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 |
|---|---|---|---|---|
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $488.19 – $957.96 | 7 |
| Partial excision of lip CPT 40500 | not published | not published | $388.89 – $793.04 | 7 |
| Partial hip replacement CPT 27125 | not published | not published | $1,251.63 – $2,428.03 | 7 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,066.91 – $2,097.40 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,216.01 – $2,439.08 | 7 |
| Partial removal finger bone CPT 26235 | not published | not published | $530.53 – $1,045.55 | 7 |
| Partial removal finger bone CPT 26236 | $767.01 | $2,073.00 | $468.88 – $935.86 | 7 |
| Partial removal foot fascia CPT 28060 | not published | not published | $394.96 – $772.53 | 7 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $928.13 – $1,823.59 | 7 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,086.13 – $2,073.73 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,790.05 – $5,346.08 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,885.30 – $5,536.26 | 7 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $469.27 – $1,056.60 | 7 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $545.02 – $1,186.00 | 7 |
| Partial removal of fibula CPT 27641 | not published | not published | $737.93 – $1,429.04 | 7 |
| Partial removal of foot bone CPT 28288 | not published | not published | $473.09 – $929.54 | 7 |
| Partial removal of hand bone CPT 26230 | not published | not published | $540.45 – $1,061.33 | 7 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,510.65 – $4,375.51 | 7 |
| Partial removal of lip CPT 40530 | not published | not published | $444.39 – $880.63 | 7 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,665.76 – $3,227.39 | 7 |
| Partial removal of nose CPT 30150 | not published | not published | $830.91 – $1,654.72 | 7 |
| Partial removal of penis CPT 54120 | not published | not published | $709.49 – $1,350.14 | 7 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,522.94 – $3,085.35 | 7 |
| Partial removal of radius CPT 25151 | not published | not published | $637.93 – $1,245.98 | 7 |
| Partial removal of radius CPT 25230 | not published | not published | $468.46 – $914.56 | 7 |
| Partial removal of rib CPT 21600 | not published | not published | $599.81 – $1,211.25 | 7 |
| Partial removal of sternum CPT 21620 | not published | not published | $557.81 – $1,103.14 | 7 |
| Partial removal of thyroid CPT 60220 | not published | not published | $785.33 – $1,533.98 | 7 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,024.58 – $2,016.92 | 7 |
| Partial removal of tibia CPT 27640 | not published | not published | $922.34 – $1,794.39 | 7 |
| Partial removal of toe CPT 28160 | not published | not published | $296.98 – $583.93 | 7 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,119.01 – $2,281.26 | 7 |
| Partial removal of ulna CPT 25119 | not published | not published | $538.32 – $1,055.80 | 7 |
| Partial removal of ulna CPT 25150 | not published | not published | $617.83 – $1,201.78 | 7 |
| Partial removal of ulna CPT 25240 | not published | not published | $466.30 – $909.83 | 7 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $539.44 – $1,053.43 | 7 |
| Partial removal tear gland CPT 68505 | not published | not published | $981.02 – $2,163.69 | 7 |
| Partial thyroid excision CPT 60210 | not published | not published | $777.74 – $1,533.20 | 7 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,119.42 – $2,184.20 | 7 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1,048.08 | $2,832.65 | $4.04 – $4.89 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $320.21 – $626.54 | 7 |
| Part removal of metatarsal CPT 28113 | not published | not published | $469.54 – $925.61 | 7 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $346.67 – $684.13 | 7 |
| Passy muir valve metal trach HCPCS L8501 | $160.47 | $433.70 | $201.57 – $201.57 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $163.00 – $366.75 | 22 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $163.00 – $366.75 | 22 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.82 – $114.34 | 22 |
| Patient recorded spirometry CPT 94014 | not published | not published | $22.89 – $854.03 | 29 |
