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 |
|---|---|---|---|---|
| Strapping of ankle and/or ft 29540 CPT 29540 | $89.36 | $241.50 | $20.58 – $337.70 | 29 |
| Strapping of chest CPT 29200 | $111.37 | $301.00 | $20.57 – $337.70 | 29 |
| Strapping of elbow or wrist 29260 CPT 29260 | $176.31 | $476.50 | $22.02 – $127.13 | 29 |
| Strapping of hand or finger CPT 29280 | $153.74 | $415.50 | $22.02 – $127.13 | 29 |
| Strapping of hip CPT 29520 | $114.33 | $309.00 | $20.93 – $275.87 | 29 |
| Strapping of knee CPT 29530 | $93.52 | $252.75 | $20.57 – $275.87 | 29 |
| Strapping of toes 29550 CPT 29550 | $78.90 | $213.25 | $13.08 – $127.13 | 29 |
| Strep a ag ia CPT 87430 | not published | not published | $12.77 – $37.82 | 29 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $55.30 | 29 |
| Strep a dna quant CPT 87652 | not published | not published | $19.90 – $93.96 | 29 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $33.08 | 29 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $96.76 | 29 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.73 – $30.45 | 29 |
| Streptomycin injection HCPCS J3000 | $26.21 | $70.85 | $16.53 – $16.53 | 5 |
| Streptozocin injection HCPCS J9320 | $459.11 | $1,240.85 | $154.94 – $154.94 | 5 |
| Stress test pulmonary CPT 94618 | $135.61 | $366.50 | $19.03 – $275.87 | 26 |
| Stress tte complete CPT 93351 | not published | not published | $120.48 – $1,173.49 | 29 |
| Str markers spec anal addl CPT 81266 | not published | not published | $62.01 – $685.82 | 28 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $588.52 | 28 |
| St treatment speech individual CPT 92507 | $66.05 | $178.50 | $32.14 – $160.58 | 29 |
| St treatment swallow dysfunction/oral CPT 92526 | $87.32 | $236.00 | $33.55 – $176.47 | 29 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $122.94 – $1,482.16 | 29 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $444.77 – $472.11 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $57.09 – $425.27 | 29 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $104.95 – $1,310.11 | 29 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $138.96 – $150.22 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $134.17 – $144.44 | 2 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $131.65 – $250.93 | 7 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $762.56 – $1,511.90 | 7 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $728.20 – $1,475.61 | 7 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $677.59 – $1,362.75 | 7 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $943.30 – $1,873.30 | 7 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,534.02 – $3,063.25 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $61.83 | $167.10 | $7.21 – $7.21 | 5 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $880.60 – $1,094.46 | 5 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,570.80 – $1,952.28 | 5 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,442.20 – $5,521.02 | 5 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $880.60 – $1,094.46 | 5 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $31.77 | 29 |
| Sugars single quant CPT 84378 | $92.91 | $251.10 | $11.53 – $31.77 | 29 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,227.25 | $11,425.00 | $3.61 – $3.61 | 5 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $3.53 – $98.75 | 24 |
| Supprelin la implant HCPCS J9226 | $25,852.66 | $69,872.05 | $5,365.50 – $5,365.50 | 5 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $85.24 – $146.22 | 6 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $73.85 – $127.23 | 6 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $120.08 – $231.21 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $884.13 – $1,728.12 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $886.93 – $1,729.68 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $475.07 – $905.08 | 7 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,222.28 – $2,474.59 | 7 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $716.55 – $1,410.90 | 7 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $805.18 – $1,563.18 | 7 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,017.65 – $1,869.35 | 7 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $733.23 – $1,430.63 | 7 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $985.95 – $1,873.30 | 7 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,502.14 – $2,864.41 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,204.20 – $2,323.87 | 7 |
| Surgical opening of stomach CPT 43510 | not published | not published | $891.83 – $2,006.62 | 29 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $850.58 – $1,691.80 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $805.35 – $1,643.67 | 7 |
| Surgical pathology level 1 gross examination only CPT 88300 | $23.31 | $63.00 | $5.24 – $52.43 | 29 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $48.56 | $131.25 | $7.98 – $84.02 | 29 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $50.14 | $135.50 | $13.40 – $114.34 | 29 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $68.45 | $185.00 | $29.83 – $114.34 | 29 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $160.30 | $433.25 | $97.83 – $769.88 | 29 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $208.22 | $562.75 | $152.05 – $1,748.36 | 29 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,467.01 – $2,896.75 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,662.19 – $3,276.30 | 7 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,165.74 – $2,304.14 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $408.56 – $894.83 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | $20.72 | $56.00 | $1.84 – $10.69 | 29 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $13.97 | $37.75 | $1.84 – $10.69 | 29 |
| Susceptibility mic per plate CPT 87186 | $163.98 | $443.20 | $8.65 – $23.83 | 29 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $18.29 | 29 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,128.97 – $2,211.82 | 7 |
| Suspension of testis CPT 54620 | not published | not published | $336.60 – $639.95 | 7 |
| Suspension of uterus CPT 58410 | not published | not published | $891.45 – $1,760.46 | 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 lumbar CPT 64818 | not published | not published | $645.88 – $1,395.90 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $837.88 – $1,698.12 | 7 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $965.84 – $1,588.45 | 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 |
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.