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
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 $1,110.09 $3,000.25 $386.11 – $386.11 5
Echocardiography transthoracic 2d followup/limited CPT 93308 $375.46 $1,014.75 $35.80 – $554.06 29
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 $355.57 $961.00 $202.81 – $202.81 5
Echocardiograpy doppler follow up/limited study CPT 93321 $87.04 $235.25 $10.12 – $48.37 7
Echo exam of eye CPT 76516 not published not published $33.98 – $243.74 29
Echo exam of eye CPT 76519 not published not published $34.38 – $243.74 29
Echo exam of eye CPT 76529 not published not published $36.08 – $201.83 29
Echo exam of eye thickness CPT 76514 not published not published $3.88 – $56.14 29
Echo exam of fetal heart CPT 76825 not published not published $102.28 – $1,256.81 29
Echo exam of fetal heart CPT 76826 not published not published $50.16 – $554.06 29
Echo exam of fetal heart CPT 76827 not published not published $35.35 – $420.03 29
Echo exam of fetal heart CPT 76828 not published not published $25.88 – $420.03 29
Echo exam uterus 76831- CPT 76831 $242.07 $654.25 $43.81 – $554.06 29
Echograp trans r pros study CPT 76873 $193.14 $522.00 $94.85 – $356.47 29
Echo guidance radiotherapy CPT 76965 not published not published $24.44 – $426.10 7
Echo guide for amniocentesis CPT 76946 $264.92 $716.00 $13.30 – $426.10 7
Echo guide for artery repair CPT 76936 $699.76 $1,891.25 $126.22 – $713.79 29
Echo guide for heart biopsy CPT 76932 not published not published $44.76 – $426.10 6
Echo guide for transfusion CPT 76941 not published not published $62.13 – $426.10 6
Echo guide villus sampling CPT 76945 not published not published $41.06 – $426.10 6
Echo stress CPT 93350 $640.10 $1,730.00 $98.62 – $1,256.81 29
Echo tee cngntl wo ctrst probe plcmnt CPT 93316 not published not published $30.59 – $1,256.81 29
Echo tee guidance CPT 93355 not published not published $255.08 – $419.71 5
Echo tee probe placement image acquisition interpretation & report CPT 93312 $847.95 $2,291.75 $138.33 – $1,256.81 29
Echo transesophageal CPT 93313 not published not published $13.12 – $1,256.81 29
Echo transesophageal CPT 93314 not published not published $80.91 – $572.54 7
Echo transesophageal CPT 93315 $855.35 $2,311.75 $162.00 – $1,256.81 28
Echo transesophageal intraop CPT 93318 not published not published $123.07 – $1,256.81 28
Echo transthoracic CPT 93303 $890.41 $2,406.50 $84.85 – $1,256.81 29
Echo transthoracic CPT 93304 $314.69 $850.50 $48.11 – $1,256.81 29
Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 $535.39 $1,447.00 $61.15 – $554.06 29
Ecmo/ecls daily mgmt artery 33949 CPT 33949 not published not published $267.01 – $443.52 5
Ecmo/ecls daily mgmt-venous 33948 CPT 33948 not published not published $272.63 – $454.41 5
Ecmo/ecls initiation artery 33947 CPT 33947 not published not published $390.70 – $646.92 5
Ecmo/ecls initiation venous 33946 CPT 33946 not published not published $351.97 – $592.50 5
Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 not published not published $954.40 – $1,667.97 5
Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 not published not published $951.80 – $1,584.99 5
Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 not published not published $544.80 – $824.46 5
Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 not published not published $487.63 – $740.12 5
Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 not published not published $545.41 – $805.41 5
Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 not published not published $488.16 – $723.11 5
Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 not published not published $590.30 – $1,167.32 5
Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 not published not published $596.95 – $1,116.97 5
Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 not published not published $314.85 – $629.91 5
Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 not published not published $212.30 – $529.92 5
Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 not published not published $327.16 – $619.03 5
Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 not published not published $270.65 – $592.50 5
Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 not published not published $552.10 – $1,049.63 5
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 not published not published $538.51 – $1,033.31 5
Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 not published not published $269.11 – $622.42 5
Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 not published not published $212.30 – $535.35 5
Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 not published not published $269.39 – $595.90 5
Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 not published not published $207.67 – $523.80 5
Ecog impltd brn npgt <30 d CPT 95836 not published not published $37.99 – $85.48 22
E coli 0157 ag ia CPT 87335 not published not published $12.66 – $62.53 29
Ecp ciliary body destruction CPT 66711 not published not published $629.69 – $1,353.33 7
Edetate calcium disodium inj HCPCS J0600 $141.69 $382.95 $199.53 – $342.00 5
Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 not published not published $26.20 – $49.66 7
Eeg 41-60 minutes 95812-26 CPT 95812 $461.85 $1,248.25 $66.35 – $900.92 29
Eeg/cerebral death evaluation only 95824 -26 CPT 95824 not published not published $45.44 – $1,216.24 28
Eeg during surgery CPT 95955 $744.81 $2,013.00 $61.18 – $480.50 7
Eeg monitoring/function test CPT 95958 not published not published $182.76 – $1,196.55 7
Eeg monitoring/giving drugs CPT 95954 not published not published $141.01 – $1,216.24 29
Eeg monitor/record/awake/drowsy 95816 CPT 95816 $245.31 $663.00 $66.35 – $827.60 29
Eeg over 1 hour 95813 - 26 CPT 95813 $660.27 $1,784.50 $105.68 – $1,040.55 29
Eeg/record in coma or sleep only 95822 CPT 95822 $245.31 $663.00 $66.35 – $849.44 29
Eeg recording awake and asleep CPT 95819 $245.31 $663.00 $66.35 – $949.29 29
Eeg without vid 2-12hr cont mntr CPT 95707 not published not published $317.24 – $713.79 22
Eeg without vid 2-12 hr unmntr CPT 95705 not published not published $317.24 – $713.79 22
Eeg without vid ea 12-26hr cont CPT 95710 not published not published $540.55 – $1,216.24 22
Eeg without vid ea 12-26hr intmt CPT 95709 not published not published $540.55 – $1,216.24 22
Eeg wo vid 2-12hr intmt mntr CPT 95706 not published not published $317.24 – $713.79 22
Eeg wo vid ea 12-26hr unmntr CPT 95708 not published not published $540.55 – $1,216.24 22
E equine encephalitis igg CPT 86652 $48.38 $130.75 $13.19 – $79.86 29
Egd balloon dil esoph30 mm/> CPT 43233 not published not published $260.33 – $480.50 6
Egd control bleeding any CPT 43255 not published not published $229.78 – $608.42 7
Egd dilate stricture CPT 43245 not published not published $200.52 – $405.61 7
Egd endo mucosal resection CPT 43254 not published not published $309.86 – $578.78 6
Egd endoscopic stent place CPT 43266 not published not published $249.90 – $478.93 6
Egd esophagogastrc fndoplsty CPT 43210 not published not published $491.98 – $829.25 5
Egd flx trnsorl rmvl balo CPT 43291 not published not published $955.15 – $2,149.09 22
Egd guide wire insertion CPT 43248 not published not published $189.59 – $2,149.09 29
Egd injection varices CPT 43243 not published not published $271.34 – $576.44 7
Egd/insert intraluminal tube/cath 43241 CPT 43241 not published not published $162.76 – $336.19 7
Egd lesion ablation CPT 43270 not published not published $257.13 – $503.12 6
Egd optical endomicroscopy CPT 43252 not published not published $192.37 – $369.73 6
Egd remove foreign body CPT 43247 $871.07 $2,354.25 $202.09 – $2,149.09 29
Egd remove lesion snare CPT 43251 not published not published $223.96 – $471.13 7
Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 not published not published $194.24 – $407.95 7
Egd Ultrasound exam duodenum/jejunum CPT 43259 not published not published $258.71 – $654.44 7
Egd Ultrasound fine needle bx/aspir CPT 43238 not published not published $266.49 – $627.13 7
Egd Ultrasound fine needle bx/aspir CPT 43242 not published not published $300.89 – $911.84 7
Egd Ultrasound transmural injxn/mark CPT 43253 not published not published $300.89 – $556.94 6
Egd varices ligation CPT 43244 not published not published $280.96 – $634.94 7
Egd w/thrml txmnt gerd CPT 43257 not published not published $265.76 – $698.11 7
Egd w/transmural drain cyst CPT 43240 not published not published $450.00 – $854.12 7
Egfr gene com variants CPT 81235 $144.71 $391.10 $79.86 – $730.30 28
Ehrlicha chaffeensis amp prb CPT 87484 not published not published $35.09 – $78.95 22
EKG (Electrocardiogram) CPT 93000 not published not published $18.08 – $32.66 7
Elbow arthroscopy CPT 29830 not published not published $491.94 – $959.43 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.