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 |
|---|---|---|---|---|
| Revision of toe CPT 28312 | not published | not published | $352.70 – $692.82 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,754.53 – $5,336.61 | 7 |
| Revision of ulna CPT 25360 | not published | not published | $716.12 – $1,394.31 | 7 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $817.11 – $1,557.67 | 7 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $816.28 – $1,590.01 | 7 |
| Revision of urethra CPT 53450 | not published | not published | $456.67 – $869.58 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $512.83 – $975.32 | 7 |
| Revision of urethra CPT 57220 | not published | not published | $350.32 – $695.98 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $698.84 – $1,287.79 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $887.84 – $1,814.12 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $818.48 – $1,594.74 | 7 |
| Revision tips CPT 37183 | not published | not published | $433.26 – $868.00 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,807.95 – $3,497.24 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,953.97 – $3,779.75 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,427.16 – $2,801.28 | 7 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,388.77 – $2,724.74 | 7 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,140.64 – $2,281.26 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,212.23 – $2,426.45 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,598.57 – $3,034.06 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,188.37 – $2,373.59 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $393.87 – $795.41 | 7 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $158.36 – $311.69 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $139.14 – $272.24 | 7 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $327.65 – $619.44 | 6 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.99 – $15.64 | 29 |
| Rheumatoid factor quantitative CPT 86431 | $26.36 | $71.25 | $5.67 – $15.64 | 29 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,081.94 – $2,175.52 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $27.22 | $73.57 | $16.53 – $16.53 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $633.74 | $1,712.80 | $16.53 – $16.53 | 5 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $111.30 – $211.70 | 6 |
| Rib cartilage graft CPT 21230 | not published | not published | $825.95 – $1,590.01 | 7 |
| Right ventric recording CPT 93603 | not published | not published | $76.27 – $8,949.00 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,059.07 | $2,862.35 | $966.35 – $1,106.93 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $833.15 | $2,251.75 | $16.53 – $16.53 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $194.05 | $524.45 | $134.16 – $134.16 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,221.09 – $2,385.42 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $105.71 – $1,505.86 | 29 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $735.12 – $1,268.46 | 5 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $365.25 – $722.01 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,295.59 | $8,907.00 | $391.15 – $780.41 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $238.68 – $489.24 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,165.91 | $8,556.50 | $145.93 – $299.07 | 7 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $965.12 – $1,832.27 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $434.80 – $87,973.00 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $453.39 – $87,973.00 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $417.28 – $87,973.00 | 7 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $238.95 – $476.60 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $567.16 – $1,079.48 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,660.74 – $5,128.30 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $122.24 – $1,323.23 | 28 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $254.54 – $505.80 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $418.62 – $31,789.00 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $377.85 – $31,789.00 | 7 |
| Rmvl pq iabp CPT 33968 | $758.87 | $2,051.00 | $38.39 – $73.39 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $228.46 – $452.16 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $656.04 – $1,402.45 | 7 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $390.53 – $87,973.00 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $669.27 – $1,505.86 | 22 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $316.14 – $686.52 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $348.36 | $941.50 | $100.02 – $854.03 | 29 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $713.55 – $1,362.75 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $543.61 – $1,044.75 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $311.21 – $591.83 | 7 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $46.58 – $86.01 | 7 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $229.40 | $620.00 | $0.07 – $0.18 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $13.81 – $41.02 | 29 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,241.32 – $2,462.74 | 7 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,063.20 | $2,873.50 | $75.75 – $146.77 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $50.07 – $860.02 | 29 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $434.19 – $434.19 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $847.80 – $847.80 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $877.73 | $2,372.25 | $74.83 – $248.08 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $328.19 – $669.93 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $355.83 – $730.70 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $206.58 – $432.42 | 7 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,123.57 – $2,196.82 | 7 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,067.40 – $2,088.71 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $718.66 – $1,483.49 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $961.65 – $1,835.42 | 7 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,189.85 – $2,354.64 | 7 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,048.11 – $2,031.12 | 7 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $949.08 – $1,836.20 | 7 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $677.56 – $1,355.65 | 7 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $841.09 – $1,703.65 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,142.21 – $2,140.81 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $634.42 – $1,215.98 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $609.02 – $1,230.20 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $423.11 – $847.48 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $642.99 – $1,299.62 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $422.46 – $803.29 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,028.57 – $2,004.29 | 7 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $11.86 – $304.52 | 29 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $618.66 – $1,237.30 | 7 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $396.91 – $781.99 | 7 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $213.20 – $662.06 | 27 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,067.43 – $2,027.17 | 7 |
| Rsv assay w/optic CPT 87807 | $53.00 | $143.25 | $12.77 – $33.08 | 29 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $122.58 – $275.81 | 22 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.47 – $79.81 | 22 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.47 – $79.81 | 22 |
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.