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 |
|---|---|---|---|---|
| Nras gene variants exon 2&3 CPT 81311 | $190.00 | $513.50 | $295.79 – $665.53 | 28 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,206.50 | $5,963.50 | $1,388.73 – $2,489.05 | 7 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,237.72 – $2,374.37 | 7 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,159.70 – $2,289.35 | 7 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,206.35 – $2,286.24 | 7 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,246.67 – $2,507.76 | 7 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,405.56 – $2,736.31 | 7 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,531.76 – $3,005.42 | 7 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,454.19 – $2,865.80 | 7 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,599.69 – $3,115.40 | 7 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,200.67 – $2,325.23 | 7 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,104.18 – $2,140.37 | 7 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $218.07 – $430.57 | 6 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $181.76 – $359.58 | 6 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,389.66 – $2,662.22 | 7 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $178.23 – $353.36 | 6 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $675.73 – $1,475.79 | 7 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,166.13 | 23 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $589.32 – $1,325.97 | 22 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $779.59 | $2,107.00 | $589.32 – $1,325.97 | 26 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $33.41 – $921.08 | 29 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $79.86 | 28 |
| Nuclear rx intra-arterial CPT 79445 | $230.05 | $621.75 | $110.52 – $513.74 | 28 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $51.74 – $513.74 | 29 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $55.71 – $513.74 | 29 |
| Nuclear rx IV admin CPT 79101 | $960.06 | $2,594.75 | $48.87 – $513.74 | 29 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,001.05 | $5,408.25 | $414.64 – $1,003.10 | 6 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $60.54 – $513.74 | 28 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $655.56 | 25 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $93.61 – $116.66 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $71.59 – $80.58 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $142.75 | $385.80 | $85.96 – $92.10 | 4 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $241.71 – $366.57 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $147.90 – $226.40 | 7 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $187.47 – $283.45 | 7 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,039.17 – $2,247.23 | 7 |
| Obstetrics panel CPT 80055 | $76.04 | $205.50 | $42.47 – $109.05 | 29 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $62.52 – $420.03 | 29 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $30.54 – $420.03 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $273.34 – $526.51 | 7 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $19,859.75 | $53,675.00 | $77.35 – $82.88 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $240.50 | $650.00 | $1.79 – $2.21 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,488.73 | $17,537.10 | $199.53 – $233.12 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $1,257.50 | 29 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,641.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $106.63 | $288.20 | $74.77 – $199.53 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $1,109.67 | $2,999.10 | $4.37 – $21.29 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $19.22 – $43.52 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $3,091.99 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $751.93 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,144.96 | 28 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,303.79 | 28 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $399.51 | 28 |
| Oncology prostate prob score CPT 81539 | not published | not published | $650.27 – $1,710.00 | 28 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $79.86 – $2,018.25 | 28 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $79.86 – $586.13 | 28 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $195.81 | 29 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $195.81 | 29 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.36 | $3.68 | $0.05 – $0.06 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.25 | $25.00 | $0.13 – $0.17 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $174.57 – $392.78 | 27 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $2,454.72 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $3,054.57 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $3,932.87 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $4,229.27 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $1,687.18 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $502.33 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $1,804.19 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $1,592.01 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $1,462.53 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $4,356.42 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $603.74 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $999.99 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $1,202.80 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $1,553.02 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $996.57 | 5 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $1,193.84 | 5 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,631.23 | 5 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $1,166.13 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $1,744.13 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $295.47 | 29 |
| Ophthalmic mitomycin HCPCS J7315 | $516.61 | $1,396.25 | $199.53 – $549.27 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $89.98 | 29 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $73.79 – $372.84 | 29 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $41.10 – $243.74 | 29 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $49.23 – $243.74 | 29 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $723.27 – $1,308.09 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $325.45 – $647.43 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $317.68 – $672.38 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $747.33 – $1,421.98 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,216.30 – $2,380.62 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,262.68 – $2,736.31 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,241.21 – $2,594.34 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $402.47 – $806.54 | 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.