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
Drain chst dry seal exp thorastat HCPCS A7041 $58.28 $157.50 $148.45 – $148.45 1
Drain finger abscess;simple 26010 CPT 26010 $178.90 $483.50 $140.21 – $455.47 29
Drain lower leg bursa CPT 27604 not published not published $371.23 – $721.52 7
Drain lower leg lesion 27603 CPT 27603 not published not published $421.23 – $833.06 7
Drain neck/chest lesion 21501 CPT 21501 not published not published $338.36 – $686.42 7
Drain open lung lesion 32200 CPT 32200 not published not published $1,265.75 – $2,436.00 7
Drain ovarn cyst abd CPT 58805 not published not published $444.93 – $869.72 7
Drain ovary abscess open CPT 58820 not published not published $354.25 – $672.38 7
Drain pancreatic pseudocyst 48510 CPT 48510 not published not published $1,160.16 – $2,300.28 7
Drain penis lesion CPT 54015 not published not published $345.61 – $652.10 7
Drain shoulder bone lesion CPT 23035 not published not published $746.44 – $1,436.80 7
Drain shoulder bursa 23031 CPT 23031 not published not published $231.40 – $461.77 7
Drain shoulder lesion CPT 23030 not published not published $280.07 – $541.34 7
Drain thigh/knee lesion 27301 CPT 27301 not published not published $537.79 – $1,060.83 7
Drain thyroid/tongue cyst CPT 60000 not published not published $155.80 – $331.51 7
Drain to peritoneal cavity CPT 49062 not published not published $824.34 – $1,571.74 7
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 $162.15 $438.25 $123.51 – $455.47 29
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 $148.93 $402.50 $59.17 – $455.47 29
Dress/debrid prtl-thick burn l 16030 CPT 16030 $220.61 $596.25 $146.03 – $915.79 29
Dressing change not for burn w/anes 15852 CPT 15852 not published not published $52.74 – $1,403.12 29
Drill hole evac+/drg subdural hematoma 61108 CPT 61108 $1,051.36 $2,841.50 $937.30 – $1,908.70 7
Drill hole implt ventricular cath/device 61107 CPT 61107 $1,577.31 $4,263.00 $355.18 – $659.12 7
Drng appendix abscess open 44900 CPT 44900 not published not published $826.82 – $1,648.96 7
Drng hand tendon sheath 26020 CPT 26020 $1,334.22 $3,606.00 $451.76 – $911.84 7
Drng of eyelid abscess 67700 CPT 67700 $529.10 $1,430.00 $114.91 – $685.22 29
Drng of finger abscess comp 26011 CPT 26011 $1,468.35 $3,968.50 $196.22 – $389.24 7
Drng of hydrocele 55000 CPT 55000 not published not published $95.37 – $1,612.78 29
Drng of mouth lesion 40801 CPT 40801 not published not published $236.02 – $1,167.30 29
Drng of ovarian cyst(s) 58800 CPT 58800 not published not published $325.48 – $641.96 7
Drng of palm multi bursas 26030 CPT 26030 not published not published $524.70 – $1,035.08 7
Drng of palm single bursa 26025 CPT 26025 not published not published $442.42 – $888.45 7
Drng of pelvic abscess transrectal 45000 CPT 45000 not published not published $445.87 – $905.60 7
Drng of salivary cyst 42409 CPT 42409 not published not published $244.94 – $482.84 7
Drng of scrotum abscess 55100 CPT 55100 $1,468.35 $3,968.50 $183.73 – $352.57 7
Drng open retroperitoneal abscess 49060 CPT 49060 not published not published $1,215.59 – $2,340.06 7
Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 not published not published $1,086.01 – $2,137.25 7
Drng ovary abscess perqt 58822 CPT 58822 not published not published $769.85 – $1,597.48 7
Drng peritoneal abscess open 49020 CPT 49020 not published not published $1,734.89 – $3,384.51 7
Drng salivary gland simple 42300 CPT 42300 $957.38 $2,587.50 $166.27 – $331.51 7
Drng salivary gland submax/subling 42310 CPT 42310 not published not published $135.69 – $1,167.30 29
Droperidol 2.5 mg/ml injection solution HCPCS J1790 $19.15 $51.75 $3.39 – $21.29 5
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 $22.68 $61.30 $4.78 – $16.45 6
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 $31.39 $84.85 $14.79 – $18.18 5
Drug admin & hemodynmic meas CPT 93463 $419.58 $1,134.00 $111.03 – $197.28 6
Drug assay caffeine CPT 80155 $89.17 $241.00 $22.02 – $129.19 28
Drug assay posaconazole CPT 80187 $107.30 $290.00 $27.11 – $61.00 23
Drug assay rufinamide CPT 80210 not published not published $27.11 – $61.00 23
Drug assay vedolizumab CPT 80280 not published not published $38.57 – $86.78 23
Drug assay voriconazole CPT 80285 $116.64 $315.25 $27.11 – $61.00 23
