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 |
|---|---|---|---|---|
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,943.75 – $5,694.92 | 7 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,710.48 – $5,211.31 | 7 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,413.73 – $2,752.69 | 7 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,609.29 – $3,123.98 | 7 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,436.77 – $2,803.39 | 7 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,526.65 – $2,959.40 | 7 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.19 | $1,430.25 | $58.42 – $111.54 | 7 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,528.32 – $2,930.54 | 7 |
| Artery to vein shunt CPT 36835 | not published | not published | $542.57 – $925.88 | 7 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $906.15 – $1,748.02 | 7 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $762.58 – $1,443.05 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | $705.87 | $1,907.75 | $23.05 – $542.92 | 7 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,633.29 | $7,117.00 | $72.46 – $542.92 | 7 |
| Artery x-rays adrenal gland CPT 75731 | $1,134.14 | $3,065.25 | $75.94 – $542.92 | 7 |
| Artery x-rays adrenals CPT 75733 | $2,119.92 | $5,729.50 | $88.29 – $542.92 | 7 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,500.35 | $4,055.00 | $72.65 – $542.92 | 7 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,674.84 | $9,932.00 | $83.41 – $542.92 | 7 |
| Artery x-rays chest CPT 75756 | $2,895.07 | $7,824.50 | $76.55 – $542.92 | 7 |
| Artery x-rays lung CPT 75741 | $1,190.85 | $3,218.50 | $83.51 – $542.92 | 7 |
| Artery x-rays lung CPT 75746 | $703.56 | $1,901.50 | $72.06 – $542.92 | 7 |
| Artery x-rays lungs CPT 75743 | $1,898.93 | $5,132.25 | $89.11 – $542.92 | 7 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $1,274.28 | $3,444.00 | $73.15 – $542.92 | 7 |
| Artery x-rays spine CPT 75705 | $2,633.29 | $7,117.00 | $133.67 – $542.92 | 7 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $239.98 – $468.01 | 5 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,399.63 – $2,670.78 | 7 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,679.35 – $3,265.16 | 7 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,917.78 – $3,610.71 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,077.98 – $3,883.73 | 6 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,010.28 – $2,007.00 | 7 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,089.09 – $2,113.86 | 7 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,380.35 – $2,711.36 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,688.28 – $3,255.03 | 7 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $761.24 – $1,027.18 | 5 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $804.57 – $1,541.33 | 7 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $660.25 – $1,294.06 | 7 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $815.15 – $1,591.24 | 7 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $930.44 – $1,780.01 | 7 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $946.63 – $1,827.59 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $269.82 | $729.25 | $41.77 – $676.64 | 29 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $599.31 | $1,619.75 | $59.51 – $1,587.40 | 27 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $227.37 | $614.50 | $69.00 – $676.64 | 27 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $196.38 | $530.75 | $39.87 – $676.64 | 29 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $382.30 | $1,033.25 | $51.67 – $676.64 | 29 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $197.77 | $534.50 | $52.49 – $676.64 | 27 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $452.39 – $832.27 | 6 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $645.35 – $1,230.09 | 7 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $372.92 – $706.70 | 7 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $563.75 – $1,047.57 | 6 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $872.04 – $1,748.81 | 7 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $1,123.77 – $2,166.12 | 7 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $1,390.08 – $2,745.67 | 7 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $365.14 – $673.93 | 7 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,133.87 – $3,272.97 | 6 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,369.64 – $2,711.36 | 7 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $444.41 – $826.05 | 7 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $859.66 – $1,652.87 | 7 |
| Arthrodesis triple CPT 28715 | not published | not published | $1,036.91 – $1,989.83 | 7 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $431.58 – $879.87 | 7 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $731.07 – $1,434.46 | 7 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $317.33 – $650.54 | 7 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $509.43 – $1,003.88 | 7 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $526.54 – $1,053.81 | 7 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $692.77 – $1,347.09 | 7 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $514.22 – $1,045.23 | 7 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $889.53 – $1,740.23 | 7 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $844.38 – $1,645.85 | 7 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $1,030.41 – $1,942.26 | 7 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $880.61 – $1,663.00 | 7 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $1,297.26 – $2,462.52 | 7 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $900.28 – $1,674.70 | 7 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $788.93 – $1,517.14 | 7 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $812.83 – $1,589.68 | 7 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $484.29 – $938.36 | 7 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $621.11 – $1,199.67 | 7 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $667.52 – $1,297.95 | 7 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $775.32 – $1,503.09 | 7 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $534.92 – $1,053.04 | 7 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $433.84 – $879.07 | 7 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $784.70 – $1,518.69 | 7 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $720.28 – $1,396.24 | 7 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $1,075.46 – $2,057.69 | 7 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $616.20 – $1,184.07 | 7 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $198.08 – $735.71 | 7 |
| Artificial insemination CPT 58321 | not published | not published | $54.45 – $697.27 | 29 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $65.38 – $461.12 | 29 |
| Art pressure waveform analys CPT 93050 | not published | not published | $8.99 – $56.14 | 28 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,136.74 – $2,202.00 | 7 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $3,668.34 – $3,867.89 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,865.35 – $3,554.55 | 7 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $106.31 | 28 |
| Asp core fat pad CPT 17999 | not published | not published | $202.43 – $657.03 | 27 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $175.89 – $1,612.78 | 29 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $629.86 – $2,157.51 | 27 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,063.32 | $8,279.25 | $163.36 – $309.67 | 7 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $277.59 | $750.25 | $46.55 – $676.64 | 29 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,523.29 | $4,117.00 | $101.93 – $1,417.18 | 28 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | not published | not published | $716.79 – $1,612.78 | 22 |
| Aspiration orbital contents CPT 67415 | $1,115.00 | $3,013.50 | $112.67 – $228.55 | 7 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $181.50 – $4,162.07 | 28 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $386.65 | $1,045.00 | $56.48 – $1,612.78 | 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.