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 |
|---|---|---|---|---|
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $429.94 | $1,162.00 | $99.06 – $855.09 | 29 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $122.58 – $378.90 | 28 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $122.33 – $275.81 | 28 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $66.51 | $179.75 | $13.79 – $13.79 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $610.17 – $1,264.91 | 7 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $137.54 – $639.79 | 29 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $147.50 – $457.67 | 7 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $239.11 – $569.73 | 7 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $176.55 – $556.31 | 7 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $9.25 | $25.00 | $4.93 – $16.53 | 6 |
| Procalcitonin CPT 84145 | $101.10 | $273.25 | $27.22 – $73.87 | 28 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.52 | $33.84 | $7.21 – $7.21 | 5 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,095.60 – $4,098.54 | 7 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,023.89 – $4,016.48 | 7 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $117.22 – $233.58 | 7 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $126.48 – $259.61 | 7 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $95.31 – $201.21 | 7 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $346.88 | $937.50 | $55.42 – $1,951.29 | 29 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $91.80 – $190.97 | 7 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $100.39 – $202.80 | 7 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $118.39 – $239.88 | 7 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $114.16 – $235.94 | 7 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $82.21 – $173.60 | 7 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,773.89 | $7,497.00 | $108.45 – $226.46 | 7 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $127.88 – $278.56 | 7 |
| Progesterone CPT 84144 | $66.14 | $178.75 | $20.86 – $57.53 | 29 |
| Prolactin CPT 84146 | $101.75 | $275.00 | $19.38 – $53.45 | 29 |
| Promethazine hcl injection HCPCS J2550 | $10.51 | $28.40 | $16.53 – $16.53 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $284.35 – $1,078.68 | 29 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $492.91 – $1,174.14 | 29 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $953.22 – $1,853.57 | 7 |
| Prophylactic tx radius CPT 25490 | not published | not published | $790.12 – $1,493.76 | 7 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $996.86 – $1,704.43 | 7 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $813.76 – $1,575.81 | 7 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $20.85 | $56.35 | $7.21 – $7.21 | 5 |
| Prostate biopsy, any mthd HCPCS G0416 | $599.68 | $1,620.75 | $305.04 – $1,334.52 | 7 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $952.29 – $1,809.39 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $925.15 – $1,743.10 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $678.34 – $1,294.89 | 7 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $698.55 – $1,330.40 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $27.48 | $74.27 | $0.61 – $0.61 | 5 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,931.49 | $7,922.95 | $652.82 – $789.71 | 5 |
| Protein c activity CPT 85303 | $91.85 | $248.25 | $13.84 – $38.13 | 29 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $47.82 | $129.25 | $10.74 – $29.61 | 29 |
| Protein s total CPT 85305 | $85.10 | $230.00 | $11.61 – $31.99 | 29 |
| Protein total 24 hour urine CPT 84156 | $32.10 | $86.75 | $3.67 – $10.12 | 29 |
| Protein total body fluid CPT 84157 | $27.94 | $75.50 | $3.91 – $10.12 | 29 |
| Protein total serum plasma whole blood CPT 84155 | $40.70 | $110.00 | $3.67 – $10.12 | 29 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $17.48 | $47.25 | $3.94 – $10.88 | 29 |
| Proton treatment complex CPT 77525 | not published | not published | $2,430.40 – $2,620.88 | 5 |
| Proton trmt intermediate CPT 77523 | not published | not published | $2,620.88 – $11,173.50 | 5 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $2,620.88 – $10,795.50 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $550.25 – $5,103.00 | 27 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.12 – $23.73 | 29 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $652.78 – $1,257.81 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $85.24 – $197.98 | 23 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $11,967.85 – $19,696.00 | 6 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $11,967.85 – $21,711.00 | 6 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $757.51 – $21,711.00 | 7 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $11,967.85 – $21,711.00 | 6 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $673.50 – $21,711.00 | 7 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $11,967.85 – $21,711.00 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $568.75 – $1,127.61 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $754.93 – $1,529.25 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $808.20 – $1,586.86 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $454.77 – $958.74 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $289.33 – $680.20 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $673.91 – $21,711.00 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $755.97 – $21,711.00 | 7 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $605.50 – $19,696.00 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $722.70 – $19,696.00 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $756.77 – $21,711.00 | 7 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $112.97 – $854.03 | 29 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $113.04 | $305.50 | $52.63 – $275.87 | 29 |
| Pr removal intrauterine device CPT 58301 | $113.31 | $306.25 | $75.56 – $651.04 | 29 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $215.62 | $582.75 | $209.13 – $855.09 | 29 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $107.30 | $290.00 | $62.02 – $425.27 | 29 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $125.34 | $338.75 | $65.63 – $425.27 | 29 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $129.50 | $350.00 | $49.75 – $425.27 | 29 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $146.43 | $395.75 | $65.94 – $425.27 | 29 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $776.07 – $1,544.25 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $37.23 – $49.34 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $676.55 – $1,324.09 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $641.54 – $1,260.96 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $120.82 – $935.66 | 27 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $727.19 – $1,428.26 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $717.58 – $1,412.48 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,074.85 | $2,905.00 | $178.81 – $383.50 | 7 |
| PSA (Prostate) Test CPT 84153 | $76.96 | $208.00 | $18.39 – $41.38 | 29 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $23.30 – $52.43 | 22 |
| Psychoanalysis CPT 90845 | not published | not published | $100.65 – $343.87 | 24 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $28.36 – $398.98 | 29 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $70.84 – $343.87 | 23 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $94.45 – $343.87 | 23 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $142.05 – $343.87 | 23 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $296.21 – $666.47 | 22 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $379.57 – $854.03 | 22 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $122.61 – $275.87 | 22 |
| Psytx complex interactive CPT 90785 | not published | not published | $10.03 – $15.61 | 6 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $73.37 – $73.37 | 1 |
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.