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
Radiesse injection HCPCS Q2026 $1,171.09 $3,165.10 $21.29 – $24.00 5
Radiology port images(s) CPT 77417 $83.44 $225.50 $11.15 – $24.50 7
Radiotherapy dose plan imrt CPT 77301 $2,138.05 $5,778.50 $494.78 – $1,570.54 7
Radium ra223 dichl ther/uci HCPCS A9606 $265.66 $718.00 $162.54 – $174.15 4
Radphm lcl tmr plnr bdy sgl day img CPT 78802 $587.75 $1,588.50 $54.25 – $662.23 7
Radphm lcl tmr plnr bdy two day img CPT 78804 $809.28 $2,187.25 $67.68 – $1,161.45 7
Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 not published not published $642.34 – $642.34 1
Radphm lcl tomogr sgl area sgl day CPT 78803 $727.51 $1,966.25 $68.92 – $698.90 7
Radphm lcl tumor plr sgl day CPT 78800 $398.21 $1,076.25 $41.29 – $921.08 29
Radphm quant measure sgl area add-on CPT 78835 not published not published $82.65 – $82.65 1
Rad rescj tum dstl/shft hum CPT 24150 not published not published $1,073.51 – $3,292.46 7
Rad rescj tum shoulder<5 cm CPT 23077 not published not published $1,272.58 – $2,415.72 7
Rad rescj tum tiss a/e 5 cm+ CPT 24079 not published not published $1,479.35 – $2,810.41 6
Rad rescj tum tiss a/e <5cm CPT 24077 not published not published $896.90 – $2,201.22 7
Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 not published not published $771.36 – $1,579.54 7
Rad resect abd tumor 5 cm/> CPT 22905 not published not published $1,489.34 – $2,827.58 6
Rad resect hand tumor < 3 cm CPT 26117 not published not published $701.05 – $1,578.75 7
Rad resect hand tumor 3 cm/> CPT 26118 not published not published $1,162.55 – $2,240.21 6
Rad resection tum radial h/n CPT 24152 not published not published $805.79 – $2,857.21 7
Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 not published not published $642.80 – $2,045.99 7
Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 $188.33 $509.00 $72.83 – $78.03 4
Rapid desensitization CPT 95180 $412.09 $1,113.75 $112.83 – $914.67 29
Rapid Strep Test CPT 87880 $48.56 $131.25 $12.77 – $56.64 29
Rasburicase 1.5 mg intravenous solution HCPCS J2783 $294.71 $796.50 $339.78 – $698.36 5
Rbc count only automated CPT 85041 $13.41 $36.25 $3.02 – $7.33 29
Rbc depletion of harvest CPT 38212 not published not published $55.99 – $1,002.11 29
Rbc serum pretx incubj drugs CPT 86975 not published not published $14.59 – $914.67 28
Rcnst bfrnt sp orb rm&lw fhd CPT 21175 not published not published $2,351.72 – $5,061.55 7
Rdctj forehead cntrg only CPT 21137 not published not published $768.91 – $1,489.06 7
Rdctj forehead cntrg&prostc CPT 21138 not published not published $988.26 – $1,783.12 7
Rdctj forehead cntrg&setback CPT 21139 not published not published $1,110.31 – $2,120.88 7
Realignment of knee CPT 27457 not published not published $1,046.92 – $2,031.96 7
Realignment of tendons CPT 26437 not published not published $650.58 – $1,287.04 7
Rebuild eardrum structures CPT 69632 not published not published $1,167.40 – $2,322.89 7
Rebuild eardrum structures CPT 69633 not published not published $1,123.49 – $2,246.46 7
Rebuild eardrum structures CPT 69636 not published not published $1,491.54 – $2,958.62 7
Rebuild outer ear canal CPT 69310 not published not published $1,157.81 – $2,338.49 7
Rebuild outer ear canal CPT 69320 not published not published $1,648.62 – $3,274.52 7
Rechanneling of artery CPT 35361 not published not published $1,754.90 – $3,396.98 7
Rechanneling of artery 35305 CPT 35305 not published not published $1,413.99 – $2,740.99 7
Rechanneling of artery 35341 CPT 35341 not published not published $1,573.59 – $3,056.11 7
Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 not published not published $1,478.61 – $2,852.53 7
Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 not published not published $1,666.54 – $3,236.30 7
Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 not published not published $1,126.03 – $2,180.94 7
Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 not published not published $1,424.07 – $2,766.72 7
Reconst lwr jaw w/fixation CPT 21196 not published not published $1,603.74 – $3,144.26 7
Reconst lwr jaw w/graft CPT 21194 not published not published $1,573.76 – $2,932.88 7
Reconst lwr jaw without fixation CPT 21195 not published not published $1,461.13 – $2,865.02 7
Reconst lwr jaw without graft CPT 21193 not published not published $1,315.39 – $2,651.29 7
