healthcosts.net

Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)

3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
11-desoxycortisol - sendout CPT 82634 not published not published $29.28 – $111.67 29
17-hydroxypregnenolone CPT 84143 not published not published $22.81 – $111.67 29
17-ketosteroids CPT 83586 not published not published $12.80 – $85.28 29
1st hosp/birthing center care per day nml nb 99460 CPT 99460 not published not published $69.88 – $295.40 24
1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 not published not published $1,079.77 – $1,099.63 2
24 hr ambulatory b/p monitor CPT 93786 not published not published $30.19 – $295.47 29
2nd order venous cath CPT 36012 $492.10 $1,330.00 $198.68 – $384.56 7
3-d radiotherapy plan CPT 77295 $1,942.50 $5,250.00 $274.16 – $1,384.03 7
3d recon without postprocess indpndt CPT 76376 $67.25 $181.75 $13.15 – $104.76 7
5' nucleotidase - sendout CPT 83915 $38.94 $105.25 $11.15 – $27.14 29
88334 ap bill cytologic exam each additional site CPT 88334 $36.45 $98.50 $19.77 – $113.79 7
99381 initial comp preventive med less than 1 year new CPT 99381 not published not published $73.60 – $130.26 7
99382 initial comp preventive med 1 to 4 years new CPT 99382 not published not published $83.97 – $137.70 7
99383 initial comp preventive med 5 to 11 years new CPT 99383 not published not published $83.97 – $146.38 7
99391 periodic comp preventive med less than 1 year est CPT 99391 not published not published $62.95 – $118.47 7
99392 periodic comp preventive med 1 to 4 years est CPT 99392 not published not published $73.60 – $130.26 7
99393 periodic comp preventive med 5 to 11 years est CPT 99393 not published not published $73.60 – $130.26 7
99394 periodic comp preventive med 12 to 17 years est CPT 99394 not published not published $83.97 – $146.38 7
99397 periodic comp preventive med 65+ years est CPT 99397 not published not published $105.85 – $173.06 7
Aa graft w/bp/aortic root replace 33863 CPT 33863 not published not published $3,580.73 – $6,842.33 7
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 $59.44 $160.65 $21.29 – $39.78 5
#a/b/c/c/h pnl-candida albicans ab CPT 86628 $75.85 $205.00 $12.01 – $56.64 29
Abciximab injection HCPCS J0130 $1,084.06 $2,929.90 $698.36 – $1,160.64 5
Abd aorta w/runoff s&i CPT 75630 $2,149.24 $5,808.75 $83.00 – $542.92 7
Abd exp/postop hem/throm/infec 35840 CPT 35840 not published not published $749.91 – $2,568.61 7
Abd/low ext cath 1st CPT 36245 $1,903.10 $5,143.50 $273.71 – $524.17 7
Abd/low ext cath 2nd CPT 36246 $1,938.43 $5,239.00 $292.85 – $582.67 7
Abd/low ext cath 3rd CPT 36247 $1,903.10 $5,143.50 $348.48 – $696.57 7
Abd/low ext cath addl CPT 36248 $502.28 $1,357.50 $56.31 – $110.77 7
Abdominal CT scan (with and without contrast) CPT 74170 $1,093.17 $2,954.50 $88.13 – $653.65 29
Abdominal CT scan (with contrast) CPT 74160 $1,019.81 $2,756.25 $80.44 – $568.63 29
Abdominal CT scan (without contrast) CPT 74150 $954.97 $2,581.00 $74.80 – $365.83 29
Abdominal MRI (with and without contrast) CPT 74183 $1,188.35 $3,211.75 $141.98 – $1,177.84 29
Abdominal MRI (with contrast) CPT 74182 $954.14 $2,578.75 $108.97 – $1,054.58 29
Abdominal MRI (without contrast) CPT 74181 $979.02 $2,646.00 $91.74 – $765.98 29
Abdominal paracentesis w/image guidance CPT 49083 $1,165.69 $3,150.50 $122.92 – $2,149.09 28
Abdominal Ultrasound (complete) CPT 76700 $526.79 $1,423.75 $50.71 – $289.39 29
Abdominal Ultrasound (limited) CPT 76705 $362.60 $980.00 $37.31 – $243.74 29
Abdominoplasty 15830 CPT 15830 not published not published $1,282.24 – $2,491.39 7
Abd paracentesis/w/o image guide 49082 CPT 49082 $881.16 $2,381.50 $83.32 – $2,149.09 28
Abl1 gene CPT 81170 $328.67 $888.30 $300.00 – $675.00 28
Ablate arrhythmia add on CPT 93655 $16,109.25 $43,538.50 $483.18 – $11,285.00 7
Ablate atria lmtd endo 33265 CPT 33265 not published not published $1,532.67 – $2,941.46 7
Ablate atria w/bypass exten 33256 CPT 33256 not published not published $2,199.49 – $4,233.16 7
Ablate atria x10sv add-on 33258 CPT 33258 not published not published $735.84 – $767.79 2
Ablate atria x10sv endo 33266 CPT 33266 not published not published $2,088.94 – $4,016.32 7
Ablate bone tumor(s) cryo perq 20983 CPT 20983 $7,143.04 $19,305.50 $417.74 – $11,709.15 5
Ablate bone tumor(s) perq CPT 20982 $6,487.77 $17,534.50 $417.29 – $808.88 7
