Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)
3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254
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 |
|---|---|---|---|---|
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $176.37 – $349.45 | 7 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $220.60 – $418.87 | 7 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $759.33 – $1,450.06 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,196.40 | $3,233.50 | $365.21 – $753.50 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,907.07 | $5,154.25 | $172.58 – $345.55 | 7 |
| Bx spinal cord pq ndl CPT 62269 | $1,907.07 | $5,154.25 | $301.85 – $572.54 | 7 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,907.07 | $5,154.25 | $192.61 – $379.86 | 7 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $803.18 | $2,170.75 | $89.52 – $1,612.78 | 29 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $349.37 | $944.25 | $75.25 – $1,995.91 | 29 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $67.54 – $1,995.91 | 29 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $33.60 – $63.18 | 7 |
| Bypass temp external fem-fem CPT 37799 | $1,319.51 | $3,566.25 | $319.48 – $1,783.13 | 28 |
| C-1 esterase, berinert HCPCS J0597 | $108.76 | $293.95 | $43.86 – $55.52 | 5 |
| C-1 esterase, cinryze HCPCS J0598 | $114.15 | $308.50 | $43.86 – $83.58 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $83.90 | $226.75 | $12.00 – $62.53 | 29 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $242.72 | $656.00 | $199.53 – $236.10 | 5 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,490.43 – $4,779.97 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,781.22 – $5,328.32 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,998.86 – $5,708.97 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,115.74 – $4,042.84 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,188.33 – $4,205.09 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $599.70 – $1,143.51 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,405.34 – $4,617.72 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,735.34 – $5,248.75 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,816.28 – $5,399.30 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $213.74 – $407.95 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $469.48 – $896.24 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $620.88 – $1,184.86 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $744.86 – $1,423.54 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $835.89 – $1,598.26 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $947.54 – $1,816.66 | 7 |
| Cacna1a gene full gene seq CPT 81185 | $710.68 | $1,920.75 | $846.27 – $1,904.11 | 25 |
| Cadd pump refill CPT 96521 | not published | not published | $141.13 – $482.94 | 29 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $8.89 | $24.03 | $0.81 – $9.29 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,802.31 | $7,573.80 | $99.67 – $117.30 | 5 |
| Calcium 24 hour urine CPT 82340 | $35.06 | $94.75 | $6.03 – $14.67 | 29 |
| Calcium ionized CPT 82330 | $49.58 | $134.00 | $13.68 – $33.65 | 29 |
| Calcium total CPT 82310 | $36.35 | $98.25 | $5.16 – $33.65 | 29 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $108.04 | 29 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $108.04 | 29 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $4.68 – $358.63 | 27 |
| Calprotectin fecal CPT 83993 | $102.77 | $277.75 | $19.63 – $108.04 | 29 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $79.86 | 29 |
| Candida dna CPT 87480 | $66.05 | $178.50 | $20.05 – $62.53 | 29 |
| Candida skin test CPT 86485 | $50.97 | $137.75 | $8.60 – $62.53 | 28 |
| Cannula declotting 36861 CPT 36861 | $6,067.72 | $16,399.25 | $153.01 – $343.21 | 7 |
| Canthotomy 67715 CPT 67715 | $1,128.78 | $3,050.75 | $108.13 – $237.91 | 7 |
| Capsular contracture release CPT 23020 | not published | not published | $753.49 – $1,455.52 | 7 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $282.04 – $545.24 | 7 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $370.02 – $716.84 | 7 |
| Carbamazepine free CPT 80157 | $48.01 | $129.75 | $13.25 – $129.19 | 29 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $18.64 – $41.94 | 23 |
