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 |
|---|---|---|---|---|
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $151.18 – $890.08 | 29 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $178.93 – $347.11 | 7 |
| Nasal sinus therapy CPT 30210 | not published | not published | $105.63 – $185.72 | 7 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $90.19 | $243.75 | $41.77 – $445.00 | 29 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $39.09 | $105.65 | $8.13 – $23.75 | 6 |
| Natriuretic peptide CPT 83880 | $83.62 | $226.00 | $35.70 – $108.04 | 29 |
| Natural killer cells total count CPT 86357 | $106.28 | $287.25 | $37.73 – $84.89 | 29 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $111.08 – $182.31 | 6 |
| N block inj common digit CPT 64632 | not published | not published | $76.75 – $676.64 | 29 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $136.67 – $2,040.73 | 29 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $11.15 – $557.48 | 29 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $51.71 | $139.75 | $23.12 – $295.47 | 29 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $24.95 – $56.14 | 22 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $24.95 – $56.14 | 22 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $34.46 – $168.49 | 29 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $920.65 | $2,488.25 | $79.64 – $638.84 | 29 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $855.16 | $2,311.25 | $76.61 – $818.62 | 29 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $826.21 | $2,233.00 | $73.00 – $439.15 | 29 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,276.04 | $3,448.75 | $161.19 – $1,150.53 | 29 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $972.27 | $2,627.75 | $120.57 – $997.65 | 29 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $963.02 | $2,602.75 | $100.19 – $776.91 | 29 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $915.20 | $2,473.50 | $113.05 – $1,404.81 | 29 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $624.38 | $1,687.50 | $75.27 – $982.05 | 29 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $587.47 | $1,587.75 | $75.27 – $929.78 | 29 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,261.22 – $2,461.75 | 7 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $1,507.71 – $2,883.73 | 7 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $281.18 – $525.74 | 7 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $23.52 – $131.97 | 7 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $79.86 | 29 |
| Nelarabine injection HCPCS J9261 | $174.86 | $472.60 | $199.53 – $222.06 | 5 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $169.81 | $458.95 | $1.09 – $1.98 | 5 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $1,178.08 – $2,212.14 | 7 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $96.67 – $713.79 | 24 |
| Nerve conduction 7-8 studies CPT 95910 | $476.56 | $1,288.00 | $90.54 – $713.79 | 28 |
| Nerve conduction studies 11-12 CPT 95912 | $476.56 | $1,288.00 | $101.32 – $1,216.24 | 28 |
| Nerve conduction studies 1-2 CPT 95907 | $163.26 | $441.25 | $44.20 – $358.63 | 28 |
| Nerve conduction studies 13+ CPT 95913 | $476.56 | $1,288.00 | $110.66 – $1,216.24 | 28 |
| Nerve conduction studies 3-4 CPT 95908 | $230.23 | $622.25 | $58.57 – $713.79 | 28 |
| Nerve conduction studies 5-6 CPT 95909 | $453.53 | $1,225.75 | $69.35 – $713.79 | 28 |
| Nerve conduction studies 9-10 CPT 95911 | $476.56 | $1,288.00 | $101.68 – $1,216.24 | 28 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $1,263.65 – $2,428.21 | 7 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $1,448.92 – $2,790.13 | 7 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $1,106.67 – $2,176.26 | 7 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,721.06 – $5,662.17 | 7 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,770.24 – $3,438.33 | 7 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,121.73 – $2,205.11 | 7 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $1,476.22 – $2,678.59 | 7 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $897.17 – $1,739.45 | 7 |
| Nerve teasing preparations CPT 88362 | not published | not published | $113.79 – $1,872.50 | 29 |
| Nesiritide injection HCPCS J2325 | $96.76 | $261.50 | $43.86 – $102.92 | 5 |
| Neurectomy foot CPT 28055 | not published | not published | $420.40 – $810.45 | 7 |
| Neurectomy hamstring CPT 27325 | not published | not published | $563.29 – $1,173.14 | 7 |
| Neurectomy popliteal CPT 27326 | not published | not published | $527.83 – $1,081.11 | 7 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $34.19 – $676.64 | 28 |
| Neurolysis celiac plexus CPT 64680 | $664.89 | $1,797.00 | $182.08 – $2,040.73 | 29 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $240.37 – $2,040.73 | 29 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $164.74 | $445.25 | $24.50 – $358.63 | 29 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $499.62 – $1,056.92 | 7 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $352.00 – $676.27 | 7 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $1,086.27 – $2,182.49 | 7 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $994.50 – $1,944.60 | 7 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $94.79 | 22 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $179.12 | 22 |
| Neutron beam tx complex CPT 77423 | not published | not published | $99.82 – $1,325.97 | 29 |
| New Patient Office Visit (level 2) CPT 99202 | $131.07 | $354.25 | $55.48 – $84.36 | 7 |
| New Patient Office Visit (level 3) CPT 99203 | $165.39 | $447.00 | $83.81 – $129.01 | 7 |
| New Patient Office Visit (level 4) CPT 99204 | $228.20 | $616.75 | $140.86 – $220.19 | 7 |
| New Patient Office Visit (level 5) CPT 99205 | $277.69 | $750.50 | $183.33 – $283.45 | 7 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $591.73 | 23 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $734.36 – $1,437.58 | 7 |
| Nipple exploration CPT 19110 | not published | not published | $347.05 – $724.64 | 7 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $11.99 – $56.64 | 29 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $62.86 | $169.90 | $34.76 – $37.24 | 4 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $95.04 – $2,040.73 | 29 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $705.51 – $1,587.40 | 22 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,644.28 | $4,444.00 | $89.99 – $2,040.73 | 29 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $96.37 – $676.64 | 29 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $567.03 – $1,278.46 | 7 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $105.54 – $2,040.73 | 27 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $121.43 – $2,040.73 | 27 |
| Njx interlaminar lmbr/sac CPT 62326 | $675.53 | $1,825.75 | $103.19 – $2,040.73 | 27 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $109.90 – $2,040.73 | 27 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $702.35 | $1,898.25 | $174.36 – $1,529.98 | 27 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $595.68 – $1,122.45 | 7 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $591.91 | $1,599.75 | $64.14 – $921.08 | 29 |
| Nm imaging bone/joint whole body CPT 78306 | $606.15 | $1,638.25 | $54.25 – $921.08 | 29 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $515.41 | $1,393.00 | $63.46 – $921.08 | 29 |
| Nm imaging gastric emptying study CPT 78264 | $557.68 | $1,507.25 | $49.01 – $921.08 | 29 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $417.92 | $1,129.50 | $62.34 – $921.08 | 29 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $564.90 | $1,526.75 | $426.14 – $1,233.83 | 28 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $818.07 | $2,211.00 | $76.54 – $1,233.83 | 29 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $703.19 | $1,900.50 | $297.51 – $1,233.83 | 28 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $302.48 | $817.50 | $228.52 – $921.08 | 28 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $352.15 | $951.75 | $50.31 – $513.74 | 29 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $30.74 – $921.08 | 29 |
| Non-imaging heart function CPT 78414 | not published | not published | $26.87 – $1,233.83 | 28 |
| Noninv pace analysis CPT 93724 | not published | not published | $28.39 – $687.47 | 29 |
| Noonan spectrum disorders CPT 81442 | $944.06 | $2,551.50 | $683.38 – $683.38 | 1 |
| Npm1 gene CPT 81310 | $209.88 | $567.25 | $79.86 – $554.67 | 28 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $540.55 – $1,216.24 | 22 |
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.