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 |
|---|---|---|---|---|
| Cath place 1st order venous 36011 CPT 36011 | $468.61 | $1,266.50 | $179.63 – $342.43 | 7 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $184.51 – $343.98 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $5,177.04 | $13,992.00 | $967.54 – $3,030.38 | 6 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $4,001.55 | $10,815.00 | $750.18 – $2,339.29 | 6 |
| Cath plc art/grft/angio right hrt CPT 93457 | $4,457.58 | $12,047.50 | $852.21 – $2,639.58 | 6 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,903.59 | $10,550.25 | $601.07 – $1,631.02 | 6 |
| Cath right hrt mnpul art CPT 36013 | $221.35 | $598.25 | $140.97 – $284.71 | 7 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $139.31 | $376.50 | $63.95 – $124.03 | 7 |
| Cath segmntl pulm art CPT 36015 | $195.92 | $529.50 | $196.07 – $377.52 | 7 |
| Cath stripping venous s&i CPT 75901 | $138.47 | $374.25 | $30.74 – $310.20 | 7 |
| Cauterization chemical granulation tissue CPT 17250 | $195.27 | $527.75 | $39.95 – $455.47 | 29 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $127.51 – $250.38 | 7 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $111.67 | 29 |
| Ccnd1/igh translocation alys CPT 81168 | $230.14 | $622.00 | $207.31 – $466.45 | 23 |
| Cdna analysis for variants CPT 81403 | $632.05 | $1,708.25 | $79.86 – $416.70 | 28 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $31.20 – $295.47 | 29 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $131.32 – $295.47 | 22 |
| Cebpa gene full sequence CPT 81218 | $271.58 | $734.00 | $241.90 – $544.27 | 28 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $18.54 | $50.10 | $1.11 – $1.36 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $31.48 | $85.08 | $3.36 – $4.13 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | $18.94 | $51.20 | $3.19 – $21.29 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $35.67 | $96.40 | $8.23 – $9.29 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $9.25 | $25.00 | $0.64 – $1.50 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $34.93 | $94.40 | $2.85 – $3.51 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $427.66 | $1,155.85 | $101.75 – $109.02 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $51.80 | $140.00 | $1.00 – $1.23 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $79.86 – $213.16 | 28 |
| #celiac hla-dq8 CPT 81383 | $288.69 | $780.25 | $79.86 – $245.54 | 28 |
| Cell count body fluid CPT 89050 | not published | not published | $4.72 – $113.79 | 29 |
| Cell count w differential body fluid CPT 89051 | $40.98 | $110.75 | $5.60 – $13.39 | 29 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $10.68 – $113.79 | 29 |
| Cell enumeration & id CPT 86152 | not published | not published | $79.86 – $564.25 | 28 |
| Cell function assay w/stim CPT 86352 | $247.35 | $668.50 | $79.86 – $305.69 | 28 |
| Cell marker study CPT 88182 | $141.03 | $381.15 | $28.87 – $195.81 | 29 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,040.84 – $1,933.68 | 7 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $273.21 – $473.46 | 7 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $341.44 – $667.70 | 7 |
| Cerebrospinal fld flw imag CPT 78645 | $350.02 | $946.00 | $36.08 – $1,233.83 | 29 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,465.34 – $2,890.75 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | $2,311.30 | $6,246.75 | $1,035.38 – $1,984.36 | 7 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $109.08 | $294.80 | $83.27 – $99.67 | 5 |
| #cf-97variants CPT 81220 | $723.91 | $1,956.50 | $79.86 – $1,252.35 | 28 |
| Cftr gene dup/delet variants CPT 81222 | $160.95 | $435.00 | $79.86 – $978.91 | 28 |
| Cftr gene intron poly t CPT 81224 | $137.73 | $372.25 | $79.86 – $379.69 | 28 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $79.86 – $218.75 | 28 |
| Change cystostomy tube; complex 51710 CPT 51710 | $571.10 | $1,543.50 | $89.59 – $1,529.98 | 29 |
| Change cystostomy tube simple CPT 51705 | $126.17 | $341.00 | $58.29 – $557.48 | 29 |
| Change gastric port open CPT 43888 | not published | not published | $474.46 – $976.58 | 7 |
