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 |
|---|---|---|---|---|
| Laparo total proctocolectomy CPT 44212 | not published | not published | $2,265.82 – $4,434.42 | 7 |
| Laparo urethral suspension CPT 51990 | not published | not published | $844.62 – $1,619.33 | 7 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,092.88 – $2,123.99 | 7 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $1,470.78 – $2,851.76 | 7 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $1,386.62 – $2,667.67 | 7 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,843.26 – $3,566.25 | 7 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $2,031.62 – $3,913.36 | 7 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $2,204.60 – $4,268.27 | 7 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,485.85 – $2,865.02 | 7 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $2,417.22 – $4,786.98 | 7 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $1,322.76 – $2,625.55 | 7 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,523.08 – $2,954.72 | 7 |
| Lap enterolysis CPT 44180 | not published | not published | $1,009.60 – $1,957.07 | 7 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $180.31 – $293.19 | 6 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $811.15 – $1,593.58 | 7 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,893.88 – $3,683.26 | 7 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $1,194.95 – $2,375.17 | 7 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $4,654.32 – $4,654.32 | 5 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $947.63 – $1,686.41 | 7 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $998.30 – $1,829.93 | 7 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $1,443.34 – $2,630.22 | 7 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $1,156.61 – $2,057.69 | 7 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $457.03 – $909.50 | 7 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $591.58 – $1,184.07 | 7 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $429.02 – $838.52 | 7 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $709.57 – $1,388.44 | 7 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $214.22 – $404.05 | 7 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,430.15 – $2,750.35 | 7 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,741.23 – $3,288.57 | 6 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,959.49 – $3,697.29 | 6 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,930.15 – $3,753.45 | 7 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,208.98 – $2,378.28 | 7 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,694.39 – $3,289.35 | 7 |
| Lap radical hyst CPT 58548 | not published | not published | $2,044.35 – $3,939.11 | 7 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $2,186.13 – $4,262.81 | 7 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,381.75 – $2,700.43 | 7 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $273.90 – $514.81 | 7 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $4,778.16 – $4,778.16 | 5 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $461.07 – $896.24 | 7 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $1,045.29 – $2,042.88 | 7 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $1,044.17 – $2,026.49 | 7 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $903.46 – $1,558.69 | 5 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $725.53 – $1,251.60 | 5 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,249.74 – $11,888.86 | 6 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,630.58 – $3,676.24 | 7 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,968.20 – $3,848.62 | 7 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,059.10 – $2,021.03 | 7 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $832.13 – $1,485.15 | 7 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $1,038.66 – $1,852.54 | 7 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $214.66 – $402.50 | 7 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $201.96 – $348.57 | 5 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $166.43 – $287.43 | 5 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $166.43 – $372.07 | 7 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $447.15 | $1,208.50 | $149.79 – $890.08 | 29 |
| Largsc w/ther injection CPT 31573 | not published | not published | $166.43 – $287.43 | 5 |
| Laryngeal function studies CPT 92520 | not published | not published | $45.67 – $295.47 | 29 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,100.91 – $2,147.40 | 7 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,510.86 – $3,221.49 | 7 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,569.13 – $2,706.99 | 5 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,580.39 – $2,726.67 | 5 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,721.40 – $2,969.82 | 5 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,806.91 – $3,117.41 | 5 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,298.41 – $2,602.93 | 7 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,138.96 – $1,964.89 | 5 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $256.83 – $495.31 | 7 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $74.79 – $302.20 | 29 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $351.17 – $678.63 | 7 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $279.97 – $539.77 | 7 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $161.45 – $312.78 | 7 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $180.59 – $350.23 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,256.91 | $6,099.75 | $178.55 – $343.98 | 7 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $217.62 – $422.78 | 7 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $132.82 – $890.08 | 29 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $211.69 – $410.29 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $235.88 – $456.32 | 7 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $271.02 – $524.17 | 7 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $237.10 – $458.66 | 7 |
| Laryngoscopy w/fb removal CPT 31530 | $2,423.50 | $6,550.00 | $221.75 – $426.66 | 7 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $132.50 – $265.21 | 7 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $135.18 – $261.30 | 7 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $116.20 – $890.08 | 29 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $384.74 – $741.80 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $295.61 – $571.76 | 7 |
| Laser surgery eye strands CPT 67031 | not published | not published | $351.46 – $1,257.50 | 29 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $146.82 – $285.49 | 7 |
| Laser surgery of prostate CPT 52647 | not published | not published | $726.71 – $1,367.38 | 7 |
| Laser surgery of prostate CPT 52648 | not published | not published | $775.05 – $1,459.42 | 7 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $104.75 – $198.13 | 7 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,047.48 – $2,706.68 | 7 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,133.55 – $3,071.71 | 7 |
| Lateral canthopexy CPT 21282 | not published | not published | $372.91 – $822.92 | 7 |
| Lat retinacular release open CPT 27425 | not published | not published | $472.09 – $943.04 | 7 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $111.70 – $532.31 | 29 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,259.80 – $2,460.18 | 7 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $788.35 – $1,556.14 | 7 |
| Lead capillary CPT 83655 | $41.16 | $111.25 | $12.11 – $29.46 | 29 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,487.39 – $2,892.32 | 7 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,474.94 – $2,974.22 | 7 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,873.81 – $3,716.80 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,528.63 – $3,140.36 | 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.