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St John Owasso

12451 East 100Th Street North, Owasso, OK 74055 · (918) 274-5100

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5Tulsa, OK metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

64,768 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 32 lines · metro median $32

$32
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 16 lines · metro median $1,188

$1,188
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 48 lines · metro median $892

$892
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 16 lines · metro median $971

$971
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Chlamydia test (DNA)

CPT 87491 · lowest of 192 lines · metro median $42

$42
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 16 lines · metro median $45

$45
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 32 lines · metro median $41

$41
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 16 lines · metro median $209

$209
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Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 32 lines · metro median $264

$264
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Gonorrhea test (DNA)

CPT 87591 · lowest of 192 lines · metro median $42

$42
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 64 lines · metro median $28

$28
cash
Liver function panel

CPT 80076 · lowest of 32 lines · metro median $44

$44
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 16 lines · metro median $1,279

$1,279
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 160 lines · metro median $977

$977
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 48 lines · metro median $925

$925
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 80 lines · metro median $963

$963
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Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 48 lines · metro median $643

$643
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 48 lines · metro median $165

$165
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 64 lines · metro median $127

$228
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 48 lines · metro median $161

$278
cash
PSA test (prostate)

CPT 84153 · lowest of 32 lines · metro median $77

$77
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 16 lines · metro median $22

$22
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 160 lines · metro median $33

$33
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 16 lines · metro median $566

$566
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Prostate biopsy

CPT 55700 · lowest of 16 lines · metro median $2,412

$2,412
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 64 lines · metro median $12

$12
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Screening mammogram (both breasts)

CPT 77067 · lowest of 48 lines · metro median $141

$141
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Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 16 lines · metro median $520

$520
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 32 lines · metro median $661

$661
cash
TSH test (thyroid)

CPT 84443 · lowest of 128 lines · metro median $22

$22
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 16 lines · metro median $379

$379
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 16 lines · metro median $527

$527
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Urinalysis with microscope

CPT 81001 · lowest of 16 lines · metro median $33

$33
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 16 lines · metro median $227

$227
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.