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 |
|---|---|---|---|---|
| Sialography s&i CPT 70390 | $168.72 | $456.00 | $23.98 – $517.34 | 29 |
| Sialolithotomy 42330 CPT 42330 | $1,805.60 | $4,880.00 | $181.48 – $362.20 | 7 |
| Sickling rbc CPT 85660 | $25.81 | $69.75 | $5.51 – $15.23 | 29 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $81.39 – $1,951.29 | 29 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $132.11 – $1,951.29 | 29 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $134.11 – $357.47 | 7 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $75.17 – $1,951.29 | 29 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $183.36 – $407.18 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $119.66 – $243.04 | 7 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $176.45 – $381.91 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $226.72 – $226.72 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $137.24 – $308.54 | 7 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $141.16 – $1,951.29 | 29 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $193.88 – $521.58 | 7 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $106.78 – $1,951.29 | 29 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $16.00 – $127.13 | 29 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $88.05 – $254.09 | 7 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $97.04 – $520.54 | 29 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $196.15 | $530.14 | $77.40 – $77.40 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $786.90 | $2,126.75 | $89.07 – $680.98 | 29 |
| Sinus CT scan (with contrast) CPT 70487 | $741.48 | $2,004.00 | $82.24 – $567.36 | 29 |
| Sinus CT scan (without contrast) CPT 70486 | $756.00 | $2,043.25 | $71.66 – $471.87 | 29 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $73.36 – $316.86 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $365.52 – $771.72 | 7 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $610.62 – $1,231.76 | 7 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $518.93 – $1,042.38 | 7 |
| Sirolimus, oral HCPCS J7520 | $22.20 | $60.00 | $16.53 – $16.53 | 5 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,037.99 – $2,200.77 | 7 |
| Skin Biopsy CPT 11102 | not published | not published | $189.01 – $425.27 | 22 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $710.42 – $1,448.78 | 7 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $124.85 – $241.46 | 7 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $785.88 – $1,591.60 | 7 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $777.67 – $1,590.81 | 7 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $123.86 – $238.31 | 7 |
| Skin test unlisted antigen ea CPT 86486 | $26.09 | $70.50 | $3.51 – $52.43 | 29 |
| Sleep study attended CPT 95807 | not published | not published | $99.31 – $1,135.62 | 29 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $209.89 – $2,177.46 | 29 |
| Sleep study unattended CPT 95806 | not published | not published | $100.11 – $377.18 | 29 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $103.58 | $279.95 | $14.95 – $14.95 | 1 |
| Slitting of prepuce CPT 54000 | not published | not published | $119.87 – $228.84 | 7 |
| Slitting of prepuce CPT 54001 | not published | not published | $154.66 – $295.90 | 7 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $36.92 – $70.23 | 6 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $99.02 – $164.63 | 6 |
| Slp pure tone screening CPT 92551 | not published | not published | $11.45 – $25.25 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $42.04 – $199.65 | 28 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $79.36 – $131.97 | 6 |
| Small bowel endoscopy CPT 44360 | not published | not published | $164.18 – $342.47 | 7 |
| Small bowel endoscopy CPT 44364 | not published | not published | $233.71 – $480.55 | 7 |
| Small bowel endoscopy CPT 44366 | not published | not published | $274.70 – $565.78 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $281.72 – $578.41 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $325.60 – $661.25 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $441.08 – $897.98 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $82.98 – $2,006.62 | 29 |
| Small bowel endoscopy CPT 44384 | not published | not published | $174.89 – $352.72 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $219.26 – $449.79 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $206.10 – $427.69 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $181.35 – $376.40 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $343.09 – $699.91 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $63.54 – $2,006.62 | 29 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $96.23 – $96.23 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $304.68 – $624.96 | 7 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 22 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $23.13 | $62.50 | $5.39 – $14.82 | 29 |
| Smear gram stain CPT 87205 | $42.37 | $114.50 | $4.27 – $11.78 | 29 |
| Smear nasal eosinophil CPT 89190 | $21.65 | $58.50 | $4.95 – $13.11 | 29 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.08 | $140.75 | $5.99 – $16.52 | 29 |
| Smear wet mount CPT 87210 | $21.74 | $58.75 | $4.43 – $13.10 | 29 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $678.04 | 26 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $358.48 | 28 |
| Snrpn/ube3a gene CPT 81331 | $479.34 | $1,295.50 | $51.07 – $188.28 | 28 |
| Sodium 24 hour urine CPT 84300 | $47.18 | $127.50 | $5.06 – $13.41 | 29 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.58 | $131.31 | $16.53 – $16.53 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.71 | $131.64 | $7.21 – $7.21 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $24.18 | $65.34 | $7.21 – $7.21 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $17.39 | $47.00 | $16.53 – $16.53 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.45 | $25.55 | $3.62 – $4.38 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $24.88 | $67.25 | $4.81 – $13.28 | 29 |
| Somatosensory testing CPT 95927 | $358.35 | $968.50 | $34.07 – $666.47 | 29 |
| Somatropin injection HCPCS J2941 | $339.59 | $917.80 | $58.84 – $77.40 | 6 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,017.96 | 22 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $138.18 – $1,120.30 | 6 |
| Special physics consult CPT 77370 | not published | not published | $124.40 – $284.15 | 29 |
| Special radiation dosimetry CPT 77331 | not published | not published | $19.41 – $284.15 | 29 |
| Special radiation treatment CPT 77470 | not published | not published | $39.53 – $1,238.06 | 29 |
| Special teletx port plan CPT 77321 | not published | not published | $44.56 – $783.47 | 29 |
| Specific gravity body fluid CPT 84315 | $14.99 | $40.50 | $2.61 – $7.38 | 29 |
| Specimen fat stain CPT 89125 | not published | not published | $4.43 – $13.23 | 29 |
| Speech audiometry complete CPT 92556 | not published | not published | $26.47 – $127.13 | 29 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.51 – $517.34 | 29 |
| Speech recep thresh CPT 92555 | not published | not published | $17.12 – $127.13 | 29 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $29.43 | 29 |
| Sperm identification CPT 89257 | not published | not published | $50.82 – $1,630.30 | 27 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.82 – $472.60 | 27 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.82 – $353.60 | 27 |
| Sperm washing 58323 CPT 58323 | not published | not published | $13.34 – $430.56 | 29 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $686.71 – $1,389.58 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $825.47 – $1,653.94 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $127.35 – $238.31 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $147.29 – $1,310.70 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $658.74 – $1,482.16 | 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.