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 |
|---|---|---|---|---|
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,051.28 | $5,544.00 | $84.59 – $853.00 | 29 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,141.75 | $5,788.50 | $135.23 – $1,185.22 | 29 |
| MRI orbit/face/neck without contrast CPT 70540 | $932.86 | $2,521.25 | $84.59 – $836.44 | 29 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,270.49 | $3,433.75 | $134.83 – $1,159.97 | 29 |
| MRI orbit fac&nck w IV cont CPT 70542 | $940.26 | $2,541.25 | $101.53 – $943.76 | 29 |
| MRI tmj CPT 70336 | $372.68 | $1,007.25 | $92.97 – $743.33 | 29 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,932.33 | $5,222.50 | $84.19 – $858.53 | 29 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,248.86 | $6,078.00 | $135.23 – $1,177.32 | 29 |
| MRI upper extremity w/dye CPT 73219 | $1,854.07 | $5,011.00 | $101.53 – $953.22 | 29 |
| MRI w/cont, breast, bi HCPCS C8906 | $991.69 | $2,680.25 | $1,672.26 – $1,672.26 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | $781.26 | $2,111.50 | $1,672.26 – $1,672.26 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | $991.69 | $2,680.25 | $1,013.94 – $1,260.18 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $781.26 | $2,111.50 | $1,021.55 – $1,269.64 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $83.75 – $188.44 | 22 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $87.31 – $196.45 | 22 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.50 – $127.13 | 22 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.30 – $52.43 | 22 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $229.93 – $517.34 | 22 |
| Mr spectroscopy CPT 76390 | $442.89 | $1,197.00 | $83.75 – $939.03 | 29 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $173.13 – $479.93 | 28 |
| Msh2 gene full seq CPT 81295 | not published | not published | $173.13 – $858.82 | 28 |
| Msh2 gene known variants CPT 81296 | not published | not published | $147.83 – $759.89 | 28 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $184.52 – $535.50 | 28 |
| Msh6 gene full seq CPT 81298 | not published | not published | $328.48 – $1,444.16 | 28 |
| Msh6 gene known variants CPT 81299 | not published | not published | $184.02 – $693.00 | 28 |
| Mthfr gene analy common variants CPT 81291 | $383.14 | $1,035.50 | $65.34 – $147.02 | 28 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $21.11 – $60.48 | 29 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $16.17 | 29 |
| Mucopolysaccharides CPT 83864 | not published | not published | $21.11 – $64.13 | 29 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $34.47 – $398.98 | 29 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $94.44 – $334.87 | 25 |
| Multiple sleep latency test CPT 95805 | not published | not published | $113.11 – $1,135.62 | 29 |
| Mumps antibody igg CPT 86735 | $45.23 | $122.25 | $13.05 – $35.99 | 29 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,261.52 – $2,478.53 | 7 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,365.17 – $2,682.91 | 7 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,461.78 – $2,850.99 | 7 |
| Muscle test cran nerv unilat CPT 95867 | $149.11 | $403.00 | $33.06 – $666.47 | 29 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $29.98 – $334.87 | 29 |
| Muscle test larynx CPT 95865 | not published | not published | $33.96 – $288.02 | 29 |
| Muscle test one fiber CPT 95872 | not published | not published | $28.97 – $434.79 | 29 |
| Muscle transfers CPT 23397 | not published | not published | $1,264.32 – $2,439.08 | 7 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,416.72 – $2,754.72 | 7 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $823.98 – $1,594.74 | 7 |
| Mycobacteria dna amp probe CPT 87551 | $145.04 | $392.00 | $37.00 – $108.54 | 29 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $359.47 | $971.55 | $1.53 – $1.84 | 5 |
| Mycoplasma antibody igm CPT 86738 | $25.35 | $68.50 | $13.24 – $36.52 | 29 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $275.65 | $745.00 | $175.40 – $394.65 | 26 |
| Myelogphy 2/> spine regions CPT 72270 | $542.14 | $1,465.25 | $60.72 – $1,690.92 | 29 |
| Myelography l-s spine CPT 72265 | $482.85 | $1,305.00 | $51.38 – $1,690.92 | 29 |
| Myelography neck spine CPT 72240 | $436.60 | $1,180.00 | $53.54 – $1,690.92 | 29 |
