Supplies, drugs & other prices at Ascension St. John Owasso
Owasso, OK · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $355.57 | $961 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $35.34 | $95.50 | 0.8× |
| Admin influenza virus vac (G0008) | $21.83 | $59 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $21.83 | $59 | 0.5× |
| Catheterize for urine spec (P9612) | $31.08 | $84 | 3.3× |
| Diab manage trn per indiv (G0108) | $40.89 | $110.50 | 0.7× |
| Drug test def 1-7 classes (G0480) | $71.97 | $194.50 | 0.6× |
| Drug test def 15-21 classes (G0482) | $142.17 | $384.25 | 0.7× |
| Drug test def 22+ classes (G0483) | $426.24 | $1,152 | 1.7× |
| Drug test def 8-14 classes (G0481) | $133.39 | $360.50 | 0.9× |
| Elec stim other than wound (G0283) | $32.38 | $87.50 | 2.6× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $19.98 | $54 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $271.77 | $734.50 | 0.4× |
| Mra w/cont, abd (C8900) | $595.98 | $1,610.75 | 1.8× |
| Mra w/cont, chest (C8909) | $595.98 | $1,610.75 | 1.8× |
| Mra w/cont, lwr ext (C8912) | $595.98 | $1,610.75 | 1.8× |
| Mra w/o cont, abd (C8901) | $560.27 | $1,514.25 | 2.4× |
| Mra w/o cont, chest (C8910) | $560.27 | $1,514.25 | 2.4× |
| Mra w/o cont, lwr ext (C8913) | $560.27 | $1,514.25 | 2.4× |
| Mra w/o fol w/cont, abd (C8902) | $980.13 | $2,649 | 2.9× |
| Mra w/o fol w/cont, chest (C8911) | $843.69 | $2,280.25 | 2.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $953.58 | $2,577.25 | 2.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $810.76 | $2,191.25 | 2.4× |
| Mra, w/dye, upper extremity (C8934) | $887.26 | $2,398 | 2.6× |
| Mra, w/o dye, upper extr (C8935) | $696.53 | $1,882.50 | 3.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $555.93 | $1,502.50 | 1.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,085.03 | $2,932.50 | 3.2× |
| Mri w/cont, breast, bi (C8906) | $991.69 | $2,680.25 | 3.0× |
| Mri w/cont, breast, uni (C8903) | $781.26 | $2,111.50 | 4.6× |
| Mri w/o fol w/cont, breast, (C8908) | $991.69 | $2,680.25 | 3.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $781.26 | $2,111.50 | 2.3× |
| Prostate biopsy, any mthd (G0416) | $599.68 | $1,620.75 | 1.7× |
| Tomosynthesis, mammo (G0279) | $34.97 | $94.50 | 2.8× |
| Trim nail(s) (G0127) | $132.92 | $359.25 | 2.3× |
| Tte w or w/o fol w/con,stres (C8928) | $458.06 | $1,238 | 0.6× |
| Tte w or w/o fol w/cont, f/u (C8922) | $941.56 | $2,544.75 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,110.09 | $3,000.25 | 1.5× |