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 |
|---|---|---|---|---|
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $966.59 – $2,027.97 | 7 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $598.21 – $1,169.44 | 7 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $649.66 – $1,335.94 | 7 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $725.79 – $1,434.56 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,198.45 – $2,319.14 | 7 |
| Optx post ankle fx CPT 27769 | not published | not published | $764.16 – $1,570.30 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $953.45 – $1,894.60 | 7 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,375.68 – $2,661.61 | 7 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $725.64 – $1,428.26 | 7 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $683.50 – $1,341.45 | 7 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $660.47 – $1,286.23 | 7 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $861.65 – $1,667.36 | 7 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,046.96 – $2,037.44 | 7 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $973.93 – $1,921.43 | 7 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $713.67 – $1,436.93 | 7 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,046.11 – $2,105.30 | 7 |
| Optx sho dislc fx CPT 23670 | not published | not published | $921.89 – $1,879.62 | 7 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $998.36 – $1,987.72 | 7 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $673.68 – $1,329.62 | 7 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $587.67 – $1,219.93 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,010.93 – $1,997.97 | 7 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $798.25 – $1,567.13 | 7 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $677.17 – $1,327.25 | 7 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $665.96 – $1,323.30 | 7 |
| Oral aprepitant HCPCS J8501 | $91.24 | $246.60 | $7.75 – $7.75 | 5 |
| Oral busulfan HCPCS J8510 | $232.30 | $627.85 | $7.75 – $7.75 | 5 |
| Orchiectomy partial CPT 54522 | not published | not published | $664.09 – $1,289.37 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $814.59 – $1,520.57 | 7 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $533.63 – $1,027.40 | 7 |
| Organic acids total quant ea spec CPT 83918 | $147.17 | $397.75 | $17.46 – $53.10 | 29 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,212.12 | $3,276.00 | $30.57 – $36.98 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $122.35 – $246.99 | 7 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $12.47 | $33.71 | $16.53 – $16.53 | 5 |
| Orthopantogram CPT 70355 | not published | not published | $9.70 – $188.44 | 29 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $56.50 – $127.13 | 22 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $813.61 | $2,198.95 | $697.01 – $697.01 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $110.08 | $297.50 | $33.43 – $435.31 | 28 |
| Osmolality blood CPT 83930 | $53.56 | $144.75 | $6.61 – $18.24 | 29 |
| Osmolality urine CPT 83935 | $39.22 | $106.00 | $6.82 – $18.80 | 29 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $362.52 – $721.23 | 7 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $604.65 – $1,215.20 | 7 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,522.53 – $2,939.36 | 7 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,070.15 – $2,095.03 | 7 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,316.98 – $2,619.00 | 7 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.07 – $102.59 | 29 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.07 – $130.20 | 29 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.07 – $155.45 | 29 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,085.00 – $2,119.49 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $901.08 – $1,755.73 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $741.78 – $1,420.36 | 7 |
| Ot evaluation high complexity patient/family CPT 97167 | $74.56 | $201.50 | $85.24 – $213.66 | 27 |
| Ot evaluation low complexity patient/family CPT 97165 | $74.56 | $201.50 | $85.24 – $213.66 | 27 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $74.56 | $201.50 | $85.24 – $213.66 | 27 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $14.66 – $61.66 | 29 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $46.34 – $104.27 | 26 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $34.50 | $93.25 | $38.32 – $95.98 | 29 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $33.95 | $91.75 | $25.70 – $57.83 | 29 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $10.58 – $20.04 | 7 |
| Otoplasty 69300 CPT 69300 | not published | not published | $505.17 – $1,035.28 | 7 |
| Ot re-evaluation patient/family CPT 97168 | $38.30 | $103.50 | $56.10 – $146.86 | 27 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $34.50 | $93.25 | $32.36 – $72.81 | 29 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $20.11 – $45.25 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $21.05 – $47.36 | 22 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $33.02 | $89.25 | $27.21 – $61.22 | 29 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $31.17 | $84.25 | $30.27 – $68.11 | 29 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $42.55 | $115.00 | $30.09 – $105.17 | 29 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,782.61 – $3,456.21 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $826.40 – $1,617.64 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $26.95 | $72.85 | $7.21 – $7.21 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $33.86 | $91.50 | $16.53 – $16.53 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $58.28 | $157.50 | $0.60 – $0.72 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.05 | $2.85 | $0.22 – $0.27 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $38.81 | $104.90 | $16.53 – $16.53 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $1,522.13 | 23 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $678.04 | 23 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $1,118.68 | $3,023.45 | $7.21 – $7.21 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,633.27 | $4,414.25 | $559.38 – $1,619.71 | 28 |
| Palonosetron hcl HCPCS J2469 | $372.41 | $1,006.50 | $39.23 – $39.23 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $647.48 | $1,749.95 | $16.53 – $16.53 | 5 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,408.62 – $6,644.92 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,704.81 – $3,355.21 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $187.16 | $505.85 | $154.94 – $154.94 | 5 |
| Papaverin hcl injection HCPCS J2440 | $39.86 | $107.73 | $7.21 – $7.21 | 5 |
| Parathormone (pth) intact CPT 83970 | $139.49 | $377.00 | $41.28 – $113.82 | 29 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,548.50 – $3,023.79 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $354.63 – $1,152.02 | 28 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $274.57 – $525.53 | 7 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $51.98 – $860.02 | 29 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $315.47 – $860.02 | 28 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $904.35 – $1,777.03 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $956.77 – $1,923.01 | 7 |
| Paricalcitol HCPCS J2501 | $41.14 | $111.20 | $16.53 – $16.53 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $182.78 | $494.00 | $18.23 – $425.27 | 29 |
| Parotid duct diversion CPT 42507 | not published | not published | $551.29 – $1,126.82 | 7 |
| Parotid duct diversion CPT 42509 | not published | not published | $924.28 – $1,768.34 | 7 |
| Parotid duct diversion CPT 42510 | not published | not published | $695.23 – $1,379.33 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $887.10 – $1,852.79 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $205.76 – $407.96 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,429.51 – $2,724.74 | 7 |
| Partial exc bone humerus CPT 24140 | not published | not published | $772.65 – $1,496.90 | 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.