| Carbamazepine total therapeutic drug level CPT 80156 | $59.57 | $161.00 | $14.57 – $35.43 | 29 |
| Carbohydrate deficient transf - sendout CPT 82373 | $123.49 | $333.75 | $18.06 – $108.04 | 29 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $60.18 | 29 |
| Carbon dioxide CPT 82374 | $22.76 | $61.50 | $4.88 – $33.65 | 29 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $31.47 | $85.05 | $5.00 – $50.53 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $45.23 | $122.25 | $12.32 – $60.18 | 29 |
| Carcinoembryonic ag (cea) CPT 82378 | $59.48 | $160.75 | $18.96 – $60.18 | 29 |
| Cardiac drug stress test CPT 93024 | not published | not published | $55.34 – $914.67 | 29 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $195.06 – $1,256.81 | 29 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $390.20 – $897.81 | 6 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $268.04 – $624.79 | 6 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,379.27 | $3,727.75 | $287.80 – $721.52 | 6 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $111.46 | $301.25 | $15.73 – $288.61 | 29 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $85.93 | $232.25 | $9.85 – $288.61 | 29 |
| Cardiac shunt imaging CPT 78428 | $332.54 | $898.75 | $51.00 – $921.08 | 29 |
| Cardiac Stress Test CPT 93015 | not published | not published | $81.23 – $164.59 | 7 |
| Cardioassist internal CPT 92970 | $931.11 | $2,516.50 | $209.77 – $380.65 | 7 |
| Cardiolipin antibody iga CPT 86147 | $71.50 | $193.25 | $25.45 – $79.86 | 29 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $551.12 | $1,489.50 | $122.52 – $1,499.96 | 29 |
| Cardioversion/elective/internal 92961 CPT 92961 | $678.86 | $1,834.75 | $281.31 – $1,499.96 | 29 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $43.11 – $127.92 | 6 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $49.85 – $112.16 | 22 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $24.65 – $55.46 | 22 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $72.95 | $197.15 | $46.42 – $50.53 | 5 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,316.02 | 28 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,316.02 | 28 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $1,596.90 | $4,315.95 | $199.53 – $2,418.55 | 5 |
| Carotene CPT 82380 | $57.91 | $156.50 | $9.22 – $60.18 | 29 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $347.52 | $939.25 | $38.08 – $554.06 | 29 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $442.88 – $897.03 | 7 |
| Car seat/bed test 60 minutes CPT 94780 | $108.97 | $294.50 | $27.48 – $89.98 | 28 |
| Car seat/bed test additional 30 minutes CPT 94781 | $54.67 | $147.75 | $9.81 – $17.94 | 6 |
| Car-t admn autologous CPT 38228 | not published | not published | $337.91 – $760.30 | 22 |
| Caspofungin acetate HCPCS J0637 | $504.99 | $1,364.85 | $20.24 – $21.69 | 5 |
| Cataract Surgery CPT 66984 | not published | not published | $693.12 – $1,393.89 | 7 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $745.79 – $1,592.01 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | $70.67 | $191.00 | $18.24 – $111.67 | 29 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $3,531.28 | $9,544.00 | $757.37 – $2,375.94 | 6 |
| Catheter declot mechanical CPT 36596 | $1,516.26 | $4,098.00 | $50.02 – $84.34 | 7 |
| Catheter insert artery CPT 36625 | $304.05 | $821.75 | $118.89 – $229.33 | 7 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $31.08 | $84.00 | $3.40 – $5.31 | 6 |
| Catheter stripping venous CPT 36595 | $2,655.40 | $7,176.75 | $208.67 – $400.93 | 7 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $247.77 – $557.48 | 22 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $584.05 | $1,578.50 | $63.55 – $112.92 | 7 |
| Cath left heart/lv gram CPT 93452 | $3,830.24 | $10,352.00 | $591.02 – $1,821.34 | 6 |
| Cath left heart transseptal punc CPT 93462 | $2,674.64 | $7,228.75 | $237.35 – $435.25 | 6 |
| Cath lt/rt pulm art CPT 36014 | $389.06 | $1,051.50 | $172.53 – $325.27 | 7 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $43.18 | $116.70 | $56.26 – $56.26 | 1 |
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.