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 |
|---|---|---|---|---|
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $444.89 – $879.87 | 7 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,379.93 | $6,432.25 | $193.99 – $391.58 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | $1,633.64 | $4,415.25 | $365.99 – $707.47 | 7 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $900.61 – $1,741.79 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $663.94 – $1,284.69 | 6 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $893.45 – $1,804.19 | 7 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,186.78 – $2,349.42 | 7 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $728.91 – $1,449.27 | 7 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $999.92 – $1,965.65 | 7 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $594.39 – $1,138.83 | 7 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $332.32 – $684.85 | 7 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $250.48 – $531.98 | 7 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $338.60 – $684.08 | 7 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $182.92 – $1,612.78 | 29 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $257.82 – $511.70 | 7 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,383.71 | $3,739.75 | $323.48 – $627.92 | 7 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $338.28 – $646.63 | 7 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $493.92 – $946.95 | 6 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,338.38 | $3,617.25 | $335.78 – $652.88 | 7 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $388.31 – $760.52 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $345.83 – $670.04 | 7 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $456.46 – $884.54 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $463.39 – $888.45 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $461.58 – $888.45 | 6 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $457.19 – $879.07 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $521.40 – $998.43 | 6 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $336.45 – $699.68 | 7 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $343.71 – $662.23 | 7 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $455.98 – $1,319.02 | 7 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $835.22 – $1,592.81 | 6 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,503.42 | $6,766.00 | $116.72 – $237.91 | 7 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $193.13 – $691.87 | 7 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $308.84 – $620.11 | 7 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $881.27 – $1,701.22 | 7 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $927.50 – $1,940.69 | 7 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,032.24 – $2,123.22 | 7 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $1,245.63 – $2,459.41 | 7 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $1,268.85 – $2,503.87 | 7 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $617.45 – $1,241.01 | 7 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $338.06 – $680.17 | 7 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $190.73 – $370.51 | 7 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $102.33 – $295.47 | 26 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $60.51 – $136.15 | 22 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $169.94 – $512.91 | 6 |
| Exome sequence analysis CPT 81415 | not published | not published | $5,425.30 – $5,425.30 | 1 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $148.29 – $302.65 | 7 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $843.56 – $1,638.82 | 7 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $637.14 – $1,239.45 | 7 |
| Exploration for testis CPT 54550 | not published | not published | $555.62 – $1,038.98 | 7 |
| Exploration for testis CPT 54560 | not published | not published | $804.85 – $1,450.84 | 7 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $558.45 – $1,113.08 | 7 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $219.51 – $425.12 | 7 |
| Exploration of ankle joint CPT 27612 | not published | not published | $620.97 – $1,190.31 | 7 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $553.15 – $1,072.52 | 7 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $884.74 – $1,705.12 | 7 |
| Exploration of foot joint CPT 28020 | not published | not published | $399.61 – $772.23 | 7 |
| Exploration of foot joint CPT 28022 | not published | not published | $357.96 – $697.34 | 7 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $458.02 – $936.80 | 7 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $842.99 – $1,665.34 | 7 |
| Exploration of knee joint CPT 27310 | not published | not published | $795.12 – $1,544.44 | 7 |
| Exploration of middle ear CPT 69440 | not published | not published | $735.48 – $1,487.49 | 7 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,064.23 – $2,177.04 | 7 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $886.37 – $1,713.70 | 7 |
| Exploration of toe joint CPT 28024 | not published | not published | $336.04 – $652.10 | 7 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,757.99 – $3,499.94 | 7 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $1,047.90 – $1,995.29 | 7 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,330.28 – $2,529.60 | 7 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,760.59 – $4,158.29 | 7 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,194.98 – $2,248.02 | 7 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $933.73 – $2,029.62 | 7 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,257.70 – $2,692.63 | 7 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,269.43 – $4,369.68 | 7 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $564.64 – $1,110.74 | 7 |
| Explore/drain eye socket CPT 67405 | not published | not published | $792.40 – $1,691.86 | 7 |
| Explore/drain eye socket CPT 67440 | not published | not published | $1,212.18 – $2,590.44 | 7 |
| Explore epididymis CPT 54865 | not published | not published | $400.41 – $755.84 | 7 |
| Explore inner ear CPT 69805 | not published | not published | $1,156.17 – $2,272.98 | 7 |
| Explore inner ear CPT 69806 | not published | not published | $1,033.86 – $2,035.07 | 7 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $111.53 – $685.22 | 29 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $482.68 – $1,857.22 | 7 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $571.53 – $1,561.61 | 7 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,077.18 – $2,061.59 | 7 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,040.35 | $2,811.75 | $386.69 – $741.80 | 7 |
| Explore/repair chest 32110 CPT 32110 | $921.49 | $2,490.50 | $1,647.24 – $3,154.39 | 7 |
| Explore scrotum CPT 55110 | not published | not published | $433.35 – $819.03 | 7 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,058.12 – $2,072.51 | 7 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $499.14 – $961.77 | 7 |
| Explore/treat eye socket CPT 67412 | not published | not published | $864.38 – $1,854.88 | 7 |
| Explore/treat eye socket CPT 67420 | not published | not published | $1,666.02 – $3,546.74 | 7 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,256.97 – $2,627.88 | 7 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $864.40 – $1,869.71 | 7 |
| Explore/treat finger joint CPT 26075 | not published | not published | $335.44 – $687.98 | 7 |
| Explore/treat finger joint CPT 26080 | not published | not published | $403.17 – $818.24 | 7 |
| Explore/treat knee joint CPT 27331 | not published | not published | $509.68 – $1,004.67 | 7 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $433.99 – $850.23 | 7 |
| Explore wound abdomen 20102 CPT 20102 | $2,158.77 | $5,834.50 | $275.73 – $539.77 | 7 |
| Explore woundchest 20101 CPT 20101 | $2,158.77 | $5,834.50 | $226.08 – $442.26 | 7 |
| Explore wound neck 20100 CPT 20100 | $1,086.14 | $2,935.50 | $518.80 – $1,283.14 | 29 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,338.57 – $2,854.10 | 7 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,436.31 – $3,092.78 | 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.