healthcosts.net

Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)

3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Prq skel fix sprcndlr hum fx CPT 24538 not published not published $808.20 – $1,568.62 7
Prq skel fix talus fx w/mnpj CPT 28436 not published not published $454.77 – $947.72 7
Prq skel fix tarsl fx w/mnpj CPT 28456 not published not published $289.33 – $672.38 7
Prq tcat plmt ntrac st 1 les CPT 92928 $8,878.24 $23,995.25 $673.91 – $21,711.00 7
Prq trlml c athrc st angiop1 CPT 92933 $8,878.24 $23,995.25 $755.97 – $21,711.00 7
Prq trluml c angiop 1art&/br CPT 92920 $5,845.45 $15,798.50 $605.50 – $19,696.00 7
Prq trluml c athrc 1 art&/br CPT 92924 $12,319.24 $33,295.25 $722.70 – $19,696.00 7
Prq trluml revsc ch occ ant CPT 92943 $8,878.24 $23,995.25 $756.77 – $21,711.00 7
Pr removal drug delivery implant CPT 11982 not published not published $112.97 – $914.67 29
Pr removal foreign body external auditory canal without anesthesia CPT 69200 $113.04 $305.50 $52.63 – $295.47 29
Pr removal intrauterine device CPT 58301 $113.31 $306.25 $75.56 – $697.27 29
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 $215.62 $582.75 $209.13 – $915.79 29
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 $107.30 $290.00 $62.02 – $455.47 29
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 $125.34 $338.75 $65.63 – $455.47 29
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 $129.50 $350.00 $49.75 – $455.47 29
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 $146.43 $395.75 $65.94 – $455.47 29
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 not published not published $776.07 – $1,526.50 7
Pr subsequent hospital care e/m normal newborn per day CPT 99462 not published not published $37.23 – $49.34 2
Prtl exc bone olecrn process CPT 24147 not published not published $676.55 – $1,308.87 7
Prtl exc bone radial h/n CPT 24145 not published not published $641.54 – $1,246.47 7
Prtl exchange transfuse nb CPT 36456 not published not published $120.82 – $1,002.11 27
Prtl excision bone clavicle CPT 23180 not published not published $727.19 – $1,411.84 7
Prtl excision bone scapula CPT 23182 not published not published $717.58 – $1,396.24 7
Pr tube thoracostomy w/connection to drainage open CPT 32551 $1,074.85 $2,905.00 $178.81 – $379.09 7
PSA (Prostate) Test CPT 84153 $76.96 $208.00 $18.39 – $60.18 29
Psych/neuropsych test admin automated result 96146 CPT 96146 not published not published $24.95 – $56.14 22
Psychoanalysis CPT 90845 not published not published $100.65 – $368.28 24
Psychotherapy group therapy CPT 90853 not published not published $28.36 – $212.02 29
Psychotherapy patient individual therapy 30 minutes CPT 90832 not published not published $70.84 – $368.28 23
Psychotherapy patient individual therapy 45 minutes CPT 90834 not published not published $94.45 – $368.28 23
Psychotherapy patient individual therapy 60 minutes CPT 90837 not published not published $142.05 – $368.28 23
Psych test eval svc phys/qhp 1st hr CPT 96130 not published not published $317.24 – $713.79 22
Psycl/nrpsyc tech 1st CPT 96138 not published not published $406.52 – $914.67 22
Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 not published not published $131.32 – $295.47 22
Psytx complex interactive CPT 90785 not published not published $5.90 – $15.61 6
Psytx pt w/e&m 16-37 min CPT 90833 not published not published $73.37 – $73.37 1
Psytx pt w/e&m 38-52 min CPT 90836 not published not published $92.90 – $92.90 1
Psytx pt w/e&m 53+ min CPT 90838 not published not published $122.75 – $122.75 1
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 $25.07 $67.75 $13.54 – $39.78 29
Pt application of modality >=1 area hot/cold packs CPT 97010 $7.59 $20.50 $5.50 – $12.49 7
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $32.38 $87.50 $17.61 – $67.85 29
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $29.05 $78.50 $13.11 – $29.50 29
Pt application of modality traction mechanical CPT 97012 $23.87 $64.50 $13.54 – $34.31 29
Pten gene dup/delet variant CPT 81323 not published not published $79.86 – $675.00 28
Pten gene full sequence CPT 81321 not published not published $79.86 – $1,350.00 28
Pten gene known fam variant CPT 81322 not published not published $46.60 – $104.85 28
Pterygomaxillary fossa surg any appr 31040 CPT 31040 not published not published $811.28 – $1,618.54 7
