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 |
|---|---|---|---|---|
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $148.46 | $401.25 | $46.72 – $227.59 | 28 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $232.18 | $627.50 | $10.66 – $188.44 | 29 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $200.91 | $543.00 | $7.98 – $188.44 | 29 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $321.62 | $869.25 | $43.60 – $381.01 | 29 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $299.98 | $810.75 | $43.60 – $381.01 | 29 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $43.20 – $250.93 | 7 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $57.39 – $372.45 | 7 |
| X-ray wrist 2 views (both sides) CPT 73100 | $246.42 | $666.00 | $10.19 – $188.44 | 29 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $23.05 – $381.01 | 29 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $95.22 – $248.08 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.51 – $32.67 | 29 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $36.36 | 29 |
| Ziconotide injection HCPCS J2278 | $2,571.72 | $6,950.60 | $6.78 – $7.21 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $54.54 | $147.40 | $1.54 – $1.54 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $115.45 | 23 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $37.91 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $30.75 | $83.10 | $16.53 – $16.53 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $36.26 | $98.00 | $16.53 – $16.53 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $161.60 – $253.51 | 6 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $434.81 | 23 |
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.