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 |
|---|---|---|---|---|
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,648.62 – $3,312.59 | 7 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,754.90 – $3,436.48 | 7 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,413.99 – $2,772.86 | 7 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,573.59 – $3,091.65 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,478.61 – $2,885.70 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,666.54 – $3,273.93 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,126.03 – $2,206.30 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,424.07 – $2,798.89 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,603.74 – $3,180.82 | 7 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,573.76 – $2,966.98 | 7 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,461.13 – $2,898.34 | 7 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,315.39 – $2,682.12 | 7 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,560.14 – $3,054.57 | 7 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,154.51 – $2,604.78 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,257.14 – $2,502.99 | 7 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,130.20 – $2,189.72 | 7 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,067.43 – $2,091.10 | 7 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,025.99 – $2,331.76 | 7 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $947.08 – $1,863.84 | 7 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,014.19 – $1,946.68 | 7 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,154.28 – $2,226.02 | 7 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $768.91 – $1,574.23 | 7 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $584.13 – $1,141.02 | 7 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $954.07 – $1,917.50 | 7 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $991.59 – $1,918.28 | 7 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,107.46 – $2,147.91 | 7 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,171.96 – $2,264.70 | 7 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,192.42 – $2,342.81 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,194.73 – $2,345.17 | 7 |
| Reconstruct extra finger CPT 26587 | $1,848.61 | $4,996.25 | $1,047.06 – $2,229.18 | 7 |
| Reconstruct finger joint CPT 26545 | not published | not published | $730.84 – $1,477.97 | 7 |
| Reconstruct finger joint CPT 26548 | not published | not published | $807.62 – $1,600.28 | 7 |
| Reconstruct head of radius CPT 24365 | not published | not published | $697.11 – $1,361.97 | 7 |
| Reconstruct head of radius CPT 24366 | not published | not published | $747.80 – $1,450.34 | 7 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,230.37 – $2,431.98 | 7 |
| Reconstruction knee CPT 27427 | not published | not published | $782.07 – $1,532.42 | 7 |
| Reconstruction knee CPT 27428 | not published | not published | $1,213.05 – $2,380.69 | 7 |
| Reconstruction knee CPT 27429 | not published | not published | $1,359.06 – $2,669.49 | 7 |
| Reconstruction of anus CPT 46753 | not published | not published | $622.04 – $1,273.59 | 7 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,714.79 – $3,399.40 | 7 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $744.97 – $1,616.84 | 7 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $966.46 – $2,083.20 | 7 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $962.66 – $2,080.05 | 7 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $702.78 – $1,528.47 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $977.36 – $1,928.53 | 7 |
| Reconstruction of jaw CPT 21246 | not published | not published | $943.78 – $1,784.93 | 7 |
| Reconstruction of jaw CPT 21248 | not published | not published | $966.30 – $1,938.80 | 7 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,376.69 – $2,663.97 | 7 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,221.22 – $2,376.74 | 7 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,117.39 – $2,172.37 | 7 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,838.26 – $3,599.83 | 7 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,133.75 – $2,303.36 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $698.91 – $1,365.13 | 7 |
| Reconstruction of mouth CPT 40842 | not published | not published | $685.89 – $1,395.11 | 7 |
| Reconstruction of mouth CPT 40843 | not published | not published | $896.80 – $1,889.87 | 7 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,175.08 – $2,378.32 | 7 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,370.96 – $2,673.44 | 7 |
| Reconstruction of nail bed CPT 11762 | $1,694.60 | $4,580.00 | $202.22 – $404.01 | 7 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,266.92 – $2,553.50 | 7 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,479.19 – $2,956.71 | 7 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,292.48 – $2,652.13 | 7 |
| Reconstruction of throat CPT 42950 | not published | not published | $853.31 – $1,728.90 | 7 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,101.00 – $2,096.61 | 7 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,274.20 – $2,420.13 | 7 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,088.32 – $2,079.25 | 7 |
| Reconstruction of urethra CPT 54308 | not published | not published | $803.57 – $1,528.47 | 7 |
| Reconstruction of urethra CPT 54312 | not published | not published | $959.30 – $1,748.63 | 7 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,171.40 – $2,134.49 | 7 |
| Reconstruction of urethra CPT 54318 | not published | not published | $798.34 – $1,499.27 | 7 |
| Reconstruction of urethra CPT 54322 | not published | not published | $870.27 – $1,669.72 | 7 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,089.54 – $2,071.37 | 7 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,064.71 – $2,023.22 | 7 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $270.92 – $556.31 | 7 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $692.84 – $1,351.72 | 7 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $610.32 – $1,205.73 | 7 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,526.88 – $2,873.07 | 7 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,991.47 – $4,039.36 | 7 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,331.60 – $2,583.48 | 7 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,617.69 – $3,137.43 | 7 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $959.93 – $1,892.23 | 7 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,238.72 – $2,695.54 | 7 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,301.32 – $2,469.86 | 7 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $947.18 – $1,799.13 | 7 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,055.62 – $2,003.51 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,752.08 – $3,385.99 | 7 |
| Rectal sensation test CPT 91120 | not published | not published | $60.29 – $666.47 | 29 |
| Red cell mass multiple CPT 78121 | not published | not published | $20.08 – $1,152.02 | 29 |
| Red cell mass single CPT 78120 | not published | not published | $14.66 – $860.02 | 29 |
| Red cell sequestration CPT 78140 | not published | not published | $38.65 – $860.02 | 29 |
| Red cell survival study CPT 78130 | not published | not published | $38.65 – $860.02 | 29 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $414.40 – $808.82 | 6 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,019.32 – $2,013.75 | 7 |
| Reduce testis torsion CPT 54600 | not published | not published | $509.44 – $965.84 | 7 |
| Reduction of facial bones CPT 21209 | not published | not published | $679.34 – $1,375.38 | 7 |
| Reduction of procidentia 45900 CPT 45900 | $657.12 | $1,776.00 | $212.96 – $1,951.29 | 29 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $977.67 – $1,899.33 | 7 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,418.04 – $2,780.75 | 7 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $44.34 – $631.78 | 29 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $116.76 – $450.92 | 29 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $82.61 | $223.28 | $74.59 – $90.22 | 5 |
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.