| Change g-tube to g-j perc CPT 49446 | $804.47 | $2,174.25 | $171.19 – $353.36 | 7 |
| Change nephroureteral cath CPT 50387 | $850.08 | $2,297.50 | $96.91 – $212.95 | 7 |
| Change of ureter tube/stent CPT 50688 | $2,412.22 | $6,519.50 | $88.12 – $147.62 | 7 |
| Change of windpipe airway 31502 CPT 31502 | $152.16 | $411.25 | $39.46 – $532.31 | 29 |
| Change stent via transureth CPT 50385 | not published | not published | $248.94 – $496.10 | 7 |
| Change ureter stent percut CPT 50382 | $1,374.46 | $3,714.75 | $294.32 – $588.14 | 7 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $55.02 – $392.78 | 29 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $108.85 – $455.47 | 29 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $247.09 – $915.79 | 29 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $375.19 – $915.79 | 29 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $268.78 – $1,403.12 | 29 |
| Chemo adm cns w/lmbr punct CPT 96450 | $248.18 | $670.75 | $90.07 – $760.30 | 29 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $131.98 – $1,587.40 | 28 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $81.13 – $145.86 | 6 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $93.86 – $166.93 | 6 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $132.65 – $1,587.40 | 28 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $121.39 – $1,587.40 | 28 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $239.74 – $516.38 | 7 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $127.35 – $676.64 | 29 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $218.05 – $685.22 | 29 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $56.76 – $676.64 | 29 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $45.34 – $676.64 | 29 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $139.41 – $676.64 | 28 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $121.98 – $676.64 | 28 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $111.95 – $676.64 | 28 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $130.05 – $1,587.40 | 28 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $153.92 – $1,587.40 | 28 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $47.01 – $157.57 | 29 |
| Chemo ia infusion up to 1 hr CPT 96422 | $161.88 | $437.50 | $188.43 – $760.30 | 29 |
| Chemo ia push tecnique CPT 96420 | $110.35 | $298.25 | $108.65 – $760.30 | 29 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $51.30 – $482.94 | 29 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $33.41 – $163.13 | 29 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $79.86 | 29 |
| Chemotherapy injection 96542 CPT 96542 | $132.65 | $358.50 | $46.76 – $760.30 | 29 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $31.44 – $760.30 | 28 |
| Chest 2 vws w oblique CPT 71048 | $119.33 | $322.50 | $29.98 – $243.74 | 28 |
| Chest apical lordotic proj CPT 71047 | $130.80 | $353.50 | $29.05 – $201.83 | 28 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,043.49 | $2,820.25 | $86.79 – $648.20 | 29 |
| Chest CT scan (with contrast) CPT 71260 | $1,108.34 | $2,995.50 | $77.94 – $535.87 | 29 |
| Chest CT scan (without contrast) CPT 71250 | $952.66 | $2,574.75 | $73.00 – $429.02 | 29 |
| Chest X-ray CPT 71046 | $118.40 | $320.00 | $22.96 – $201.83 | 28 |
| Chest X-ray (single view) CPT 71045 | $86.03 | $232.50 | $12.65 – $201.83 | 28 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $60.51 – $136.15 | 22 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $81.25 – $408.06 | 23 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $79.86 – $466.79 | 28 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $79.86 – $586.78 | 28 |
| Chlamydia culture CPT 87110 | $238.37 | $644.25 | $19.60 – $56.64 | 29 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $62.53 | 29 |
| Chlamydia type CPT 87140 | $67.80 | $183.25 | $5.57 – $113.14 | 29 |
| Chlnggrphy intraop addl s&i CPT 74301 | $107.30 | $290.00 | $13.15 – $19.73 | 6 |
| Chloramphenicol sodium injec HCPCS J0720 | $83.08 | $224.55 | $21.29 – $51.12 | 5 |
| Chloride CPT 82435 | $21.74 | $58.75 | $4.60 – $33.65 | 29 |
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.