Ablate heart dysrhythm focus CPT 93650 $3,877.79 $10,480.50 $669.25 – $11,285.00 8
Ablate inf turbinate submuc 30802 CPT 30802 not published not published $199.66 – $406.38 7
Ablate inf turbinate superf 30801 CPT 30801 not published not published $137.59 – $256.45 7
Ablate pulm tumor perq rf CPT 32998 $6,899.39 $18,647.00 $321.92 – $620.90 7
Ablation cardiac vagal inputs atrium CPT 93799 $5,454.73 $14,742.50 $143.76 – $358.63 28
Ablation cryo abd perit om CPT 49999 $2,576.13 $6,962.50 $955.15 – $3,481.25 28
Ablation cryo adrenal tumor CPT 60699 $2,897.47 $7,831.00 $3,915.50 – $6,685.55 6
Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 not published not published $244.38 – $6,090.54 27
Ablation cryo pq liver tumor(s) CPT 47383 $5,790.50 $15,650.00 $516.06 – $12,901.62 5
Ablation cryo retro lymph node CPT 38999 not published not published $306.38 – $6,685.55 28
Ablation cryo thigh/knee CPT 27599 not published not published $244.38 – $6,090.54 27
Ablation of upper extremity nerves rf CPT 64999 not published not published $300.73 – $2,412.26 28
Abortion CPT 59850 not published not published $424.31 – $741.80 7
Abortion (mpr) CPT 59866 not published not published $242.86 – $697.27 29
Abrasion lesions add-on CPT 15787 not published not published $19.20 – $38.22 7
Abrasion lesion single CPT 15786 not published not published $150.65 – $455.47 29
Abscess drain retroperitoneal surg code CPT 49406 $864.04 $2,335.25 $226.78 – $443.83 6
Access thoracic lymph duct CPT 38794 not published not published $333.63 – $628.69 7
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 $23.24 $62.80 $0.20 – $1.98 5
Acetaminophen level CPT 80143 not published not published $18.64 – $41.94 23
Acetazolamide 500 mg solution for injection HCPCS J1120 $50.27 $135.86 $40.74 – $43.86 5
Acetone qualitative CPT 82009 $40.15 $108.50 $4.52 – $60.18 29
Acetylcholine receptor modulating antibody CPT 86043 not published not published $12.05 – $27.11 22
Acetylcholinesterase assay CPT 82013 not published not published $11.73 – $108.04 29
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $320.66 $866.65 $4.17 – $9.29 5
Acid perfusion of esophagus CPT 91030 not published not published $60.58 – $1,216.24 29
Acne surgery 10040 CPT 10040 not published not published $95.13 – $455.47 29
Aco ccm; at least 20 min 99490aco CPT 99490 $68.54 $185.25 $35.65 – $212.02 28
Aco cmplx chron care addl 20 min 99489aco CPT 99489 not published not published $29.01 – $68.23 6
Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 $86.03 $232.50 $57.66 – $368.28 28
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $148.56 $401.50 $108.04 – $295.40 29
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $37.00 $100.00 $15.55 – $34.99 29
Acoustic immitance testing CPT 92570 not published not published $33.20 – $358.63 28
Acoustic refl threshold tst CPT 92568 not published not published $17.22 – $89.98 29
Acromp/acromionectomy prtl CPT 23130 not published not published $653.02 – $1,283.14 7
Actigraphy testing CPT 95803 not published not published $60.51 – $269.38 28
Actinotherapy uv light CPT 96900 not published not published $21.20 – $89.98 29
Acup 1/> w/estim 1st 15 min CPT 97813 not published not published $24.95 – $70.21 29
Acup 1/> wo estim 1st 15 min CPT 97810 not published not published $24.95 – $64.74 29
Acute hepatitis panel CPT 80074 $125.62 $339.50 $47.63 – $109.05 29
Acute venous thrombus image CPT 78456 not published not published $66.40 – $727.77 7
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $11.99 $32.40 $0.10 – $1.98 5
#acylcarnitineprfl CPT 82017 $250.95 $678.25 $16.87 – $41.02 29
Acylcarnitines qual CPT 82016 not published not published $14.59 – $108.04 29
Adapt behavior tx phys/qhp CPT 97155 not published not published $163.68 – $368.28 22
Adding walker to prev cast CPT 29440 not published not published $32.59 – $361.69 29
Adenovirus ag ia CPT 87301 not published not published $11.98 – $62.53 29
Adenovirus antibody,serum - quest CPT 86603 $25.72 $69.50 $12.87 – $31.30 29
Adenovirus assay w/optic CPT 87809 not published not published $12.77 – $56.64 29
Adhesiolysis tube ovary 58740 CPT 58740 not published not published $978.63 – $1,897.01 7
Adh-sendout CPT 84588 $86.03 $232.50 $33.94 – $111.67 29
Adj gastric band via subq port CPT 43999 not published not published $955.15 – $3,476.35 27

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.