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 |
|---|---|---|---|---|
| Biopsy of toe joint lining CPT 28054 | not published | not published | $265.98 – $511.33 | 7 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $123.47 – $248.56 | 7 |
| Biopsy of urethra CPT 53200 | $2,396.58 | $6,477.25 | $160.69 – $304.59 | 7 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $366.57 – $735.43 | 7 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $163.00 – $2,944.40 | 27 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $163.00 – $2,468.40 | 27 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $459.94 – $937.44 | 7 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $507.18 – $1,003.72 | 7 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,141.82 | $3,086.00 | $146.35 – $311.69 | 7 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $117.99 – $239.88 | 7 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $582.27 – $1,310.11 | 22 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $916.68 | $2,477.50 | $172.77 – $339.32 | 7 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $412.36 – $841.95 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $119.40 – $1,089.92 | 29 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $138.25 – $271.44 | 7 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $112.26 – $1,089.92 | 29 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $459.61 – $894.05 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $414.60 – $827.75 | 7 |
| Biospy of bladder CPT 53899 | $1,523.29 | $4,117.00 | $231.35 – $3,579.03 | 28 |
| Biotinidase - quest CPT 82261 | $78.26 | $211.50 | $16.87 – $46.50 | 29 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $125.39 – $334.87 | 28 |
| Bivalirudin HCPCS J0583 | $634.79 | $1,715.65 | $7.21 – $7.21 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $188.15 | $508.50 | $40.29 – $520.54 | 29 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $145.33 – $935.66 | 29 |
| Bld prd mix CPT 86965 | $61.98 | $167.50 | $13.55 – $366.75 | 28 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $61.46 – $935.66 | 29 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $176.86 | $478.00 | $39.23 – $39.23 | 5 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $513.70 – $1,132.34 | 7 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $392.51 – $854.58 | 7 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $588.21 – $1,204.15 | 7 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $545.88 – $1,195.47 | 7 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $211.38 | $571.30 | $120.52 – $145.78 | 5 |
| Blink reflex test CPT 95933 | $95.74 | $258.75 | $36.44 – $189.38 | 29 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $162.55 | 28 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,644.28 | $4,444.00 | $89.99 – $1,905.43 | 29 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $81.22 – $1,905.43 | 29 |
| Block paracervical nrv CPT 64435 | not published | not published | $92.60 – $1,482.16 | 29 |
| Block plantar digital nerve CPT 64455 | not published | not published | $39.58 – $631.78 | 29 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $83.97 – $310.90 | 6 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $70.52 – $252.51 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $29.60 | $80.00 | $4.17 – $10.83 | 29 |
| Blood Clotting (PTT) Test CPT 85730 | $22.11 | $59.75 | $6.01 – $16.56 | 29 |
| Blood Count (CBC) Test CPT 85025 | $45.33 | $122.50 | $7.77 – $17.48 | 29 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $29.60 | $80.00 | $6.47 – $17.83 | 29 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $2.61 – $15.75 | 29 |
| Blood Culture Test CPT 87040 | $61.70 | $166.75 | $10.32 – $28.46 | 29 |
| Blood draw capillary 36416 CPT 36416 | $7.68 | $20.75 | $5.17 – $6.89 | 6 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $29.97 – $177.23 | 29 |
| Blood gases ph venous CPT 82800 | $32.93 | $89.00 | $8.86 – $24.75 | 29 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $58.28 | $157.50 | $15.92 – $43.84 | 29 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $20.17 | $54.50 | $3.39 – $9.52 | 29 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $3.39 – $9.86 | 29 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.98 | $67.50 | $3.39 – $11.97 | 29 |
| Blood smear interpretation CPT 85060 | not published | not published | $18.09 – $51.65 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $32.47 | $87.75 | $3.65 – $9.49 | 29 |
| Blood typing abo CPT 86900 | $37.56 | $101.50 | $3.13 – $275.87 | 29 |
| Blood typing ag donor ea ag CPT 86902 | $64.29 | $173.75 | $5.96 – $769.88 | 28 |
| Blood typing patient serum CPT 86904 | not published | not published | $9.90 – $127.13 | 29 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $37.56 | $101.50 | $3.91 – $769.88 | 29 |
| Blood typing rh (d) CPT 86901 | $35.98 | $97.25 | $3.13 – $84.02 | 29 |
| Blood typing rh phenotype complete reference CPT 86906 | $42.09 | $113.75 | $8.08 – $84.02 | 29 |
| Blood volume CPT 78122 | not published | not published | $28.46 – $1,152.02 | 29 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $171.26 – $478.19 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $109.34 | $295.50 | $12.46 – $227.59 | 29 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $52.05 – $860.02 | 29 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $39.12 – $860.02 | 29 |
| Bone marrow;aspiration only 38220 CPT 38220 | $817.05 | $2,208.25 | $69.25 – $130.20 | 7 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $593.30 | $1,603.50 | $83.90 – $161.77 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $222.98 – $445.84 | 7 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $220.14 – $445.84 | 6 |
| Bone marrow imaging body CPT 78104 | not published | not published | $50.75 – $860.02 | 29 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $34.74 – $860.02 | 29 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $47.21 – $860.02 | 29 |
| Bone marrow interpretation CPT 85097 | not published | not published | $37.66 – $1,748.36 | 29 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,794.49 – $6,124.12 | 7 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,717.81 – $4,809.50 | 7 |
| Bone survey-lead poisoning CPT 77074 | $240.22 | $649.25 | $28.46 – $227.59 | 29 |
| Boot mlti podous univ xlg HCPCS L4396 | $129.59 | $350.25 | $282.66 – $282.66 | 1 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $36.89 | 29 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $64.75 | $175.00 | $17.03 – $46.95 | 29 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $78.95 | 22 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $103.66 | $280.15 | $37.24 – $154.94 | 6 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $9.49 | 29 |
| Bowel imaging CPT 78290 | not published | not published | $43.13 – $860.02 | 29 |
| Brace ank air stirrup univ HCPCS L4350 | $56.65 | $153.10 | $143.99 – $143.99 | 1 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,975.62 | $5,339.50 | $1,674.82 – $1,674.82 | 1 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $803.67 – $1,704.43 | 7 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $267.61 – $531.07 | 7 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $309.88 – $603.66 | 7 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $368.82 – $722.81 | 7 |
| Brach/thor cath addl CPT 36218 | not published | not published | $59.24 – $115.21 | 7 |
| Brachytx isodose complex CPT 77318 | not published | not published | $208.78 – $783.47 | 28 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $153.79 – $783.47 | 28 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $118.22 – $783.47 | 28 |
| Braf gene CPT 81210 | $407.56 | $1,101.50 | $62.01 – $394.65 | 28 |
| Brain biopsy w/ct/mr guide CPT 61751 | $946.37 | $2,557.75 | $1,464.74 – $2,913.32 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,259.72 – $2,550.34 | 7 |
| Brain flow imaging only CPT 78610 | not published | not published | $19.54 – $1,152.02 | 29 |
| Brain image < 4 views CPT 78600 | not published | not published | $27.99 – $860.02 | 29 |
| Brain image 4+ views CPT 78605 | not published | not published | $33.81 – $1,152.02 | 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.