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 |
|---|---|---|---|---|
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $157.94 – $2,006.62 | 29 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $716.16 – $1,359.60 | 7 |
| Urea nitrogen CPT 84520 | $20.44 | $55.25 | $3.95 – $10.90 | 29 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.47 | $87.75 | $4.95 – $13.11 | 29 |
| Urea nitrogen clearance CPT 84545 | $47.73 | $129.00 | $7.04 – $18.21 | 29 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.91 – $11.54 | 29 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $227.69 – $456.51 | 6 |
| Ureteral reflux study CPT 78740 | not published | not published | $36.38 – $860.02 | 29 |
| Ureter endoscopy CPT 50970 | not published | not published | $420.34 – $796.19 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $399.76 – $782.77 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $536.97 – $1,016.35 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $406.18 – $770.16 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $402.47 – $761.48 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $359.70 – $681.77 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $529.50 – $1,002.15 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $403.83 – $764.63 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,247.82 – $2,372.00 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,266.90 – $2,422.51 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $257.15 | $695.00 | $21.24 – $517.34 | 28 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $839.60 – $1,610.53 | 7 |
| Urethrocystography void s&i CPT 74455 | $269.36 | $728.00 | $21.24 – $517.34 | 29 |
| Uric acid blood CPT 84550 | $25.25 | $68.25 | $4.52 – $12.46 | 29 |
| Uric acid urine CPT 84560 | $23.59 | $63.75 | $4.95 – $13.11 | 29 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.57 – $10.58 | 29 |
| Urinalysis microscopic only CPT 81015 | $22.57 | $61.00 | $3.05 – $8.38 | 29 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $5.98 | 29 |
| Urinalysis (with microscopy) CPT 81001 | $33.02 | $89.25 | $3.17 – $8.72 | 29 |
| Urinalysis (without microscopy) CPT 81003 | $21.46 | $58.00 | $2.25 – $6.21 | 29 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $10.81 – $136.52 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $56.50 – $158.81 | 29 |
| Urine Culture Test CPT 87086 | $47.82 | $129.25 | $8.07 – $22.27 | 29 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $7.20 – $275.87 | 29 |
| Urine pregnancy test CPT 81025 | $27.01 | $73.00 | $6.78 – $19.37 | 29 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.61 – $67.45 | 29 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,381.37 – $2,615.83 | 7 |
| Urography, antegrade CPT 74425 | $297.67 | $804.50 | $23.05 – $764.35 | 29 |
| Urography inf drip &/or bolus CPT 74410 | $292.12 | $789.50 | $31.13 – $381.01 | 29 |
| Use 1st target lesion CPT 76982 | $114.33 | $309.00 | $72.19 – $227.59 | 23 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $133.50 | $360.80 | $17.57 – $18.82 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $51.45 | $139.05 | $22.15 – $35.20 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $128.52 | $347.35 | $75.19 – $119.86 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $67.15 – $81.22 | 5 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $72.91 – $136.46 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $23.34 – $38.72 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $50.17 | $135.60 | $22.83 – $44.61 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $45.55 – $97.31 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $166.00 | $448.65 | $86.54 – $157.75 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $23.94 – $48.93 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $130.90 – $130.90 | 5 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $50.44 – $90.22 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $88.52 | $239.25 | $51.79 – $80.13 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $35.61 | $96.25 | $26.64 – $36.33 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $143.59 – $240.48 | 6 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $35.32 – $42.72 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.51 – $18.07 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $12.54 – $16.02 | 6 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.69 – $22.61 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $25.77 – $31.17 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $37.06 | $100.15 | $19.95 – $24.14 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.29 – $33.02 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $22.93 – $27.73 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $5.68 – $9.03 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $160.73 | $434.40 | $114.68 – $192.90 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $115.29 | $311.60 | $51.74 – $95.36 | 6 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $141.78 – $264.44 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $150.79 | $407.55 | $41.37 – $116.76 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $270.03 | $729.80 | $190.92 – $364.90 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $54.70 | $147.85 | $30.48 – $46.71 | 6 |
| Vaccine rabies im CPT 90675 | $595.40 | $1,609.20 | $154.89 – $714.76 | 28 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $150.46 – $182.01 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $76.54 – $128.38 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $61.66 | $166.65 | $37.03 – $63.57 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $53.22 | $143.85 | $20.04 – $31.83 | 6 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $43.61 – $80.66 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $89.79 – $160.77 | 6 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $59.49 – $211.70 | 6 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 22 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $122.99 | $332.40 | $82.62 – $82.62 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,093.52 – $2,169.21 | 7 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,374.34 – $2,733.40 | 7 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,018.61 – $2,019.29 | 7 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,449.61 – $2,882.55 | 7 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,344.54 – $2,673.44 | 7 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $974.87 – $1,929.33 | 7 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,509.04 – $2,998.54 | 7 |
| Vaginal bx CPT 58999 | not published | not published | $191.36 – $4,981.83 | 27 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,005.20 – $2,001.92 | 7 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,004.50 – $4,444.53 | 7 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $912.10 – $1,810.17 | 7 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,849.63 – $3,607.72 | 7 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,800.25 – $3,520.12 | 7 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $988.30 – $1,964.04 | 7 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $128.04 – $241.46 | 7 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,289.37 – $2,582.70 | 7 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,277.94 – $2,536.14 | 7 |
| Valproic acid total therapeutic drug level CPT 80164 | $53.00 | $143.25 | $13.54 – $37.37 | 29 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,491.31 – $2,868.34 | 7 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,162.88 – $3,731.61 | 5 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,563.00 – $4,421.70 | 5 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,539.36 – $2,967.76 | 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.