| Patient recorded spirometry CPT 94015 | not published | not published | $25.80 – $666.47 | 29 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $741.40 | 28 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $189.01 – $425.27 | 26 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $830.22 – $1,653.94 | 7 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $148.83 – $334.87 | 27 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $148.83 – $1,144.10 | 27 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $728.62 – $1,459.83 | 7 |
| Pegaspargase injection HCPCS J9266 | $3,604.91 | $9,743.00 | $5,365.50 – $5,365.50 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $813.08 | $2,197.50 | $76.61 – $632.05 | 29 |
| Pelvic CT scan (with contrast) CPT 72193 | $971.25 | $2,625.00 | $73.00 – $564.20 | 29 |
| Pelvic CT scan (without contrast) CPT 72192 | $943.69 | $2,550.50 | $68.92 – $361.40 | 29 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,192.60 | $3,223.25 | $141.98 – $1,187.58 | 29 |
| Pelvic MRI (with contrast) CPT 72196 | $842.49 | $2,277.00 | $108.97 – $971.37 | 29 |
| Pelvic MRI (without contrast) CPT 72195 | $889.67 | $2,404.50 | $91.34 – $873.51 | 29 |
| Pelvic Ultrasound (complete) CPT 76856 | $485.35 | $1,311.75 | $43.20 – $259.61 | 29 |
| Pelvic Ultrasound (limited) CPT 76857 | $301.27 | $814.25 | $23.72 – $227.59 | 29 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $98.35 | $265.80 | $54.58 – $66.03 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $122.56 | $331.25 | $77.40 – $77.40 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | $108.11 | $292.20 | $7.21 – $7.21 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $47.66 | $128.80 | $16.53 – $16.53 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $53.28 | $144.00 | $0.61 – $0.61 | 5 |
| Penicillin g procaine inj HCPCS J2510 | $16.56 | $44.75 | $16.53 – $16.53 | 5 |
| Penile injection CPT 54235 | $222.46 | $601.25 | $81.98 – $520.54 | 29 |
| Penile vascular study CPT 93980 | $319.22 | $862.75 | $60.72 – $339.32 | 29 |
| Penile vascular study CPT 93981 | not published | not published | $27.59 – $228.04 | 29 |
| Penile venous occlusion CPT 37790 | not published | not published | $547.06 – $1,040.82 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $810.47 – $1,541.10 | 7 |
| Penis study CPT 54240 | not published | not published | $35.57 – $666.47 | 29 |
| Pentamidine non-comp unit HCPCS J2545 | $159.27 | $430.45 | $77.40 – $77.40 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | $64.60 | $174.60 | $11.96 – $34.06 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,838.79 | $4,969.70 | $1,083.96 – $1,083.96 | 5 |
| Perc cryo ablate renal tum CPT 50593 | $14,222.62 | $38,439.50 | $527.20 – $1,047.91 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $12,484.54 | $33,742.00 | $392.97 – $785.14 | 7 |
| Percut ablate liver rf CPT 47382 | $6,242.27 | $16,871.00 | $856.83 – $1,691.02 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $269.71 | $728.95 | $39.23 – $39.23 | 5 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,689.43 – $5,425.79 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $990.11 – $1,908.81 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $847.84 – $1,694.17 | 7 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $287.23 – $566.56 | 7 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $18.63 – $127.13 | 29 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $13.65 – $72.47 | 7 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $12.22 – $54.74 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $496.10 – $943.76 | 7 |
| Peritoneogram rs&i CPT 74190 | $295.26 | $798.00 | $30.27 – $1,173.49 | 28 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $55.59 – $860.02 | 29 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $892.45 – $1,755.92 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $903.78 – $1,559.40 | 5 |
| Perq dev breast 1st mr guide CPT 19287 | $1,606.36 | $4,341.50 | $122.24 – $1,505.86 | 28 |
| Perq dev breast 1st strtctc CPT 19283 | $541.31 | $1,463.00 | $116.11 – $1,505.86 | 28 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,439.85 – $2,734.98 | 7 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $979.43 – $1,861.47 | 7 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $271.04 – $745.09 | 6 |
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.