Pt evaluation high complexity patient/family CPT 97163 $74.56 $201.50 $87.76 – $208.48 27
Pt evaluation low complexity patient/family CPT 97161 $74.56 $201.50 $87.76 – $208.48 27
Pt evaluation moderate complexity patient/family CPT 97162 $74.56 $201.50 $87.76 – $208.48 27
Pt init/spiromet rec/review/interp 94016 CPT 94016 not published not published $22.53 – $50.69 29
Pt re-evaluation patient/family CPT 97164 $40.89 $110.50 $59.34 – $143.03 27
Pt repositioning canalith procedure(s) per day CPT 95992 not published not published $39.17 – $88.13 29
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 $32.38 $87.50 $14.88 – $28.86 6
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $30.43 $82.25 $27.21 – $61.22 29
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $19.61 $53.00 $27.07 – $62.37 29
Pt wheelchair management each 15 minutes CPT 97542 $29.60 $80.00 $29.05 – $65.36 29
Pul art balloon repr percut CPT 92997 not published not published $736.20 – $1,387.66 7
Pul art balloon repr percut CPT 92998 not published not published $364.10 – $687.19 7
Pulm endartercomy w/bypass 33916 CPT 33916 not published not published $1,977.19 – $9,118.44 7
Pulmonary decortication partial 32225 CPT 32225 not published not published $1,115.48 – $2,144.27 7
Pulmonary vent imaging CPT 78579 $328.56 $888.00 $171.03 – $921.08 28
Pulse ox continuous overnight monitoring CPT 94762 $78.07 $211.00 $24.80 – $358.63 29
Pulse ox multiple CPT 94761 $52.91 $143.00 $4.68 – $8.85 7
Pulse ox single CPT 94760 $24.88 $67.25 $2.98 – $5.45 7
Punc of shunt for asp or inj CPT 61070 $668.13 $1,805.75 $64.04 – $1,587.40 29
Puncture arterial withdrawal blood for diagnosis CPT 36600 $69.01 $186.50 $17.37 – $295.47 29
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 $191.94 $518.75 $103.96 – $915.79 29
Puncture/clear windpipe 31612 CPT 31612 $2,427.76 $6,561.50 $54.42 – $103.75 7
Puncture spinal lumbar diagnostic CPT 62270 $507.55 $1,371.75 $87.57 – $1,587.40 29
Pvb thoracic 2nd+ inj site CPT 64462 not published not published $61.78 – $106.11 5
Pvb thoracic cont infusion CPT 64463 not published not published $101.61 – $1,587.40 27
Pvb thoracic single inj site CPT 64461 $514.58 $1,390.75 $98.36 – $1,587.40 27
Pyloroplasty 43800 CPT 43800 not published not published $1,013.93 – $1,978.14 7
Pyridoxine hcl 100 mg HCPCS J3415 $9.79 $26.45 $13.20 – $21.29 5
Pyruvate CPT 84210 $81.03 $219.00 $11.47 – $108.04 29
Pyruvate kinase CPT 84220 $46.16 $124.75 $9.44 – $108.04 29
Quan puplmtry phy/qhp uni/bi CPT 95919 not published not published $131.32 – $295.47 22
Quant diff pulm perf and vent w/imaging CPT 78598 $664.15 $1,795.00 $279.19 – $1,233.83 28
Quant diff pulm perf w/imaging CPT 78597 $328.56 $888.00 $175.70 – $921.08 28
Quest t3 uptake CPT 84479 $37.28 $100.75 $6.47 – $15.73 29
Quinupristin/dalfopristin HCPCS J2770 $358.62 $969.25 $199.53 – $337.25 5
Rabies ig heat-treated human im/subq 90376 CPT 90376 $815.67 $2,204.50 $106.51 – $781.47 28
Rabies ig ht&sol human im/sc CPT 90377 not published not published $241.15 – $542.59 22
Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 $4,350.89 $11,759.15 $145.53 – $652.30 28
Rabies vaccine id CPT 90676 not published not published $132.00 – $595.06 27
Radiation handling CPT 77790 $104.80 $283.25 $15.10 – $171.42 7
Radiation physics consult CPT 77336 $147.45 $398.50 $49.89 – $304.33 29
Radiation therapy dose plan CPT 77300 $139.21 $376.25 $34.86 – $359.39 29
Radiation treatment aid(s) CPT 77332 $244.76 $661.50 $33.37 – $304.33 29
Radiation treatment aid(s) CPT 77333 $298.50 $806.75 $14.18 – $304.33 29
Radiation treatment aid(s) CPT 77334 $447.24 $1,208.75 $72.58 – $925.80 29
Radiation treatment delivery CPT 77401 $129.69 $350.50 $25.15 – $250.99 29
Radiation treatment delivery CPT 77402 $89.73 $242.50 $111.55 – $304.22 28
Radiation treatment delivery CPT 77412 $214.88 $580.75 $225.81 – $602.80 28
Radical abdominal hysterectomy 58210 CPT 58210 not published not published $2,012.27 – $3,833.79 7
Radical resection of elbow CPT 24149 not published not published $1,263.87 – $2,473.45 7
Radical resection sternum 21630 CPT 21630 not published not published $1,352.82 – $2,609.95 7
Radic resect abd tumor<5cm 22904 CPT 22904 not published not published $1,172.93 – $2,235.54 6
Radic resect shoulder tumor 5cm/> 23078 CPT 23078 not published not published $1,599.65 – $3,050.66 6

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.