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 |
|---|---|---|---|---|
| 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 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,361.54 – $2,677.39 | 7 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,490.80 – $2,871.50 | 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 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,538.54 – $2,940.93 | 7 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,489.99 – $2,846.24 | 7 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,519.45 – $2,922.78 | 7 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $99.25 | $268.25 | $29.40 – $227.59 | 29 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,495.65 – $3,062.45 | 7 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,581.06 – $2,991.44 | 7 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,615.54 – $3,127.95 | 7 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $33.69 | 29 |
| 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 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,142.92 – $5,894.51 | 7 |
| 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 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,564.09 – $5,301.10 | 7 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,816.70 – $7,455.33 | 7 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $393.32 | 28 |
| 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 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $3,481.12 – $6,674.12 | 7 |
| 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 animal inoculation CPT 87003 | not published | not published | $16.84 – $46.43 | 29 |
| 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 |
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.