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 |
|---|---|---|---|---|
| Rubella antibody igg CPT 86762 | $60.40 | $163.25 | $14.39 – $39.70 | 29 |
| Rubeola antibody igg CPT 86765 | $50.23 | $135.75 | $12.88 – $35.53 | 29 |
| Russell viper venom diluted CPT 85613 | $60.22 | $162.75 | $9.58 – $26.40 | 29 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $2,063.43 | 22 |
| Salivary gland function exam CPT 78232 | not published | not published | $29.80 – $860.02 | 29 |
| Salivary gland imaging CPT 78230 | not published | not published | $28.06 – $860.02 | 29 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $32.54 – $860.02 | 29 |
| Salmonella antibody CPT 86768 | $22.20 | $60.00 | $11.38 – $29.68 | 29 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $964.59 – $1,866.99 | 7 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $93.22 – $275.81 | 24 |
| Sargramostim injection HCPCS J2820 | $451.34 | $1,219.85 | $23.75 – $77.40 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $115.72 | 22 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $79.49 | 22 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $158.15 | 22 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $469.36 – $956.37 | 7 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $146.81 – $149.38 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $74.69 – $75.69 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $99.15 – $100.22 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $48.87 – $48.95 | 2 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $444.65 | $1,201.75 | $114.12 – $752.01 | 29 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $348.91 | $943.00 | $75.74 – $438.74 | 29 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $188.52 | $509.50 | $41.01 – $517.34 | 29 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $163.45 | $441.75 | $27.49 – $329.83 | 29 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $251.05 | $678.50 | $25.11 – $353.52 | 29 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $385.36 | $1,041.50 | $28.36 – $236.73 | 29 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $395.99 | $1,070.25 | $36.34 – $518.43 | 29 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $294.43 | $795.75 | $24.64 – $298.27 | 29 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $280.83 | $759.00 | $19.40 – $329.05 | 29 |
| Scan proc cranial extra CPT 61782 | not published | not published | $197.80 – $399.35 | 6 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $269.15 – $484.93 | 6 |
| Scan proc spinal CPT 61783 | not published | not published | $264.36 – $485.71 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,261.42 | $3,409.25 | $138.64 – $277.98 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $472.26 – $927.98 | 7 |
| Screening Mammogram CPT 77067 | $140.60 | $380.00 | $79.81 – $245.26 | 27 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.69 – $118.81 | 7 |
| Sc ther infusion reset pump CPT 96371 | $49.58 | $134.00 | $67.70 – $152.33 | 29 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $877.92 – $1,754.93 | 7 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $283.75 – $555.51 | 7 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $66.51 | $179.75 | $6.24 – $6.24 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $20.81 | $56.25 | $2.70 – $7.45 | 29 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,619.40 – $3,133.48 | 7 |
| Select picture audiometry CPT 92583 | not published | not published | $35.43 – $127.13 | 29 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $23.30 – $52.43 | 22 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $12.65 – $41.41 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $9.46 – $41.41 | 7 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $33.24 | 29 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $23.73 | 29 |
| Sensorimotor examination CPT 92060 | not published | not published | $20.62 – $136.46 | 29 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.34 – $157.03 | 29 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $393.71 – $889.30 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $90.36 – $432.00 | 28 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $714.11 – $1,436.93 | 7 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $651.64 – $1,343.82 | 7 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $821.47 – $1,593.18 | 7 |
| Serial casting application 97139app CPT 97139 | not published | not published | $29.26 – $57.83 | 5 |
| Serpina1 gene CPT 81332 | $216.27 | $584.50 | $43.65 – $119.46 | 28 |
| Set radiation therapy field CPT 77280 | $350.76 | $948.00 | $43.56 – $358.50 | 29 |
| Set radiation therapy field CPT 77285 | not published | not published | $65.05 – $783.47 | 29 |
| Set radiation therapy field CPT 77290 | $647.59 | $1,750.25 | $96.62 – $1,047.73 | 29 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $248.08 – $641.88 | 27 |
| Sever cranial nerve CPT 64771 | not published | not published | $644.14 – $1,241.25 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $6,025.05 – $6,025.05 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $6,260.00 – $6,260.00 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $114.59 – $114.59 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $48.55 – $425.27 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $71.03 – $425.27 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $81.54 – $855.09 | 29 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $109.18 – $855.09 | 29 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $42.64 – $425.27 | 29 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $58.59 – $425.27 | 29 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $75.22 – $425.27 | 29 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $83.29 – $855.09 | 29 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $33.56 – $855.09 | 29 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $56.97 – $425.27 | 29 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $70.54 – $425.27 | 29 |
| Shigella antibody CPT 86771 | not published | not published | $13.81 – $55.08 | 29 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $509.35 – $1,009.25 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,006.18 – $1,980.62 | 7 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,173.66 – $2,273.36 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $641.41 – $1,260.96 | 7 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $622.72 – $1,230.98 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $634.08 – $1,253.86 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $587.06 – $1,156.02 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $640.41 – $1,254.66 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,144.02 – $2,215.77 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $679.63 – $1,343.82 | 7 |
| Shortening of hand tendon CPT 26479 | not published | not published | $648.11 – $1,291.74 | 7 |
| Shorten radius or ulna CPT 25390 | not published | not published | $847.20 – $1,638.16 | 7 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,126.07 – $2,164.47 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,167.55 – $2,304.14 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,070.87 | $2,894.25 | $134.83 – $1,111.04 | 29 |
| Shoulder MRI (with contrast) CPT 73222 | $1,025.64 | $2,772.00 | $101.53 – $1,690.92 | 29 |
| Shoulder MRI (without contrast) CPT 73221 | $2,051.28 | $5,544.00 | $84.59 – $574.46 | 29 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,190.52 – $2,190.52 | 6 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,419.81 – $2,615.05 | 6 |
| Shoulder X-ray CPT 73030 | $263.81 | $713.00 | $11.52 – $188.44 | 29 |
| Shrinker prosth above knee HCPCS L8460 | $157.49 | $425.65 | $128.24 – $128.24 | 1 |
| Shrinker prosth below knee HCPCS L8440 | $90.54 | $244.70 | $73.73 – $73.73 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $99.25 | $268.25 | $29.40 – $227.59 | 29 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $33.69 | 29 |
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.