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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47539 | not published | not published | $492.07 – $1,008.38 | 6 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $509.62 – $1,204.85 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $434.66 | $1,174.75 | $231.35 – $558.17 | 25 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $554.48 – $1,129.97 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $503.22 – $1,030.55 | 7 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $103.04 – $224.90 | 7 |
| Perq transcath closure each CPT 93592 | not published | not published | $495.73 – $855.24 | 5 |
| Perq transcath closure pda CPT 93582 | not published | not published | $745.77 – $1,404.58 | 6 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,124.15 – $1,939.59 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,354.68 – $2,337.34 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $844.37 – $1,563.18 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $241.01 – $510.53 | 7 |
| Perq tx malar fracture CPT 21355 | not published | not published | $351.63 – $697.55 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $341.68 – $729.11 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $882.67 – $1,773.88 | 7 |
| Pertussis ag if CPT 87265 | $82.42 | $222.75 | $11.98 – $33.08 | 29 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $40.22 | $108.70 | $16.53 – $16.53 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,937.43 | $7,939.00 | $154.30 – $2,163.69 | 6 |
| Pet CT whole body initial CPT 78816 | $2,959.91 | $7,999.75 | $158.31 – $2,162.11 | 6 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,792.56 | $4,844.75 | $94.41 – $2,133.69 | 6 |
| Pet image full body CPT 78813 | $758.40 | $2,049.72 | $127.30 – $2,151.84 | 6 |
| Pet image ltd area CPT 78811 | $2,480.20 | $6,703.25 | $98.55 – $2,142.38 | 6 |
| Pet image skull-thigh CPT 78812 | $2,783.07 | $7,521.80 | $122.82 – $2,148.69 | 6 |
| Pet image w/ct lmtd CPT 78814 | $2,098.18 | $5,670.75 | $139.46 – $2,158.16 | 6 |
| Pet scan brain perf study CPT 78609 | $1,575.29 | $4,257.55 | $83.40 – $165.72 | 7 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $310.55 – $611.54 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $230.87 – $230.87 | 5 |
| Ph body fluid CPT 83986 | $30.25 | $81.75 | $3.58 – $9.88 | 29 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $15.63 – $40.53 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $90.27 | $243.98 | $16.53 – $16.53 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $59.57 | $161.00 | $11.99 – $34.43 | 29 |
| Phentolaine mesylate inj HCPCS J2760 | $198.12 | $535.45 | $53.82 – $154.94 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $9.25 | $25.00 | $0.61 – $0.61 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $68.54 | $185.25 | $13.25 – $36.55 | 29 |
| Phlebotomy therapeutic CPT 99195 | $74.83 | $202.25 | $77.51 – $275.87 | 29 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $508.50 – $997.40 | 7 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $621.99 – $1,227.83 | 7 |
| Phosphorus CPT 84100 | $32.93 | $89.00 | $4.74 – $13.07 | 29 |
| Phosphorus 24 hour urine CPT 84105 | $26.36 | $71.25 | $5.47 – $14.26 | 29 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $56.50 – $151.50 | 29 |
| Photochemotherapy puva CPT 96912 | not published | not published | $56.50 – $194.11 | 29 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $122.50 – $855.09 | 29 |
| Photo patch test CPT 95052 | not published | not published | $6.83 – $127.13 | 29 |
| Photopheresis CPT 36522 | not published | not published | $114.10 – $222.53 | 7 |
| Photosensitivity tests CPT 95056 | not published | not published | $37.76 – $275.87 | 29 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $37.99 – $114.34 | 29 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $37.73 – $366.75 | 29 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.30 – $106.39 | 29 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $75.04 | $202.80 | $7.21 – $7.21 | 5 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $33.66 – $96.90 | 6 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $618.37 | 23 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $469.80 – $1,310.11 | 29 |
| Pin finger dislocation CPT 26776 | not published | not published | $461.40 – $938.23 | 7 |
| Pin finger fracture each CPT 26756 | not published | not published | $432.84 – $887.73 | 7 |
| Pin hand dislocation CPT 26676 | not published | not published | $525.25 – $1,063.70 | 7 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $457.65 – $936.64 | 7 |
| Pinworm exam CPT 87172 | $17.58 | $47.50 | $4.27 – $11.78 | 29 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $47.75 | $129.05 | $2.26 – $2.73 | 5 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $354.09 – $697.55 | 7 |
| Place cath intracranial art CPT 36228 | not published | not published | $269.80 – $485.29 | 6 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $131.84 – $238.31 | 6 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $236.34 – $475.82 | 7 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $275.06 – $558.68 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,156.41 – $2,251.28 | 7 |
| Place gastrostomy tube perc CPT 49440 | $804.47 | $2,174.25 | $235.80 – $490.82 | 7 |
| Placement bile duct support CPT 47801 | not published | not published | $1,128.63 – $2,203.14 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $541.31 | $1,463.00 | $115.01 – $122.24 | 6 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $98.24 | $265.50 | $57.68 – $122.24 | 6 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $515.23 | $1,392.50 | $98.47 – $1,505.86 | 28 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,236.50 | $11,450.00 | $235.76 – $497.27 | 6 |
| Placement of seton CPT 46020 | not published | not published | $234.64 – $508.17 | 7 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $507.39 – $974.52 | 6 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $367.07 – $718.86 | 7 |
| Place needles h&n for right CPT 41019 | not published | not published | $533.03 – $1,003.72 | 7 |
| Place needles pelvic for right CPT 55920 | not published | not published | $504.68 – $957.17 | 7 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $230.68 – $471.09 | 6 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $55.74 | 29 |
| Place po breast cath for rad CPT 19296 | not published | not published | $233.39 – $449.79 | 7 |
| Place right device/marker pros CPT 55876 | $1,549.84 | $4,188.75 | $113.00 – $214.63 | 7 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $401.95 – $750.43 | 6 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $321.56 – $636.79 | 6 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $354.79 – $688.88 | 6 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $353.38 – $686.52 | 6 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $396.86 – $751.21 | 6 |
| Plasma volume multiple CPT 78111 | not published | not published | $14.20 – $174.38 | 7 |
| Plasma volume single CPT 78110 | not published | not published | $11.99 – $190.16 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $66.88 | $180.75 | $14.92 – $59.25 | 29 |
| Platelet automated CPT 85049 | $24.33 | $65.75 | $4.48 – $12.34 | 29 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $14.11 – $935.66 | 29 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,028.90 | $5,483.50 | $1,903.95 – $1,903.95 | 5 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,855.09 | $5,013.75 | $1,903.95 – $1,903.95 | 5 |
| Platelet survival CPT 78191 | not published | not published | $38.25 – $860.02 | 29 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,915.42 | $7,879.50 | $307.19 – $692.10 | 6 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $212.74 – $366.84 | 5 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $233.41 – $492.37 | 6 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $392.39 – $807.85 | 6 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $711.33 | $1,922.50 | $100.67 – $1,505.86 | 28 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $711.33 | $1,922.50 | $50.16 – $98.64 | 6 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $98.24 | $265.50 | $73.41 – $122.24 | 6 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $98.24 | $265.50 | $58.43 – $122.24 | 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.