Drug asy hydroxychloroquine CPT 80220 not published not published $18.64 – $41.94 22
Drug of abuse screen urine CPT 80305 not published not published $12.60 – $28.35 28
Drug screen quant tiagabine CPT 80199 $55.04 $148.75 $27.11 – $129.19 28
Drug test def 15-21 classes HCPCS G0482 $142.17 $384.25 $179.31 – $268.96 6
Drug test def 1-7 classes HCPCS G0480 $157.16 $424.75 $86.34 – $133.53 6
Drug test def 22+ classes HCPCS G0483 $426.24 $1,152.00 $232.45 – $348.68 6
Drug test def 8-14 classes HCPCS G0481 $161.88 $437.50 $132.83 – $199.25 6
Drug test prsmv instrmnt CPT 80306 not published not published $17.14 – $38.56 28
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 $268.90 $726.75 $62.14 – $139.81 28
Drvvt confirm - quest CPT 85597 $85.47 $231.00 $17.98 – $100.82 29
Dstrj extensive retinopathy CPT 67227 not published not published $278.91 – $1,205.14 7
Dstr mal les s/n/h/f/g >4.0 CPT 17276 $213.86 $578.00 $233.79 – $915.79 29
Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 not published not published $197.70 – $915.79 29
Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 not published not published $233.07 – $1,403.12 29
Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 not published not published $313.40 – $1,403.12 29
Ductogram sgl duct CPT 77053 $171.22 $462.75 $22.65 – $554.06 29
Duodenal motility study CPT 91022 not published not published $93.42 – $1,216.24 29
Duplex scan bilateral study 93985 CPT 93985 not published not published $246.25 – $554.06 22
Duplex scan unilateral study 93986 CPT 93986 not published not published $108.33 – $243.74 22
Dup scan/hemodialysis access 93990 CPT 93990 $256.04 $692.00 $15.39 – $414.19 29
Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 $278.24 $752.00 $32.09 – $358.63 29
Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 $358.35 $968.50 $29.12 – $554.06 29
Dxa bone density axl vrt fx CPT 77085 not published not published $40.96 – $243.74 27
Dx aly aud oi snd prcsr 1st CPT 92622 not published not published $159.39 – $358.63 22
Dx bronchoscope/brush 31623 CPT 31623 $1,898.47 $5,131.00 $151.84 – $321.36 7
Dx bronchoscope/lavage 31624 CPT 31624 $1,161.06 $3,138.00 $153.65 – $323.70 7
Dx bronchoscope/wash 31622 CPT 31622 $2,211.40 $5,976.75 $149.25 – $319.03 7
Dx dark adaptation exam i&r CPT 92284 not published not published $14.34 – $914.67 29
Dx duod intub w/asp spec 43756 CPT 43756 not published not published $56.59 – $2,149.09 28
Dx duod intub w/asp specs CPT 43757 not published not published $87.01 – $2,149.09 28
Dx gastr intub w/asp spec CPT 43754 not published not published $38.86 – $713.79 28
Dx gastr intub w/asp specs CPT 43755 not published not published $67.15 – $358.63 28
Dx laryngoscopy newborn CPT 31520 not published not published $174.61 – $890.08 29
Dx laryngoscopy w/oper scope CPT 31526 not published not published $175.37 – $340.10 7
Dynamic cavernosometry CPT 54231 not published not published $131.05 – $557.48 29
Dynamic surface emg CPT 96002 not published not published $24.27 – $713.79 29
Ear and throat examination CPT 92502 not published not published $105.77 – $1,167.30 29
Ear canal biopsy 69105 CPT 69105 not published not published $69.56 – $136.50 7
Ear cartilage graft CPT 21235 not published not published $613.35 – $1,219.17 7
Ear irrigation 69209 CPT 69209 $99.16 $268.00 $12.94 – $136.15 28
Ear protector evaluation CPT 92596 not published not published $37.23 – $89.98 29
Ecg 12 lead tracing only CPT 93005 $68.82 $186.00 $8.63 – $136.15 29
Ecg/1-3 leads/interp & report only 93042 CPT 93042 not published not published $7.91 – $13.61 7
Ecg/1-3 leads/tracing only 93041 CPT 93041 $29.14 $78.75 $5.75 – $136.15 29
Ecg < 30 days transmission & analysis CPT 93271 $176.86 $478.00 $93.51 – $321.07 29
Ecg external < 48 hours recording CPT 93225 $121.18 $327.50 $26.96 – $295.47 29
Ecg external < 48 hours scanning analysis w/report CPT 93226 $196.10 $530.00 $38.45 – $136.15 29
Ecg external > 48 hours up to 7 days recording CPT 93242 not published not published $39.99 – $89.98 22
Ecg external >7 days up to 15 days recording CPT 93246 not published not published $39.99 – $89.98 22
Echocardiogram (Heart Ultrasound) CPT 93306 $856.37 $2,314.50 $88.03 – $1,256.81 29
Echocardiography doppler color flow mapping CPT 93325 $250.21 $676.25 $4.77 – $39.78 7

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.