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 |
|---|---|---|---|---|
| Culture fungi definitive id mold CPT 87107 | $27.10 | $73.25 | $10.32 – $25.11 | 29 |
| Culture fungi definitive id yeast CPT 87106 | $41.90 | $113.25 | $10.32 – $56.64 | 29 |
| Culture fungi other (except blood) CPT 87102 | $45.51 | $123.00 | $8.41 – $56.64 | 29 |
| Culture fungi skin/hair/nail CPT 87101 | $36.45 | $98.50 | $7.71 – $56.64 | 29 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $11.47 – $113.14 | 29 |
| Culture mycoplasma any source CPT 87109 | $90.37 | $244.25 | $15.39 – $113.14 | 29 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $56.64 | 29 |
| Culture screening strep group a CPT 87081 | $43.29 | $117.00 | $6.63 – $56.64 | 29 |
| Culture typing added method CPT 87158 | not published | not published | $5.47 – $113.14 | 29 |
| Culture typing immunologic CPT 87147 | $29.32 | $79.25 | $5.18 – $12.59 | 29 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $490.63 | 22 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $78.95 | 28 |
| Culture urine each isolate CPT 87088 | $17.48 | $47.25 | $7.62 – $18.20 | 29 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $113.14 | 29 |
| Curette/treat cornea CPT 65435 | $1,317.39 | $3,560.50 | $71.41 – $2,220.10 | 29 |
| Curette/treat cornea CPT 65436 | not published | not published | $370.95 – $813.56 | 7 |
| Cv line/pic reposition CPT 36597 | $1,516.26 | $4,098.00 | $69.50 – $114.96 | 7 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $16.54 – $27.21 | 7 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $24.81 – $46.80 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $108.04 | 29 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $9.71 | $26.25 | $0.78 – $3.56 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $65.68 | $177.50 | $12.95 – $62.53 | 29 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $22.40 | $60.55 | $1.58 – $9.98 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $75.74 | $204.70 | $43.86 – $53.80 | 5 |
| Cyclosporine 2 hour CPT 80158 | $87.88 | $237.50 | $18.05 – $129.19 | 29 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.30 | $3.50 | $1.17 – $1.44 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $263.81 | $713.00 | $4.36 – $5.36 | 5 |
| Cyp2c19 gene com variants CPT 81225 | $657.12 | $1,776.00 | $79.86 – $655.56 | 28 |
| Cyp2c9 gene com variants CPT 81227 | $318.85 | $861.75 | $79.86 – $393.32 | 28 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $79.86 – $1,014.55 | 28 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $393.32 | 28 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $393.32 | 28 |
| Cystatin c CPT 82610 | $71.23 | $192.50 | $14.33 – $108.04 | 29 |
| Cystic fibrosis cftr CPT 81223 | $184.63 | $499.00 | $79.86 – $1,122.75 | 28 |
| Cystine urine quantitative CPT 82131 | $94.26 | $254.75 | $17.72 – $108.04 | 29 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $538.99 – $1,011.69 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $265.85 | $718.50 | $20.37 – $818.62 | 29 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $206.96 – $1,529.98 | 28 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,006.89 – $1,903.25 | 7 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $835.81 – $1,585.79 | 7 |
| Cystoscopy and biopsy CPT 52007 | $4,057.88 | $10,967.25 | $187.22 – $351.79 | 7 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $270.92 – $514.81 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $200.70 – $374.41 | 7 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $216.26 – $433.70 | 7 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $278.74 – $521.06 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $326.95 – $612.32 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $444.43 – $832.27 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $237.91 – $446.96 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $183.23 – $348.66 | 7 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $299.96 – $563.18 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $366.39 – $692.66 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $227.69 – $427.45 | 7 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $221.31 – $1,529.98 | 29 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $276.03 – $518.72 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $317.64 – $606.08 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $328.67 – $620.90 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $316.21 – $591.25 | 7 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $171.46 – $322.16 | 7 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $311.04 – $581.89 | 7 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $279.81 – $523.40 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $299.07 – $560.05 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $605.78 | $1,637.25 | $113.10 – $1,529.98 | 29 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $191.69 – $358.81 | 6 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $187.22 – $1,529.98 | 29 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $381.54 – $715.28 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $298.01 – $558.50 | 7 |
| Cystoscopy removal of clots CPT 52001 | $1,528.84 | $4,132.00 | $325.51 – $609.19 | 7 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $205.75 – $386.11 | 7 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $281.60 – $527.30 | 7 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $364.19 – $681.74 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | $1,757.59 | $4,750.25 | $150.26 – $282.37 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $976.15 | $2,638.25 | $321.94 – $608.42 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $524.04 – $989.07 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $878.12 – $1,645.85 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $343.19 – $655.22 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $418.88 – $804.98 | 7 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $473.10 – $902.48 | 7 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $530.44 – $1,010.12 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $471.66 – $851.00 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $444.43 – $848.67 | 7 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $506.11 – $970.34 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $401.25 – $769.10 | 7 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $447.19 – $858.80 | 7 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $303.48 – $566.29 | 7 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $999.19 | $2,700.50 | $171.88 – $322.93 | 7 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $159.97 – $300.31 | 7 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $68.74 – $1,628.52 | 5 |
| Cystourethro w/implant CPT 52441 | not published | not published | $257.68 – $2,122.38 | 5 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $389.85 – $741.03 | 7 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $350.51 – $666.14 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | $2,708.31 | $7,319.75 | $321.84 – $612.32 | 7 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $28.25 | $76.35 | $1.50 – $9.98 | 5 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $36.74 – $95.36 | 29 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $28.14 – $91.58 | 29 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,316.60 – $1,316.60 | 1 |
| Cytogenom microarray copy nmbr var CPT 81228 | $629.65 | $1,701.75 | $79.86 – $2,025.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $49.03 | $132.50 | $14.39 – $79.86 | 29 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $49.40 | $133.50 | $16.85 – $79.86 | 29 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $12.77 – $62.53 | 29 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $941.58 | $2,544.80 | $1,395.94 – $1,721.67 | 5 |
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.