Reconst major injured chest 32820 CPT 32820 not published not published $1,560.14 – $3,019.46 7
Reconst pectus excavatum/carinatum opn 21740 CPT 21740 not published not published $1,154.51 – $2,574.84 7
Reconstr lwr jaw segment CPT 21198 not published not published $1,257.14 – $2,474.22 7
Reconstr lwr jaw w/advance CPT 21199 not published not published $1,130.20 – $2,164.55 7
Reconstruct ankle joint CPT 27702 not published not published $1,067.43 – $2,067.06 7
Reconstruct cleft foot CPT 28360 not published not published $1,025.99 – $2,304.95 7
Reconstruct cleft palate CPT 42200 not published not published $947.08 – $1,842.41 7
Reconstruct cleft palate CPT 42205 not published not published $1,014.19 – $1,924.30 7
Reconstruct cleft palate CPT 42210 not published not published $1,154.28 – $2,200.43 7
Reconstruct cleft palate CPT 42215 not published not published $768.91 – $1,556.14 7
Reconstruct cleft palate CPT 42220 not published not published $584.13 – $1,127.91 7
Reconstruct cleft palate CPT 42225 not published not published $954.07 – $1,895.46 7
Reconstruct elbow joint CPT 24360 not published not published $991.59 – $1,896.23 7
Reconstruct elbow joint CPT 24361 not published not published $1,107.46 – $2,123.22 7
Reconstruct elbow joint CPT 24362 not published not published $1,171.96 – $2,238.67 7
Reconstruct elbow lat ligmnt CPT 24344 not published not published $1,192.42 – $2,315.88 7
Reconstruct elbow med ligmnt CPT 24346 not published not published $1,194.73 – $2,318.22 7
Reconstruct extra finger CPT 26587 $1,848.61 $4,996.25 $1,047.06 – $2,203.56 7
Reconstruct finger joint CPT 26545 not published not published $730.84 – $1,460.99 7
Reconstruct finger joint CPT 26548 not published not published $807.62 – $1,581.88 7
Reconstruct head of radius CPT 24365 not published not published $697.11 – $1,346.31 7
Reconstruct head of radius CPT 24366 not published not published $747.80 – $1,433.67 7
Reconstruction ankle joint CPT 27703 not published not published $1,230.37 – $2,404.03 7
Reconstruction knee CPT 27427 not published not published $782.07 – $1,514.80 7
Reconstruction knee CPT 27428 not published not published $1,213.05 – $2,353.32 7
Reconstruction knee CPT 27429 not published not published $1,359.06 – $2,638.81 7
Reconstruction of anus CPT 46753 not published not published $622.04 – $1,258.95 7
Reconstruction of bile ducts 47800 CPT 47800 not published not published $1,714.79 – $3,360.33 7
Reconstruction of eyelid CPT 67971 not published not published $744.97 – $1,598.26 7
Reconstruction of eyelid CPT 67973 not published not published $966.46 – $2,059.25 7
Reconstruction of eyelid CPT 67974 not published not published $962.66 – $2,056.14 7
Reconstruction of eyelid CPT 67975 not published not published $702.78 – $1,510.90 7
Reconstruction of jaw CPT 21245 not published not published $977.36 – $1,906.36 7
Reconstruction of jaw CPT 21246 not published not published $943.78 – $1,764.41 7
Reconstruction of jaw CPT 21248 not published not published $966.30 – $1,916.51 7
Reconstruction of jaw CPT 21249 not published not published $1,376.69 – $2,633.35 7
Reconstruction of jaw joint CPT 21240 not published not published $1,221.22 – $2,349.42 7
Reconstruction of jaw joint CPT 21242 not published not published $1,117.39 – $2,147.40 7
Reconstruction of jaw joint CPT 21243 not published not published $1,838.26 – $3,558.46 7
Reconstruction of lower jaw CPT 21244 not published not published $1,133.75 – $2,276.88 7
Reconstruction of mouth CPT 40840 not published not published $698.91 – $1,349.44 7
Reconstruction of mouth CPT 40842 not published not published $685.89 – $1,379.08 7
Reconstruction of mouth CPT 40843 not published not published $896.80 – $1,868.14 7
Reconstruction of mouth CPT 40844 not published not published $1,175.08 – $2,350.98 7
Reconstruction of mouth CPT 40845 not published not published $1,370.96 – $2,642.71 7
Reconstruction of nail bed CPT 11762 $1,694.60 $4,580.00 $202.22 – $399.37 7
Reconstruction of nose CPT 30410 not published not published $1,266.92 – $2,524.15 7
Reconstruction of nose CPT 30420 not published not published $1,479.19 – $2,922.73 7
Reconstruction of orbit CPT 21256 not published not published $1,292.48 – $2,621.64 7
Reconstruction of throat CPT 42950 not published not published $853.31 – $1,709.03 7
Reconstruction of urethra CPT 53410 not published not published $1,101.00 – $2,072.51 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.