IV push, single drug at Ascension St. John Owasso (Owasso Medical Facility, Inc.). CPT 96374.
What Ascension St. John Owasso (Owasso Medical Facility, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$84.55cash price (self-pay)
$229list price
$59.10–$481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Whole Health | 2659_mcok, Baok, Ohok Aetna Whole Health 20241001 | $59.10 |
| First Health | 2649_baok, Jpok, Mcok, Ohok First Health 20241001 | $61.03 |
| Blue Cross Blue Shield Blue Advantage | 2721_ohok Blue Cross Blue Shie | $113 |
| Blue Cross Blue Shield Choice | 2724_ohok Blue Cross Blue Shield Blue | $113 |
| Blue Cross Blue Shield Lincs | 2729_ohok Blue Cross Blue Shield Blue L | $113 |
| Blue Cross Blue Shield Preferred | 2734_ohok Blue Cross Blue Shield Bl | $113 |
| Blue Cross Blue Shield Traditional | 2739_ohok Blue Cross Blue Shield | $113 |
| Champva | 2690_mcok, Baok, Ohok, Jpok Medicare Advantage Champva Outpa | $200 |
| Community Care - St John Network Senior - Govt | 2683_jpok, Baok, Mcok | $200 |
| Communitycare Senior | 2681_jpok, Baok, Mcok, Ohok Communitycare Outpa | $200 |
| Life Pace | 2702_medicare Advantage Life Pace Outpatient 20250101 | $200 |
| Longevity Health Plan Of Oklahoma | 2697_baok, Jpok, Mcok, Ohok Medica | $200 |
| Misc Medicare Advantage | 2701_mcok, Baok, Ohok, Jpok Medicare Advanta | $200 |
| Va Community Care Network | 1218_veteran Affairs Community Care Networ | $200 |
| Va Optum | 2679_va Optum Health Outpatient 20250101 | $200 |
| Veterans Administration | 2992_veterans Administration 20251001 | $200 |
| Humana Mcr | 2700_mcok, Baok, Ohok, Jpok Medicare Advantage Humana PPO | $202 |
| UHC Cherokee Nation | 2699_baok, Jpok, Mcok, Ohok United Health Cherok | $206 |
| United Health Care Medicare | 2698_baok, Jpok, Mcok, Ohok United Healt | $206 |
| Blue Cross Blue Shield Medicare | 2695_baok, Jpok, Mcok, Ohok Blue Cro | $210 |
| Community Care (Select) 7/1/13 | 2682_jpok, Baok, Mcok, Ohok Community | $240 |
| Smarthealth | 2703_baok, Jpok, Mcok, Ohok Smarthealth Outpatient 20250 | $281 |
| Connect Health Benefit | 2696_baok, Jpok, Mcok, Ohok Connect Health Be | $401 |
| Evolutions | 2677_evolutions And Resource One Administrators Outpatien | $401 |
| Kempton Group Administrators | 2676_baok, Jpok, Mcok, Ohok Kempton Gro | $451 |
| Communitycare (Select) | 2684_jpok, Baok, Mcok, Ohok Communitycare Sta | $461 |
| Community Care Smarthealth | 2680_jpok, Baok, Mcok, Ohok Communitycare | $481 |
Inpatient
—cash price (self-pay)
—list price
$200–$481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 2969_mcok, Baok, Ohok, Jpok Medicare Advantage Champva Inpat | $200 |
| Community Care - St John Network Senior - Govt | 2970_jpok, Baok, Mcok | $200 |
| Communitycare Senior | 2978_jpok, Baok, Mcok, Ohok Communitycare Inpat | $200 |
| Life Pace | 2984_medicare Advantage Life Pace Inpatient 20251001 | $200 |
| Longevity Health Plan Of Oklahoma | 2985_baok, Jpok, Mcok, Ohok Medica | $200 |
| Misc Medicare Advantage | 2987_mcok, Baok, Ohok, Jpok Medicare Advanta | $200 |
| Va Community Care Network | 2964_veteran Affairs Community Care Networ | $200 |
| Va Optum | 2963_va Optum Health Inpatient 20251001 | $200 |
| Humana Mcr | 2982_mcok, Baok, Ohok, Jpok Medicare Advantage Humana PPO | $202 |
| UHC Cherokee Nation | 2990_baok, Jpok, Mcok, Ohok United Health Cherok | $206 |
| United Health Care Medicare | 2991_baok, Jpok, Mcok, Ohok United Healt | $206 |
| Blue Cross Blue Shield Medicare | 2965_baok, Jpok, Mcok, Ohok Blue Cro | $210 |
| Communitycare (Standard) | 711_communitycare Standard Inpatient 201801 | $220 |
| Community Care (Select) 7/1/13 | 2971_jpok, Baok, Mcok, Ohok Community | $240 |
| Ccl&H | 2968_baok, Jpok, Ohok, Mcok Community Care Life And Health Inp | $261 |
| Smarthealth | 2988_baok, Jpok, Mcok, Ohok Smarthealth Inpatient 202510 | $281 |
| Community Care Smarthealth | 2973_jpok, Baok, Mcok, Ohok Communitycare | $301 |
| Communitycare (Select) | 2975_jpok, Baok, Mcok, Ohok Communitycare Sta | $301 |
| Connect Health Benefit | 2980_baok, Jpok, Mcok, Ohok Connect Health Be | $401 |
| Evolutions | 2981_evolutions And Resource One Administrators Inpatient | $401 |
| Kempton Group Administrators | 2983_baok, Jpok, Mcok, Ohok Kempton Gro | $451 |
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All common services at Ascension St. John Owasso (Owasso Medical Facility, Inc.)