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 |
|---|---|---|---|---|
| Nuclear rx intracav admin CPT 79200 | not published | not published | $55.71 – $479.70 | 29 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $48.87 – $479.70 | 29 |
| Nuclear Stress Test (Heart) CPT 78452 | not published | not published | $414.64 – $1,014.77 | 6 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $60.54 – $479.70 | 28 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $655.56 | 26 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $93.61 – $116.66 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $71.59 – $80.58 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $142.75 | $385.80 | $76.14 – $92.10 | 5 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.71 – $415.45 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $147.90 – $256.58 | 7 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.47 – $321.25 | 7 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,039.17 – $2,273.36 | 7 |
| Obstetrics panel CPT 80055 | $76.04 | $205.50 | $42.47 – $164.56 | 29 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $62.52 – $253.64 | 29 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $30.54 – $167.30 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $273.34 – $532.63 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $19,859.75 | $53,675.00 | $77.35 – $82.88 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $240.50 | $650.00 | $1.82 – $2.21 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,488.73 | $17,537.10 | $154.94 – $154.94 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $1,174.14 | 29 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,641.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $106.63 | $288.20 | $154.94 – $154.94 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $1,109.67 | $2,999.10 | $16.53 – $16.53 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $16.53 – $19.22 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $3,127.95 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $760.68 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,144.96 | 28 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,303.79 | 28 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $399.51 | 28 |
| Oncology prostate prob score CPT 81539 | not published | not published | $650.27 – $1,710.00 | 28 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $62.01 – $2,018.25 | 28 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $62.01 – $586.13 | 28 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $177.62 | 29 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $177.62 | 29 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.36 | $3.68 | $0.05 – $0.06 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.25 | $25.00 | $0.14 – $0.17 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $163.00 – $1,259.70 | 27 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $2,483.26 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $3,090.08 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $3,978.60 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $4,278.45 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $1,706.80 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $508.17 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $1,825.17 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $1,610.53 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $1,479.54 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $4,407.07 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $610.76 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $1,011.62 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $1,216.78 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $1,571.08 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $1,156.02 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $1,384.85 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,892.23 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $1,179.69 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $1,764.41 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $275.87 | 29 |
| Ophthalmic mitomycin HCPCS J7315 | $516.61 | $1,396.25 | $154.94 – $154.94 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $118.81 | 29 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $73.79 – $377.18 | 29 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $41.10 – $227.59 | 29 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $49.23 – $227.59 | 29 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $723.27 – $1,323.30 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $325.45 – $654.95 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $317.68 – $680.20 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $747.33 – $1,438.51 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,216.30 – $2,408.30 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,262.68 – $2,768.13 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,241.21 – $2,624.51 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $402.47 – $815.92 | 7 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,190.97 – $2,390.95 | 7 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $991.09 – $1,971.14 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $780.77 – $1,587.65 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $727.92 – $1,508.74 | 7 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $746.13 – $1,483.49 | 7 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $961.99 – $1,923.80 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $697.27 – $1,414.85 | 7 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $587.38 – $1,210.47 | 7 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $842.40 – $1,740.73 | 7 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,067.37 – $2,130.54 | 7 |
| Oprelvekin injection HCPCS J2355 | $353.44 | $955.25 | $154.94 – $154.94 | 5 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $56.50 – $127.13 | 22 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $56.50 – $127.13 | 22 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $716.26 – $1,403.80 | 7 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $614.85 – $1,216.78 | 7 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $629.84 – $1,246.76 | 7 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $776.30 – $1,530.83 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $765.82 – $1,541.10 | 7 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,305.43 – $2,605.58 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $611.56 – $1,212.05 | 7 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $818.21 – $1,674.45 | 7 |
| Optx lunate dislocation CPT 25695 | not published | not published | $686.92 – $1,347.77 | 7 |
| Optx medial ankle fx CPT 27766 | not published | not published | $663.42 – $1,305.16 | 7 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $998.31 – $2,024.02 | 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.