healthcosts.net

Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)

3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Cyto/molecular report CPT 88291 $235.90 $637.57 $22.84 – $79.86 7
Cytopath c/v auto in fluid CPT 88174 not published not published $18.11 – $85.19 29
Cytopath c/v index add-on CPT 88155 not published not published $6.25 – $85.19 29
Cytopath fl nongyn filter CPT 88106 not published not published $22.24 – $113.79 29
Cytopathology cellular enhancement technique non-gyn CPT 88112 $47.64 $128.75 $32.18 – $122.47 29
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 not published not published $22.83 – $85.19 29
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 not published not published $18.74 – $85.19 29
Cytopathology concentration technique smears & interpretation CPT 88108 $48.56 $131.25 $22.24 – $113.79 29
Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 $40.70 $110.00 $22.24 – $113.79 29
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 $27.29 $73.75 $7.55 – $54.42 6
Cytopathology fna adequacy evaluation first episode each site CPT 88172 $26.92 $72.75 $16.02 – $392.78 29
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $73.26 $198.00 $45.73 – $122.47 29
Cytopath smear other source CPT 88160 $41.07 $111.00 $19.15 – $113.79 29
Cytopath smear other source CPT 88162 $55.50 $150.00 $28.53 – $122.47 29
Cytopath smear oth prep screen & interp CPT 88161 $32.75 $88.50 $19.62 – $113.79 29
Cytopath tbs c/v manual CPT 88164 not published not published $11.20 – $85.19 29
Cytotoxic antibody screening CPT 86807 $184.63 $499.00 $41.69 – $176.96 29
Cytotoxic antibody screening CPT 86808 not published not published $29.68 – $66.78 29
Cytp urine 3-5 probes cmptr CPT 88121 not published not published $174.57 – $502.27 28
Dacarbazine 100 mg intravenous solution HCPCS J9130 $29.80 $80.55 $6.34 – $21.29 5
Dactinomycin 0.5 mg intravenous solution HCPCS J9120 $803.44 $2,171.45 $698.36 – $1,096.56 5
Dalbavancin 500 mg intravenous solution HCPCS J0875 $2,077.81 $5,615.70 $21.28 – $22.80 4
Dalteparin sodium HCPCS J1645 $55.19 $149.15 $20.86 – $22.35 5
Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 $0.58 $1.57 $0.88 – $0.88 5
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 $556.33 $1,503.60 $5.82 – $21.29 5
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 $11,312.75 $30,575.00 $259.07 – $259.07 2
Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 $130.13 $351.70 $15.24 – $44.35 6
Dbrdmt prmlg les w/pdt CPT 96574 not published not published $202.43 – $455.47 22
D&c after delivery 59160 CPT 59160 $3,273.85 $8,848.25 $193.77 – $371.30 7
D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 not published not published $241.79 – $471.13 7
Dch glucoscan CPT 82948 not published not published $3.39 – $20.23 29
Dch pulmonary stress test CPT 94621 $246.61 $666.50 $87.07 – $713.79 29
Dch validity tests CPT 81002 $18.59 $50.25 $2.61 – $20.23 29
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 not published not published $620.72 – $1,213.72 7
Dcmprn orbit only transcrnl CPT 61330 not published not published $1,755.28 – $3,860.32 7
Dcmprn plantar digital nerve CPT 64726 not published not published $302.10 – $585.80 7
D&c of cervical stump CPT 57558 not published not published $124.10 – $244.93 7
Deamidated gliadin antibody iga CPT 86258 not published not published $12.05 – $27.11 22
Debr g/per/abd wall 11006 CPT 11006 not published not published $798.10 – $1,503.88 7
Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 $555.65 $1,501.75 $32.38 – $1,403.12 29
Debridement (>20 cm) charge pt CPT 97598 $186.76 $504.75 $12.30 – $52.13 7
Debridement bone <= 20 sq cm CPT 11044 $1,036.00 $2,800.00 $259.11 – $499.99 7
Debridement/bone/20 sq cm or less 11046 CPT 11046 $363.80 $983.25 $63.29 – $120.12 6
Debridement/bone/ea add 20 sq cm 11047 CPT 11047 $1,283.44 $3,468.75 $112.38 – $212.16 6
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 $406.35 $1,098.25 $53.29 – $915.79 29
Debride nail1-5 11720 CPT 11720 $110.35 $298.25 $16.64 – $136.15 29
Debride nail6 or more 11721 CPT 11721 $64.84 $175.25 $28.14 – $136.15 29
Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 $567.77 $1,534.50 $335.25 – $1,612.78 29
Debride skin bone at fx site CPT 11012 $2,379.93 $6,432.25 $475.94 – $898.58 7
Debride skn/sq/musc/abd wall 11004 CPT 11004 not published not published $655.52 – $1,234.77 7
Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 not published not published $872.44 – $1,665.34 7
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 $363.80 $983.25 $29.40 – $58.50 6
Debrid mastoidectomy cavity simple 69220 CPT 69220 not published not published $57.25 – $455.47 29
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 $847.49 $2,290.50 $315.09 – $1,612.78 29
Debr inf skin add-on 11001 CPT 11001 $280.00 $756.75 $16.20 – $31.20 7
Debr musc/fascia 20sq cm/< 11043 CPT 11043 $381.66 $1,031.50 $174.22 – $1,403.12 29
Decalcification CPT 88311 $7.31 $19.75 $6.67 – $113.79 7
Decitabine 50 mg intravenous solution HCPCS J0894 $81.81 $221.10 $51.09 – $199.53 5
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 $165.58 $447.50 $31.98 – $760.30 29
Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 not published not published $545.80 – $1,072.52 7
Decomp forearm 1 space 25020 CPT 25020 not published not published $608.94 – $1,207.47 7
Decomp forearm 2 spaces w/debrid 25025 CPT 25025 not published not published $1,299.86 – $2,590.44 7
Decompress fasciotomyhand 26037 CPT 26037 not published not published $614.68 – $1,202.00 7
Decompress fingers/hand CPT 26035 not published not published $890.74 – $1,806.53 7
Decompress forearm 1 space CPT 25023 not published not published $1,187.66 – $2,340.06 7
Decompress forearm 2 spaces CPT 25024 not published not published $837.22 – $1,659.89 7
Decompression fasct forearm CPT 24495 not published not published $591.52 – $1,357.23 7
Decompression of leg CPT 27892 not published not published $603.44 – $1,172.37 7
Decompression of leg CPT 27893 not published not published $609.93 – $1,291.72 7
Decompression of leg CPT 27894 not published not published $939.70 – $1,854.11 7
Decompression of lower leg CPT 27600 not published not published $451.65 – $887.66 7
Decompression of lower leg CPT 27601 not published not published $482.56 – $941.48 7
Decompression of thigh/knee CPT 27496 not published not published $545.82 – $1,144.28 7
Decompression of thigh/knee CPT 27497 not published not published $596.49 – $1,226.98 7
Decompression of thigh/knee CPT 27498 not published not published $651.28 – $1,378.29 7
Decompression of thigh/knee CPT 27499 not published not published $721.64 – $1,476.59 7
Decompression of tibia nerve CPT 28035 not published not published $393.11 – $759.74 7
Decompression unspecified nerve 64722 CPT 64722 not published not published $365.48 – $771.44 7
Decompressive craniotomy CPT 61322 not published not published $2,514.46 – $4,976.53 7
Decompress optic nerve CPT 67570 not published not published $1,167.68 – $2,644.28 7
Decompres spinal cord;thoracic 63055 CPT 63055 not published not published $1,769.70 – $3,417.26 7
Decompress small bowel CPT 44021 not published not published $1,069.81 – $2,077.97 7
Decompress spinal cord lmbr CPT 63056 not published not published $1,634.63 – $3,126.32 7
Decompress spinal cord thrc CPT 63064 not published not published $1,938.32 – $3,721.48 7
Decomp spinal cord/transped/ad seg 63057 CPT 63057 not published not published $363.04 – $678.63 7
Deep muscle biopsy 20205 CPT 20205 not published not published $166.11 – $326.83 7
Deferoxamine 500 mg solution for injection HCPCS J0895 $23.75 $64.20 $12.32 – $21.29 5
Degarelix 120 mg subcutaneous solution HCPCS J9155 $30.47 $82.35 $5.57 – $21.29 5
Delayed breast prosthesis 19342 CPT 19342 not published not published $997.75 – $1,971.10 7
Delay flap arms/legs CPT 15610 not published not published $251.57 – $510.91 7
Delay flap eye/nos/ear/lip CPT 15630 not published not published $366.57 – $740.24 7
Delay flap fccnaxghf 15620 CPT 15620 not published not published $335.45 – $693.44 7
Delay flap trunk 15600 CPT 15600 not published not published $211.75 – $439.15 7
Delivery of placenta 59414 CPT 59414 $1,017.13 $2,749.00 $103.98 – $198.13 7
Delivery only failed vbac 59620 CPT 59620 not published not published $1,058.73 – $2,049.10 7
Delivery only/pp care/failed vbac 59622 CPT 59622 not published not published $1,354.86 – $1,448.66 2
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $85.56 $231.25 $15.92 – $466.20 29
Denervation of hip joint CPT 27035 not published not published $1,181.88 – $2,145.84 7
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 $2,257.70 $6,101.90 $22.64 – $50.53 5
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 $105.64 $285.50 $131.32 – $320.59 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.