.97 – $976.89 | 7 |
| MRA w/cont, abd HCPCS C8900 | $595.98 | $1,610.75 | $773.95 – $961.91 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,191.96 | $3,221.50 | $779.02 – $968.21 | 6 |
| Mra, w/dye, upper extremity HCPCS C8934 | $887.26 | $2,398.00 | $1,669.47 – $1,669.47 | 5 |
| MRA without cont, abd HCPCS C8901 | $560.27 | $1,514.25 | $773.95 – $961.91 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | $1,120.55 | $3,028.50 | $757.13 – $968.21 | 6 |
| Mra, without dye, upper extr HCPCS C8935 | $696.53 | $1,882.50 | $1,669.47 – $1,669.47 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $980.13 | $2,649.00 | $773.95 – $961.91 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,907.17 | $5,154.50 | $779.02 – $1,288.63 | 6 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $810.76 | $2,191.25 | $1,669.47 – $1,669.47 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $555.93 | $1,502.50 | $785.37 – $976.11 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,085.03 | $2,932.50 | $1,669.47 – $1,669.47 | 5 |
| Mr elastography CPT 76391 | not published | not published | $179.61 – $517.34 | 26 |
| MRI brain w/dye CPT 70558 | not published | not published | $169.34 – $998.99 | 28 |
| MRI brain without dye CPT 70557 | not published | not published | $183.36 – $1,173.49 | 28 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $169.34 – $1,187.58 | 28 |
| MRI breast c- unilateral CPT 77046 | $663.69 | $1,793.75 | $172.28 – $517.34 | 23 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $283.93 – $477.50 | 4 |
| MRI breast without cont bi CPT 77047 | $869.96 | $2,351.25 | $171.59 – $517.34 | 26 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $282.54 – $475.52 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $717.52 | $1,939.25 | $152.98 – $753.58 | 29 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $884.49 | $2,390.50 | $168.98 – $1,000.57 | 29 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $201.28 – $1,690.92 | 29 |
| MRI chest without contrast CPT 71550 | $901.97 | $2,437.75 | $91.34 – $964.27 | 29 |
| MRI chest without & w/contrast CPT 71552 | $1,182.06 | $3,194.75 | $142.78 – $1,364.33 | 29 |
| MRI chest w IV cont CPT 71551 | $927.41 | $2,506.50 | $108.17 – $1,690.92 | 29 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $141.21 – $480.15 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $112.82 – $992.90 | 28 |
| MRI guid ndl plc s&i CPT 77021 | $388.78 | $1,050.75 | $95.29 – $774.03 | 7 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $265.24 – $444.07 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $1,953.60 | $5,280.00 | $101.53 – $969.01 | 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.