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 |
|---|---|---|---|---|
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $534.28 – $1,037.44 | 7 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $549.67 – $1,070.98 | 7 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $627.95 – $1,217.61 | 7 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $573.84 – $1,119.32 | 7 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $645.38 – $1,248.03 | 7 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $39.55 – $687.47 | 29 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $28.17 – $687.47 | 29 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $39.92 – $687.47 | 28 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $52.63 – $172.62 | 29 |
| Electrical stimulation/unattended 97014 CPT 97014 | $33.58 | $90.75 | $15.91 – $33.54 | 7 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $24.31 – $137.41 | 7 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $44.43 – $113.52 | 6 |
| Electrocochleography CPT 92584 | not published | not published | $71.93 – $358.63 | 29 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $106.86 – $1,216.24 | 29 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $384.91 – $3,939.11 | 7 |
| Electrode stimulation brain CPT 95961 | $398.77 | $1,077.75 | $76.98 – $595.93 | 7 |
| Electroejaculation CPT 55870 | not published | not published | $160.64 – $1,995.91 | 29 |
| Electrogastrography CPT 91132 | not published | not published | $16.53 – $713.79 | 29 |
| Electrogastrography w/test CPT 91133 | not published | not published | $21.21 – $389.24 | 29 |
| Electrolyte panel CPT 80051 | $27.75 | $75.00 | $7.01 – $60.18 | 29 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $93.51 – $210.40 | 22 |
| Electron microscopy diagnostic CPT 88348 | $578.13 | $1,562.50 | $91.69 – $1,872.50 | 29 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $45.62 – $295.47 | 29 |
| Electrophysiologic study CPT 93624 | not published | not published | $84.14 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93619 | $6,938.89 | $18,753.75 | $343.32 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93620 | $2,677.04 | $7,235.25 | $238.38 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93621 | $1,793.39 | $4,847.00 | $43.61 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93622 | $1,793.39 | $4,847.00 | $62.93 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93641 | $553.06 | $1,494.75 | $322.91 – $8,949.00 | 7 |
| Electrophysiology evaluation CPT 93642 | $1,251.43 | $3,382.25 | $83.00 – $8,949.00 | 8 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $58.93 – $8,949.00 | 7 |
| Electrophys map 3d add-on CPT 93613 | $1,917.53 | $5,182.50 | $134.67 – $8,949.00 | 8 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $198.52 – $347.61 | 7 |
| Embolization s&i CPT 75894 | $1,331.26 | $3,598.00 | $83.30 – $542.92 | 6 |
| Embo or occlude vascular arterial s&i CPT 37242 | $14,463.39 | $39,090.25 | $552.84 – $1,040.55 | 6 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,186.56 | $41,044.75 | $768.38 – $1,447.72 | 6 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $13,085.98 | $35,367.50 | $652.93 – $1,241.01 | 6 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,186.56 | $41,044.75 | $507.65 – $932.12 | 6 |
| Embryo hatching CPT 89253 | not published | not published | $174.57 – $392.78 | 27 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $165.34 – $2,518.08 | 28 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,181.92 – $2,292.48 | 7 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,093.37 – $2,124.77 | 7 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $45.80 – $88.92 | 7 |
| Emb without cervical dilation 58100 CPT 58100 | $459.54 | $1,242.00 | $97.31 – $461.12 | 29 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $280.92 | $759.25 | $42.02 – $359.58 | 29 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $157.25 | $425.00 | $49.59 – $439.15 | 29 |
| Emg cranial nerve bilateral CPT 95868 | $164.74 | $445.25 | $40.13 – $713.79 | 29 |
| Emg needle test 1-extremity CPT 95860 | $148.65 | $401.75 | $34.46 – $295.47 | 29 |
| Emg needle test 4-extremities CPT 95864 | $310.52 | $839.25 | $64.90 – $501.55 | 29 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $93.61 | $253.00 | $23.12 – $713.79 | 29 |
| Encephalitis, california igg/igm CPT 86651 | $41.44 | $112.00 | $13.19 – $79.86 | 29 |
| Encephalitis, st louis igg/igm CPT 86653 | $45.23 | $122.25 | $13.19 – $79.86 | 29 |
| Encephalitis, western equine igg/igm CPT 86654 | $53.10 | $143.50 | $13.19 – $79.86 | 29 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $1,557.98 | $4,210.75 | $317.60 – $764.42 | 7 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $319.43 – $770.66 | 7 |
| Endo cath bile duct s&i CPT 74328 | $421.80 | $1,140.00 | $44.46 – $542.92 | 6 |
| Endo cath panc duct s&i CPT 74329 | $394.14 | $1,065.25 | $44.46 – $542.92 | 6 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $115.04 – $697.27 | 29 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $100.32 – $1,995.91 | 29 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $387.95 – $783.13 | 7 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $409.44 – $920.42 | 7 |
| Endoluminal bx biliary tree CPT 47543 | $2,666.04 | $7,205.50 | $181.91 – $326.07 | 5 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,666.04 | $7,205.50 | $178.54 – $307.10 | 5 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,531.52 | $4,139.25 | $122.03 – $426.10 | 6 |
| Endoluminl ivus oct c ea CPT 92979 | $891.70 | $2,410.00 | $98.37 – $426.10 | 6 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $241.09 – $474.26 | 7 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $384.17 – $751.16 | 7 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $225.54 – $425.12 | 7 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $137.44 – $271.45 | 7 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $223.58 – $504.67 | 7 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $18.43 – $30.61 | 7 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $101.13 – $2,089.82 | 29 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $736.01 – $1,413.39 | 7 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $352.99 – $681.74 | 7 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $81.70 – $2,089.82 | 29 |
| Endoscopy of ureter CPT 50951 | not published | not published | $347.54 – $651.31 | 7 |
| Endoscopy of ureter CPT 50953 | not published | not published | $369.24 – $719.96 | 7 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $76.22 – $397.57 | 29 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,516.93 | $6,802.50 | $186.98 – $421.98 | 7 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,102.01 – $2,138.82 | 7 |
| Endovasc tempory vessel occl CPT 61623 | $3,781.96 | $10,221.50 | $646.84 – $1,175.48 | 7 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $34,254.64 – $34,254.64 | 5 |
| Endovas iliac a device addon CPT 34808 | $14,463.39 | $39,090.25 | $238.95 – $454.75 | 7 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,393.79 | $3,767.00 | $156.47 – $377.52 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $197.23 – $340.13 | 5 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $98.79 – $170.78 | 5 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $155.78 – $379.09 | 7 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $21.88 | $59.14 | $2.16 – $2.65 | 5 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $62.53 | 29 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $275.01 – $514.81 | 7 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,333.49 – $2,603.70 | 7 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,396.69 – $2,798.72 | 7 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,518.90 – $3,003.86 | 7 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,739.67 – $3,450.03 | 7 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $914.20 – $1,795.61 | 7 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $19.02 – $108.04 | 29 |
| Enzyme histochemistry CPT 88319 | $145.60 | $393.50 | $32.21 – $1,872.50 | 29 |
| Ep & ablate supravent arrhyt CPT 93653 | $17,899.12 | $48,376.00 | $948.21 – $11,285.00 | 7 |
| Ep & ablate ventric tachy CPT 93654 | $17,004.28 | $45,957.50 | $1,269.86 – $11,285.00 | 7 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $2,386.96 | $6,451.25 | $774.96 – $1,614.65 | 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.