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 |
|---|---|---|---|---|
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $245.60 – $455.31 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $173.52 – $318.00 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $344.42 – $682.57 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $346.62 – $675.47 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $442.76 – $884.56 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $268.70 – $546.05 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $141.22 – $318.79 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $386.33 – $781.21 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $976.30 – $1,908.81 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $248.35 – $474.24 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,456.14 | $3,935.50 | $740.17 – $1,457.44 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $919.78 – $1,795.98 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $791.89 – $1,552.93 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $714.14 – $1,410.90 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $536.33 – $1,084.99 | 7 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $1,441.64 | 22 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,179.66 – $2,180.25 | 7 |
| Troponin quantitative CPT 84484 | $119.05 | $321.75 | $10.42 – $28.06 | 29 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $521.84 – $2,492.74 | 29 |
| Tte w or without fol w/con,stres HCPCS C8928 | $458.06 | $1,238.00 | $332.68 – $413.48 | 5 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $941.56 | $2,544.75 | $1,156.29 – $1,156.29 | 5 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $400.77 – $798.56 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $114.81 | $310.30 | $91.37 – $91.37 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $1,120.18 | $3,027.50 | $92.23 – $92.23 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $84.57 – $935.66 | 29 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,273.33 – $2,512.46 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,160.06 – $2,310.46 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $1,273.90 – $11,285.00 | 7 |
| Tx closed distal humerus fx CPT 24999 | $135.14 | $365.25 | $182.63 – $1,744.84 | 28 |
| Tx closed hip disl traumatic without anes CPT 27250 | $294.34 | $795.50 | $205.25 – $513.40 | 29 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $622.14 – $1,231.76 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $256.97 | $694.50 | $228.18 – $678.62 | 29 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $128.04 – $1,310.11 | 29 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $79.75 – $1,310.11 | 29 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,041.03 – $1,832.27 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $985.51 – $1,983.77 | 7 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $482.10 – $11,285.00 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,679.52 | $4,539.25 | $752.58 – $1,576.60 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,930.49 | $7,920.25 | $495.49 – $1,066.06 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,238.80 | $8,753.50 | $541.93 – $1,162.34 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $490.47 – $1,004.52 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $678.04 – $1,391.95 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,391.29 | $3,760.25 | $611.43 – $1,269.64 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $486.31 – $946.91 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $376.11 | $1,016.50 | $195.31 – $513.40 | 29 |
| Tympanic membrane repair CPT 69610 | not published | not published | $321.59 – $634.42 | 7 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $574.77 – $1,187.58 | 7 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $23.26 – $334.87 | 28 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $140.19 – $1,089.92 | 29 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,484.50 – $2,997.76 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,315.55 – $2,664.76 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $393.32 | 28 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $35.00 – $65.03 | 6 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $434.81 | 23 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.39 – $9.04 | 29 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $222.77 – $526.50 | 28 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $67.19 – $227.59 | 27 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $3.44 – $227.59 | 29 |
| Ultrasound breast complete CPT 76641 | $695.23 | $1,879.00 | $72.22 – $227.59 | 28 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $695.23 | $1,879.00 | $55.33 – $188.44 | 28 |
| Ultrasound chest CPT 76604 | $263.90 | $713.25 | $34.35 – $227.59 | 29 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $340.03 | $919.00 | $23.00 – $227.59 | 29 |
| Ultrasound dx ophth b-scan CPT 76512 | $256.50 | $693.25 | $40.25 – $227.59 | 29 |
| Ultrasound elastography ea l target les CPT 76983 | $114.33 | $309.00 | $38.73 – $38.73 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $114.33 | $309.00 | $80.21 – $227.59 | 23 |
| Ultrasound encephalogram CPT 76506 | $226.26 | $611.50 | $40.47 – $261.19 | 29 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $24.13 – $203.52 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $398.49 | $1,077.00 | $47.67 – $318.79 | 29 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $294.06 | $794.75 | $47.35 – $227.59 | 29 |
| Ultrasound guidance for vascular access CPT 76937 | $155.49 | $420.25 | $17.24 – $73.24 | 7 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $289.99 | $783.75 | $28.39 – $411.69 | 7 |
| Ultrasound guide intraoperative CPT 76998 | $193.42 | $522.75 | $75.63 – $134.91 | 6 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $72.39 – $218.94 | 6 |
| Ultrasound hips infant dynamic CPT 76885 | $175.75 | $475.00 | $46.34 – $310.12 | 29 |
| Ultrasound infant hips ltd without stress CPT 76886 | $93.80 | $253.50 | $38.32 – $220.16 | 29 |
| Ultrasound joint complete left CPT 76881 | $205.63 | $555.75 | $88.38 – $254.09 | 28 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $154.75 | $418.25 | $11.51 – $227.59 | 28 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $101.15 – $227.59 | 22 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $192.22 | $519.50 | $44.19 – $201.21 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $125.34 | $338.75 | $22.63 – $138.77 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $479.89 | $1,297.00 | $87.32 – $517.34 | 29 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $446.22 | $1,206.00 | $52.19 – $243.63 | 29 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $350.02 | $946.00 | $40.13 – $227.59 | 29 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $272.04 | $735.25 | $46.01 – $227.59 | 29 |
| Ultrasound prostate/transrectal CPT 76872 | $295.45 | $798.50 | $44.69 – $227.59 | 29 |
| Ultrasound retroperitoneal limited CPT 76775 | $277.13 | $749.00 | $30.19 – $227.59 | 29 |
| Ultrasound scrotum and contents CPT 76870 | $299.15 | $808.50 | $36.65 – $258.82 | 29 |
| Ultrasound spinal canal and contents CPT 76800 | $175.01 | $473.00 | $60.01 – $276.97 | 29 |
| Ultrasound transabd ea addl gest CPT 76812 | $137.55 | $371.75 | $108.53 – $361.26 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $378.88 | $1,024.00 | $42.80 – $227.59 | 29 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $169.34 – $402.07 | 26 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $178.96 – $293.19 | 4 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.23 – $57.83 | 29 |
| Umbilical artery cath newborn 36660 CPT 36660 | $293.78 | $794.00 | $82.11 – $160.18 | 7 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $289.35 – $1,136.29 | 29 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $518.35 – $1,806.12 | 6 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.30 – $248.08 | 27 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.30 – $376.64 | 27 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $43.89 – $123.99 | 27 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $220.89 – $3,231.89 | 28 |
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.