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 |
|---|---|---|---|---|
| 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 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $416.70 | 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 agrft morsel add-on CPT 20937 | not published | not published | $189.99 – $350.01 | 7 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $209.93 – $383.16 | 7 |
| 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 pump services CPT 99190 | not published | not published | $122.24 – $561.83 | 6 |
| Special pump services CPT 99191 | not published | not published | $122.24 – $393.63 | 6 |
| Special pump services CPT 99192 | not published | not published | $122.24 – $280.86 | 6 |
| 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 supplies phys/qhp CPT 99070 | not published | not published | $49.30 – $49.30 | 5 |
| 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 evaluation test CPT 89329 | not published | not published | $19.59 – $57.82 | 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 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $164.72 – $666.47 | 28 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $159.01 | $429.75 | $18.02 – $666.47 | 29 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $102.26 – $334.87 | 28 |
| Spleen imaging CPT 78185 | not published | not published | $25.32 – $860.02 | 29 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,245.51 – $2,480.11 | 7 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,836.55 – $4,976.78 | 7 |
| Splicing of ureters CPT 50770 | not published | not published | $1,323.41 – $2,469.06 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $770.73 – $1,506.37 | 7 |
| Split blood or products CPT 86985 | $65.12 | $176.00 | $10.94 – $366.75 | 28 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $148.22 – $284.86 | 7 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $33.54 – $124.10 | 6 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $315.51 – $709.90 | 22 |
| Sputum specimen collection CPT 89220 | not published | not published | $10.55 – $366.75 | 29 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $856.51 – $8,852.17 | 7 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $856.51 – $8,852.17 | 7 |
| Srs cran les complex addl CPT 61799 | not published | not published | $328.65 – $8,852.17 | 7 |
| Srs cran les simple addl CPT 61797 | not published | not published | $237.74 – $8,852.17 | 7 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $394.65 | 23 |
| Srs linear based CPT 77372 | not published | not published | $892.56 – $8,852.17 | 7 |
| Srs multisource CPT 77371 | not published | not published | $1,491.30 – $13,467.00 | 6 |
| Srs spinal lesion CPT 63620 | not published | not published | $856.51 – $8,852.17 | 7 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $273.32 – $8,852.17 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $18.63 – $334.87 | 29 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,055.11 – $2,042.95 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $64.57 | $174.50 | $97.44 – $228.94 | 28 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $96.76 | 29 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $106.28 | $287.25 | $94.64 – $212.94 | 24 |
| Stem cells total count CPT 86367 | not published | not published | $38.03 – $175.00 | 29 |
| Stenger test pure tone CPT 92565 | not published | not published | $13.53 – $127.13 | 29 |
| Stenger test speech CPT 92577 | not published | not published | $15.46 – $1,135.62 | 29 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $840.66 – $1,649.99 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $571.46 – $1,120.51 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $246.72 – $474.24 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,255.23 – $2,341.22 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $804.85 – $1,551.35 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,507.00 – $2,979.61 | 7 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $464.95 – $859.61 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $594.56 – $1,174.95 | 7 |
| St evaluate speech sound production CPT 92522 | $68.64 | $185.50 | $100.67 – $232.78 | 28 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $142.36 | $384.75 | $128.09 – $477.99 | 28 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $134.59 | $363.75 | $83.86 – $188.69 | 29 |
| St evaluation swallow function CPT 92610 | $88.43 | $239.00 | $78.84 – $177.39 | 29 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $507.07 – $969.01 | 7 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $153.00 – $366.75 | 27 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $88.36 – $366.75 | 27 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $88.36 – $366.75 | 27 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $163.00 – $366.75 | 27 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $549.17 – $1,061.33 | 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.