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 |
|---|---|---|---|---|
| Suspension of testis CPT 54620 | not published | not published | $336.60 – $639.95 | 7 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $484.76 – $954.01 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,163.76 – $2,278.09 | 7 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,482.23 – $2,957.51 | 7 |
| Svc venogram s&i CPT 75827 | not published | not published | $70.46 – $312.24 | 7 |
| Sweat collection by iontophoresis CPT 89230 | $50.14 | $135.50 | $2.73 – $114.34 | 29 |
| Sympathectomy cervical CPT 64802 | not published | not published | $675.86 – $1,152.07 | 7 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $784.98 – $1,604.23 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $837.88 – $1,698.12 | 7 |
| Synthetic sentence id test CPT 92576 | not published | not published | $22.59 – $84.02 | 29 |
| Synvisc or synvisc-one HCPCS J7325 | $1,242.63 | $3,358.45 | $16.53 – $16.53 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $45.70 | $123.50 | $4.40 – $12.14 | 29 |
| T3 (triiodothyronine) free CPT 84481 | $89.82 | $242.75 | $16.94 – $46.72 | 29 |
| T3 (triiodothyronine) total CPT 84480 | $59.02 | $159.50 | $14.18 – $39.10 | 29 |
| T4 (thyroxine) free CPT 84439 | $61.33 | $165.75 | $9.02 – $24.87 | 29 |
| T4 (thyroxine) total CPT 84436 | $41.26 | $111.50 | $6.87 – $18.94 | 29 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $2.74 | $7.40 | $1.23 – $1.49 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.36 | $3.68 | $2.06 – $2.49 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $176.77 | $477.75 | $154.94 – $154.94 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $96.66 | $261.25 | $13.73 – $37.86 | 29 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,410.24 – $4,633.53 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,219.74 – $4,275.28 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,383.96 – $2,729.47 | 7 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $89.95 – $428.48 | 6 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $76.90 – $308.54 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $925.19 | $2,500.50 | $741.09 – $1,708.94 | 23 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,259.70 | $3,404.60 | $3,313.75 – $3,313.75 | 1 |
| Target gsa panel organ neop CPT 81445 | $1,426.07 | $3,854.25 | $597.91 – $1,345.30 | 23 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $147.82 – $1,310.11 | 29 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,547.39 – $2,916.48 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $332.56 | $898.80 | $1.19 – $102.92 | 5 |
| Tbs techl calculation only CPT 77091 | not published | not published | $83.75 – $188.44 | 22 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $83.75 – $188.44 | 22 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $85.93 | $232.25 | $100.00 – $225.00 | 28 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $77.52 | $209.50 | $61.98 – $170.92 | 29 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $454.09 – $1,310.11 | 29 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $70.83 – $729.11 | 29 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $70.43 – $684.13 | 29 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $93.21 – $935.66 | 29 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $185.28 | $500.75 | $46.98 – $129.57 | 29 |
| T cells absolute cd 4 count CPT 86361 | $110.72 | $299.25 | $26.78 – $73.81 | 29 |
| T cells total count CPT 86359 | $68.92 | $186.26 | $37.73 – $84.89 | 29 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $296.21 – $666.47 | 27 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $296.21 – $666.47 | 27 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $296.21 – $666.47 | 27 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,188.10 – $2,331.76 | 7 |
| Telavancin injection HCPCS J3095 | $464.05 | $1,254.20 | $3.61 – $3.61 | 5 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $141.58 – $783.47 | 28 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $78.34 – $783.47 | 28 |
| Temozolomide HCPCS J8700 | $427.46 | $1,155.30 | $16.53 – $16.53 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $29.19 | $78.90 | $7.75 – $7.75 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $1.89 – $334.87 | 29 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $116.48 | $314.80 | $53.80 – $154.94 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $597.30 – $1,219.15 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $626.24 – $1,230.20 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $602.06 – $1,214.42 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $928.77 – $1,855.94 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,570.16 | $20,459.90 | $77.40 – $77.40 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $665.07 – $1,312.26 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $598.56 – $1,203.37 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $653.14 – $1,304.37 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $842.33 – $1,665.77 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $546.45 – $1,087.36 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $328.31 – $624.96 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $268.59 – $531.07 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.71 | $26.25 | $16.53 – $16.53 | 5 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $416.70 | 26 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $16.56 | 29 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.43 – $13.10 | 29 |
| Test for urine cystines CPT 82615 | $18.50 | $50.00 | $8.60 – $22.51 | 29 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $44.93 – $860.02 | 29 |
| Test stress cardiovascular tracing only CPT 93017 | $365.84 | $988.75 | $39.88 – $666.47 | 29 |
| Test urine for lactose CPT 83633 | not published | not published | $5.73 – $25.31 | 29 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.12 – $30.06 | 29 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.39 – $10.06 | 29 |
| Tetanus immune globulin inj HCPCS J1670 | $404.61 | $1,093.55 | $385.23 – $466.00 | 5 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,708.94 | 22 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,345.30 | 22 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $88.36 – $366.75 | 27 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $163.00 – $1,166.20 | 27 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $88.36 – $366.75 | 27 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.82 – $231.20 | 27 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.65 – $935.66 | 29 |
| Theophylline therapeutic drug level CPT 80198 | $60.77 | $164.25 | $14.14 – $39.02 | 29 |
| Therapy activation ipnss CPT 93150 | not published | not published | $87.31 – $196.45 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.29 | $130.50 | $33.55 – $75.49 | 29 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.64 | $72.00 | $29.23 – $65.77 | 29 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $128.71 – $425.27 | 29 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.90 – $267.51 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.19 | $687.00 | $106.35 – $428.48 | 29 |
| Ther/proph/diag inj ia CPT 96373 | $221.54 | $598.75 | $20.23 – $450.92 | 29 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.68 | $31.57 | $16.53 – $16.53 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $967.18 | $2,614.00 | $127.81 – $1,323.23 | 28 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,371.83 – $6,041.28 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $245.04 – $471.09 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,143.50 – $8,038.45 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,809.56 – $3,497.24 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $348.52 – $674.67 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $245.76 – $471.09 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,232.33 – $2,386.20 | 7 |
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.