| Myelography thoracic spine CPT 72255 | $464.81 | $1,256.25 | $52.46 – $1,690.92 | 29 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $911.87 | $2,464.50 | $142.23 – $1,690.92 | 28 |
| Myelography via inj w/s&i cervical CPT 62302 | $690.14 | $1,865.25 | $138.70 – $1,690.92 | 28 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $849.61 | $2,296.25 | $135.98 – $1,690.92 | 28 |
| Myelography via inj w/s&i thoracic CPT 62303 | $715.86 | $1,934.75 | $139.78 – $1,690.92 | 28 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $295.72 | $799.25 | $11.53 – $31.81 | 29 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,976.58 – $5,781.65 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $98.80 – $2,136.06 | 6 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $124.41 – $2,145.54 | 6 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,277.60 – $2,530.60 | 7 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,017.31 – $2,010.60 | 7 |
| Myomectomy vag method CPT 58145 | not published | not published | $604.16 – $1,188.37 | 7 |
| Myringoplasty CPT 69620 | not published | not published | $531.16 – $1,062.11 | 7 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $14.10 | $38.10 | $16.53 – $16.53 | 5 |
| Narcosynthesis CPT 90865 | not published | not published | $143.78 – $343.87 | 29 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $139.12 | $376.00 | $72.22 – $415.51 | 29 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $220.89 – $3,231.89 | 27 |
| Nasal function studies CPT 92512 | not published | not published | $31.77 – $666.47 | 29 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $257.76 – $505.02 | 7 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $178.39 – $393.76 | 7 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $299.08 – $585.51 | 7 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $178.09 – $349.57 | 7 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $303.75 – $593.39 | 7 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $445.50 – $869.58 | 7 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $562.20 – $1,097.63 | 7 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $151.18 – $831.08 | 29 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $178.93 – $351.15 | 7 |
| Nasal sinus therapy CPT 30210 | not published | not published | $105.63 – $122.24 | 7 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $90.19 | $243.75 | $41.77 – $415.51 | 29 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $39.09 | $105.65 | $8.13 – $16.53 | 6 |
| Natriuretic peptide CPT 83880 | $83.62 | $226.00 | $35.70 – $93.60 | 29 |
| Natural killer cells total count CPT 86357 | $106.28 | $287.25 | $37.73 – $84.89 | 29 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $111.08 – $206.62 | 6 |
| N block inj common digit CPT 64632 | not published | not published | $76.75 – $631.78 | 29 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $136.67 – $1,905.43 | 29 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $11.15 – $520.54 | 29 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $51.71 | $139.75 | $23.12 – $275.87 | 29 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $23.30 – $52.43 | 22 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $23.30 – $52.43 | 22 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $34.46 – $170.45 | 29 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $920.65 | $2,488.25 | $79.64 – $646.27 | 29 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $855.16 | $2,311.25 | $76.61 – $764.35 | 29 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $826.21 | $2,233.00 | $73.00 – $444.26 | 29 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,276.04 | $3,448.75 | $161.19 – $1,163.90 | 29 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $972.27 | $2,627.75 | $120.57 – $1,009.25 | 29 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $963.02 | $2,602.75 | $100.19 – $785.94 | 29 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $915.20 | $2,473.50 | $113.05 – $1,421.14 | 29 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $624.38 | $1,687.50 | $75.27 – $993.47 | 29 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $587.47 | $1,587.75 | $75.27 – $940.59 | 29 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,261.22 – $2,490.38 | 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.