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 |
|---|---|---|---|---|
| Hepatobiliary system imaging CPT 78226 | $528.18 | $1,427.50 | $310.43 – $921.08 | 28 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $910.64 – $910.64 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $556.37 – $1,105.29 | 7 |
| Herpes simplex 1 ag if CPT 87274 | $50.97 | $137.75 | $11.98 – $62.53 | 29 |
| Herpes simplex 2 ag if CPT 87273 | $47.45 | $128.25 | $11.98 – $62.53 | 29 |
| Herpes simplex type 1 antibody igg CPT 86695 | $60.68 | $164.00 | $13.19 – $32.09 | 29 |
| Herpes simplex type 2 antibody igg CPT 86696 | $77.52 | $209.50 | $19.35 – $62.53 | 29 |
| Herpes simplex virus isolation CPT 87255 | $59.44 | $160.65 | $33.86 – $113.14 | 29 |
| Heterophile antibodies screening CPT 86308 | $24.14 | $65.25 | $5.18 – $62.53 | 29 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $62.53 | 29 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $62.53 | 29 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $115.76 | 28 |
| Hhv-6 dna quant CPT 87533 | $184.63 | $499.00 | $19.90 – $113.14 | 29 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $249.97 – $486.73 | 7 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $881.60 – $1,732.42 | 7 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $872.53 – $1,733.98 | 7 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,120.11 – $2,185.62 | 6 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $711.58 – $1,409.49 | 7 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $790.65 – $1,539.76 | 7 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,099.49 – $2,141.93 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,121.19 – $2,187.96 | 6 |
| Hip X-ray CPT 73502 | $122.10 | $330.00 | $30.54 – $201.83 | 28 |
| Histamine CPT 83088 | $162.62 | $439.50 | $29.53 – $108.04 | 29 |
| Histochemical stains add-on CPT 88314 | $57.07 | $154.25 | $27.66 – $113.79 | 7 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $4.81 – $89.98 | 29 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $18.50 – $62.53 | 29 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.11 – $113.14 | 29 |
| Hla class i high defin qual CPT 86832 | $264.18 | $714.00 | $49.47 – $728.44 | 28 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $49.47 – $733.05 | 28 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $49.47 – $144.43 | 28 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $46.21 – $144.43 | 28 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $49.47 – $184.23 | 28 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $49.47 – $726.66 | 28 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $49.47 – $214.92 | 28 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $49.47 – $804.51 | 28 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $79.86 – $910.17 | 28 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $79.86 – $777.53 | 28 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $79.86 – $904.77 | 28 |
| Hla ii typing 1 loc hr CPT 81382 | $658.39 | $1,779.42 | $79.86 – $278.28 | 28 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $79.86 – $496.67 | 28 |
| Hla i low res one antigen equiv ea CPT 81374 | $100.73 | $272.25 | $74.33 – $167.24 | 28 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $79.86 – $398.81 | 28 |
| Hla i typing complete hr CPT 81379 | not published | not published | $79.86 – $754.61 | 28 |
| Hla i typing complete lr CPT 81372 | $2,871.02 | $7,759.50 | $79.86 – $908.08 | 28 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $153.00 | $413.50 | $79.86 – $382.28 | 28 |
| Hla i typing low res one locus ea CPT 81373 | $978.84 | $2,645.50 | $79.86 – $286.72 | 28 |
| Hla typing a b or c CPT 86813 | $100.73 | $272.25 | $40.55 – $130.50 | 29 |
| Hla typing dr/dq CPT 86816 | not published | not published | $29.45 – $67.88 | 29 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $82.19 | 28 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $49.47 – $246.35 | 28 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $94.23 – $212.02 | 22 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $30.35 – $68.29 | 22 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $30.35 – $68.29 | 22 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $163.68 – $368.28 | 22 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $70.69 | $191.05 | $0.22 – $0.27 | 5 |
| Home sleep test/type 3 porta HCPCS G0399 | $424.58 | $1,147.50 | $166.60 – $573.75 | 6 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $93.08 – $98.02 | 2 |
| Homocysteine CPT 83090 | $142.54 | $385.25 | $17.72 – $111.67 | 29 |
| Homogenization tissue CPT 87176 | $15.45 | $41.75 | $5.88 – $14.32 | 29 |
| Homovanillic acid (hva) CPT 83150 | $76.87 | $207.75 | $20.33 – $111.67 | 29 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $275.00 | 28 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $275.00 | 28 |
| Hpv low-risk types CPT 87623 | not published | not published | $32.53 – $78.95 | 28 |
| Hpv types 16 & 18 only CPT 87625 | $140.32 | $379.25 | $26.02 – $91.24 | 28 |
| H pylori ag ia CPT 87339 | not published | not published | $12.77 – $62.53 | 29 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $151.56 | 29 |
| H pylori (c-13) breath CPT 83013 | $74.77 | $202.08 | $67.36 – $151.56 | 29 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $108.04 | 29 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,316.02 | 28 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,316.02 | 28 |
| Htt gene detc abnor alleles CPT 81271 | $152.07 | $411.00 | $137.00 – $308.25 | 25 |
| Human epididymis protein 4 (he4) CPT 86305 | $98.51 | $266.25 | $20.81 – $113.14 | 28 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $110.65 | $299.06 | $0.39 – $0.78 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $87.69 | $237.00 | $0.49 – $0.78 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $9.70 | $26.22 | $4.96 – $21.29 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $67.06 | $181.25 | $15.89 – $105.77 | 29 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $144.67 | $391.00 | $59.41 – $482.94 | 29 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $64.01 | $173.00 | $8.04 – $21.29 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $75.95 | $205.28 | $0.53 – $9.29 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $111.67 | 29 |
| Hymenotomy CPT 56442 | not published | not published | $52.19 – $102.96 | 7 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,098.35 – $2,142.71 | 7 |
| Hyoscyamine sulfate inj HCPCS J1980 | $106.63 | $288.20 | $21.29 – $29.80 | 5 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $79.86 | 29 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $126.61 – $2,298.71 | 29 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $96.62 – $863.47 | 29 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $97.36 – $1,325.97 | 29 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $94.23 – $2,164.55 | 29 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $129.12 – $2,021.81 | 29 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,087.90 – $2,131.01 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,160.31 – $2,282.34 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $995.85 – $1,967.99 | 7 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $311.15 – $607.64 | 7 |
| Hysterosalpingography s&i CPT 74740 | $252.25 | $681.75 | $23.98 – $554.06 | 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.