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 |
|---|---|---|---|---|
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,836.35 – $3,542.86 | 7 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,291.84 – $4,527.23 | 7 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,356.03 – $2,647.39 | 7 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,936.34 – $3,892.31 | 7 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,906.98 – $3,778.41 | 7 |
| Colistimethate sodium inj HCPCS J0770 | $33.30 | $90.00 | $18.37 – $21.29 | 5 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $32.26 | $87.20 | $41.56 – $41.56 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $151.05 | $408.25 | $220.73 – $220.73 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $46.99 | $127.00 | $24.07 – $295.47 | 29 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $77.05 | $208.25 | $26.60 – $295.47 | 29 |
| Collection of venous blood by venipuncture CPT 36415 | $8.97 | $24.25 | $3.40 – $20.45 | 29 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $155.25 – $713.79 | 28 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $71.28 – $2,089.82 | 29 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $289.92 – $289.92 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $261.08 – $584.23 | 7 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $263.43 – $544.45 | 7 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $241.07 – $2,089.82 | 29 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $226.46 – $477.37 | 7 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $347.45 – $347.45 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $258.00 – $553.82 | 7 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $229.43 – $531.19 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $88.23 – $2,089.82 | 29 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $309.95 – $633.99 | 5 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $242.33 – $575.65 | 7 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $268.51 – $268.51 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $296.60 – $712.17 | 7 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $264.98 – $2,089.82 | 23 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $209.14 – $209.14 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $295.07 – $638.84 | 7 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $348.15 – $818.24 | 7 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $332.17 – $649.63 | 5 |
| Colonoscopy w/fb removal CPT 45379 | $1,154.22 | $3,119.50 | $273.58 – $587.36 | 7 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $196.25 – $196.25 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $277.12 – $277.12 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $229.43 – $559.28 | 7 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $196.28 – $400.16 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $291.15 – $664.57 | 7 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $314.99 – $314.99 | 1 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $380.62 – $380.62 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $297.89 – $297.89 | 1 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $262.63 – $262.63 | 1 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,305.30 – $2,566.27 | 7 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,077.28 – $2,107.62 | 7 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $89.97 – $177.06 | 7 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $560.02 – $1,100.61 | 7 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,057.99 – $2,056.14 | 7 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $550.59 – $1,075.65 | 7 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $760.88 – $1,489.06 | 7 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,825.12 | $4,932.75 | $331.41 – $641.96 | 7 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $138.72 – $1,995.91 | 29 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $209.37 – $408.72 | 7 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $102.21 – $461.12 | 29 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $96.85 – $461.12 | 29 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $129.36 – $697.27 | 29 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $123.64 – $697.27 | 29 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $477.53 – $937.59 | 7 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $203.38 – $408.72 | 7 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $49.86 | $134.75 | $16.42 – $392.78 | 28 |
| Compatibility test each unit electronic CPT 86923 | $158.55 | $428.50 | $13.03 – $392.78 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $83.16 | $224.75 | $17.98 – $392.78 | 28 |
| Compatibility test incubate CPT 86921 | not published | not published | $14.59 – $392.78 | 28 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $213.06 – $1,529.98 | 28 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $216.30 – $1,529.98 | 28 |
| Complement antigen each component c3 CPT 86160 | $83.53 | $225.75 | $12.00 – $62.53 | 29 |
| Complement fixation each CPT 86171 | not published | not published | $7.16 – $62.53 | 29 |
| Complete removal of vulva CPT 56625 | not published | not published | $678.22 – $1,309.66 | 7 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,713.33 – $5,136.44 | 7 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $110.30 – $557.48 | 29 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $314.32 | $849.50 | $260.90 – $1,403.12 | 29 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $250.03 | $675.75 | $280.20 – $1,403.12 | 29 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $7.55 – $713.79 | 29 |
| Compl oph exam general anes CPT 92018 | not published | not published | $157.93 – $308.10 | 7 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $503.02 | $1,359.50 | $319.90 – $1,403.12 | 29 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $289.99 | $783.75 | $388.40 – $1,403.12 | 29 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $356.68 | $964.00 | $159.02 – $301.86 | 7 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $200.45 | $541.75 | $278.10 – $915.79 | 29 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $262.52 | $709.50 | $350.79 – $1,403.12 | 29 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $238.10 | $643.50 | $147.66 – $280.81 | 7 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $103.32 | $279.25 | $96.19 – $183.30 | 7 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $228.52 – $1,403.12 | 29 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $222.65 | $601.75 | $83.35 – $158.34 | 7 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,156.55 | $5,828.50 | $767.39 – $1,522.60 | 7 |
| Comprehensive hearing test CPT 92557 | not published | not published | $36.32 – $358.63 | 29 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $87.39 – $295.40 | 29 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $110.47 – $295.40 | 29 |
| Concentration infection agents any type CPT 87015 | $58.28 | $157.50 | $6.68 – $15.87 | 29 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $44.01 – $358.63 | 29 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $2,423.65 | $6,550.40 | $216.26 – $265.89 | 5 |
| Condylomata destruction 56420 CPT 56420 | $79.46 | $214.75 | $100.46 – $461.12 | 29 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $266.96 – $524.17 | 7 |
| Conization of cervix CPT 57520 | not published | not published | $302.94 – $586.57 | 7 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $315.17 | $851.80 | $199.53 – $277.06 | 5 |
| Connect omega .5mm HCPCS L8613 | $847.52 | $2,290.60 | $257.93 – $502.25 | 6 |
| Connector tis 2x10mm HCPCS C9352 | $2,904.59 | $7,850.25 | $568.93 – $699.51 | 5 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $573.65 – $1,153.66 | 7 |
| Construction of vagina CPT 57291 | not published | not published | $581.53 – $1,146.64 | 7 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,628.65 – $3,457.84 | 7 |
| Construct vagina with graft CPT 57292 | not published | not published | $904.30 – $1,768.30 | 7 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $41.17 – $136.15 | 29 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $138.66 | $374.75 | $29.11 – $1,872.50 | 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.