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 |
|---|---|---|---|---|
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $38.39 | $103.75 | $11.35 – $80.27 | 7 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $86.49 | $233.75 | $31.86 – $392.78 | 29 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $82.33 | $222.50 | $41.33 – $122.47 | 29 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $39.99 – $113.79 | 29 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $113.79 – $392.78 | 29 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $61.98 – $914.67 | 29 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $71.83 – $295.47 | 29 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $48.67 – $108.04 | 7 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $780.34 – $1,426.65 | 7 |
| Contour of face bone lesion CPT 21029 | not published | not published | $682.73 – $1,379.08 | 7 |
| Contrast baths charges CPT 97034 | not published | not published | $12.82 – $37.44 | 29 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,568.06 | $4,238.00 | $72.35 – $542.92 | 7 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $32.73 – $542.92 | 7 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,701.56 | $7,301.50 | $74.05 – $542.92 | 7 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $20.08 – $408.06 | 29 |
| Contrast x-ray of ankle CPT 73615 | $517.26 | $1,398.00 | $33.77 – $818.62 | 29 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $74.10 – $818.62 | 29 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $76.08 – $1,810.98 | 29 |
| Contrast x-ray of elbow CPT 73085 | $517.26 | $1,398.00 | $33.48 – $818.62 | 29 |
| Contrast x-ray of hip CPT 73525 | $497.28 | $1,344.00 | $34.17 – $818.62 | 29 |
| Contrast x-ray of knee joint CPT 73580 | $497.28 | $1,344.00 | $34.17 – $818.62 | 29 |
| Contrast x-ray of wrist CPT 73115 | $497.28 | $1,344.00 | $33.88 – $818.62 | 29 |
| Control nosebleed pack+caut 30905 CPT 30905 | $160.49 | $433.75 | $119.25 – $295.47 | 29 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $509.57 – $991.41 | 7 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $566.85 – $1,109.97 | 7 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $236.58 – $886.88 | 29 |
| Control of nosebleed ant comp 30903 CPT 30903 | $213.86 | $578.00 | $90.55 – $295.47 | 29 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $213.86 | $578.00 | $63.97 – $295.47 | 29 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $487.48 | $1,317.50 | $187.90 – $1,167.30 | 29 |
| Control throat bleeding CPT 42961 | not published | not published | $465.33 – $916.52 | 7 |
| Control throat bleeding CPT 42962 | not published | not published | $575.26 – $1,123.23 | 7 |
| Conversion ext bil drg cath CPT 47535 | $2,915.42 | $7,879.50 | $227.62 – $453.98 | 5 |
| Convert nephrostomy catheter CPT 50434 | $1,404.71 | $3,796.50 | $222.34 – $405.48 | 5 |
| Conv gtube to jtube CPT 44373 | $816.96 | $2,208.00 | $219.65 – $443.83 | 7 |
| Coombs direct CPT 86880 | $61.98 | $167.50 | $5.73 – $136.15 | 29 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $17.95 | $48.50 | $5.99 – $392.78 | 29 |
| Coombs indirect titer reference CPT 86886 | $86.49 | $233.75 | $5.47 – $392.78 | 29 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,183.07 – $1,183.07 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $644.57 – $1,450.84 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $572.97 – $1,117.78 | 7 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $550.51 – $1,085.01 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $8.27 – $136.15 | 27 |
| Corneal smear CPT 65430 | not published | not published | $107.65 – $914.67 | 29 |
| Corneal transplant CPT 65710 | not published | not published | $1,106.59 – $9,641.00 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $1,233.00 – $9,641.00 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $1,252.81 – $9,641.00 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $1,245.36 – $9,641.00 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,204.19 – $9,641.00 | 8 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $5,120.80 | $13,840.00 | $785.76 – $2,468.77 | 6 |
| Coronary angio/lv gram/lt heart CPT 93458 | $5,032.46 | $13,601.25 | $715.70 – $2,234.76 | 6 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $5,720.94 | $15,462.00 | $832.10 – $2,647.39 | 6 |
| Coronary art/grft angio s&i CPT 93455 | $4,643.96 | $12,551.25 | $703.11 – $2,166.89 | 6 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,344.17 | $11,741.00 | $600.36 – $1,865.03 | 6 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $335.96 | $908.00 | $70.48 – $760.30 | 29 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $536.37 – $1,290.93 | 7 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $331.82 – $644.29 | 7 |
| Correct finger deformity CPT 26567 | not published | not published | $718.61 – $1,408.71 | 7 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $612.38 – $1,207.47 | 7 |
| Correction claw finger other CPT 26499 | not published | not published | $874.50 – $1,714.48 | 7 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $501.60 – $1,056.92 | 7 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $595.73 – $1,027.42 | 5 |
| Correction of astigmatism CPT 65772 | not published | not published | $401.33 – $2,220.10 | 29 |
| Correction of astigmatism CPT 65775 | not published | not published | $548.15 – $1,163.01 | 7 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $167.42 – $685.22 | 29 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $55.59 – $295.47 | 29 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $138.79 – $2,220.10 | 29 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,637.26 – $3,186.39 | 7 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $711.29 – $1,410.28 | 7 |
| Correct rectal prolapse CPT 45541 | not published | not published | $998.37 – $1,992.17 | 7 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,167.50 – $2,275.32 | 7 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $125.41 – $1,403.12 | 29 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $536.30 – $925.51 | 5 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $514.44 – $1,178.61 | 7 |
| Cortisol acth stimulation test - sendout CPT 80400 | $110.82 | $299.50 | $32.62 – $111.67 | 29 |
| Cortisol total am CPT 82533 | $61.70 | $166.75 | $16.30 – $39.66 | 29 |
| Costotransversectomy CPT 21610 | not published | not published | $1,181.39 – $2,376.71 | 7 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $45.79 | $123.75 | $99.26 – $106.35 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $46.62 | $126.00 | $16.47 – $49.91 | 29 |
| Counseling smoke cess interm >10mins CPT 99407 | $91.48 | $247.25 | $28.53 – $68.29 | 29 |
| Cover eye w/membrane CPT 65778 | not published | not published | $63.41 – $2,220.10 | 28 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $167.36 – $615.43 | 6 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $42.30 – $95.17 | 22 |
| #covid19rsv-rsv CPT 87634 | $77.92 | $210.60 | $70.20 – $157.95 | 23 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $32.91 | $88.95 | $13.03 – $31.70 | 29 |
| C-peptide CPT 84681 | $79.64 | $215.25 | $20.81 – $108.04 | 29 |
| Cptrized corneal topography CPT 92025 | not published | not published | $14.64 – $136.15 | 29 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $15.46 – $136.15 | 28 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $317.24 – $713.79 | 22 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,560.49 – $4,992.90 | 7 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,769.76 – $3,437.54 | 7 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $2,142.97 – $4,160.63 | 7 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,978.36 – $5,785.41 | 7 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $3,211.36 – $6,172.31 | 7 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $2,063.00 – $3,985.91 | 7 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,230.64 – $4,333.01 | 7 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $2,115.76 – $4,160.63 | 7 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,375.87 – $4,603.68 | 7 |
| Crbrospnl fld flw imag cistern CPT 78630 | $440.30 | $1,190.00 | $43.13 – $1,233.83 | 29 |
| C-reactive protein CPT 86140 | $36.17 | $97.75 | $5.18 – $12.59 | 29 |
| C-reactive protein high sensitivity CPT 86141 | $43.48 | $117.50 | $12.95 – $60.18 | 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.