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
Reconstruction of urethra CPT 53415 not published not published $1,274.20 – $2,392.31 7
Reconstruction of urethra CPT 53430 not published not published $1,088.32 – $2,055.35 7
Reconstruction of urethra CPT 54308 not published not published $803.57 – $1,510.90 7
Reconstruction of urethra CPT 54312 not published not published $959.30 – $1,728.53 7
Reconstruction of urethra CPT 54316 not published not published $1,171.40 – $2,109.96 7
Reconstruction of urethra CPT 54318 not published not published $798.34 – $1,482.04 7
Reconstruction of urethra CPT 54322 not published not published $870.27 – $1,650.53 7
Reconstruction of urethra CPT 54324 not published not published $1,089.54 – $2,047.56 7
Reconstruction of urethra CPT 54326 not published not published $1,064.71 – $1,999.96 7
Reconstruction tongue fold CPT 41520 not published not published $270.92 – $549.92 7
Reconstruct lip with flap CPT 40527 not published not published $692.84 – $1,336.18 7
Reconstruct lip w/local flap 40525 CPT 40525 not published not published $610.32 – $1,191.87 7
Reconstruct lower jaw bone CPT 21255 not published not published $1,526.88 – $2,840.05 7
Reconstruct orbit/forehead CPT 21172 not published not published $1,991.47 – $3,992.93 7
Reconstruct shoulder joint CPT 23470 not published not published $1,331.60 – $2,553.79 7
Reconstruct shoulder joint CPT 23472 not published not published $1,617.69 – $3,101.37 7
Reconstruct ulna/radioulnar CPT 25337 not published not published $959.93 – $1,870.48 7
Reconstruct upper jaw bone CPT 21206 not published not published $1,238.72 – $2,664.56 7
Reconstruct urethra/bladder CPT 53431 not published not published $1,301.32 – $2,441.47 7
Reconstruct urethra stage 1 CPT 53420 not published not published $947.18 – $1,778.45 7
Reconstruct urethra stage 2 CPT 53425 not published not published $1,055.62 – $1,980.48 7
Reconstruct vena cava 34502 CPT 34502 not published not published $1,752.08 – $3,347.07 7
Rectal sensation test CPT 91120 not published not published $60.29 – $740.79 29
Red cell mass multiple CPT 78121 not published not published $20.08 – $1,233.83 29
Red cell mass single CPT 78120 not published not published $14.66 – $921.08 29
Red cell sequestration CPT 78140 not published not published $38.65 – $921.08 29
Red cell survival study CPT 78130 not published not published $38.65 – $921.08 29
Redo endovas vena cava filtr CPT 37192 $3,481.89 $9,410.50 $414.40 – $799.52 6
Reduce bowel obstruction 44050 CPT 44050 not published not published $1,019.32 – $1,990.61 7
Reduce testis torsion CPT 54600 not published not published $509.44 – $954.74 7
Reduction of facial bones CPT 21209 not published not published $679.34 – $1,359.57 7
Reduction of procidentia 45900 CPT 45900 $657.12 $1,776.00 $212.96 – $2,089.82 29
Re-exploration of chest 32120 CPT 32120 not published not published $977.67 – $1,877.50 7
Re-explore parathyroids CPT 60502 not published not published $1,418.04 – $2,748.78 7
Refill maint impl spine pump CPT 95991 not published not published $44.34 – $676.64 29
Refill/maint pump/resvr syst CPT 96522 $111.93 $302.50 $116.76 – $482.94 29
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 $82.61 $223.28 $73.38 – $90.22 5
Reimplant artery each 35697 CPT 35697 not published not published $170.48 – $329.17 7
Reinforce clavicle CPT 23490 not published not published $924.57 – $1,819.00 7
Reinforce eye wall CPT 67250 not published not published $786.55 – $1,700.44 7
Reinforce/graft eye wall CPT 67255 not published not published $736.64 – $1,847.09 7
Reinforce shoulder bones CPT 23491 not published not published $1,117.12 – $2,141.93 7
Reinforce thigh CPT 27495 not published not published $1,246.30 – $2,389.97 7
Reinforce tibia CPT 27745 not published not published $832.60 – $1,603.73 7
Reinnervate larynx CPT 31590 not published not published $935.07 – $1,890.76 7
Reinsertion of spinal fixation device 22849 CPT 22849 not published not published $1,444.45 – $2,744.11 7
Reinsert ocular implant CPT 65155 not published not published $847.71 – $1,851.77 7
Release encircling material CPT 67115 not published not published $489.04 – $1,072.52 7
Release eye tissue CPT 67343 not published not published $652.24 – $1,436.80 7
Release facial nerve CPT 69720 not published not published $1,280.37 – $2,564.71 7
Release facial nerve CPT 69725 not published not published $2,070.43 – $4,054.54 7
Release facial nerve CPT 69955 not published not published $2,174.24 – $4,266.72 7
Release finger contracture CPT 26525 not published not published $680.25 – $1,347.09 7
Release forearm/hand tendon CPT 26449 not published not published $757.01 – $1,459.42 7
Release inner ear canal CPT 69960 not published not published $2,126.60 – $4,151.27 7
Release knuckle contracture CPT 26520 not published not published $677.35 – $1,344.75 7
Release middle ear bone CPT 69650 not published not published $862.79 – $1,732.42 7
Release muscles of hand CPT 26593 not published not published $620.31 – $1,236.34 7
Release of eye fluid CPT 67015 not published not published $578.92 – $1,251.15 7
Release of foot tendon CPT 28220 not published not published $336.02 – $645.86 7
Release of foot tendon 28225 CPT 28225 not published not published $288.61 – $556.94 7
Release of foot tendons CPT 28222 not published not published $389.44 – $756.63 7
Release of foot tendons CPT 28226 not published not published $350.34 – $797.96 7
Release of lower leg tendon CPT 27680 not published not published $471.94 – $920.42 7
Release of lower leg tendons CPT 27681 not published not published $569.63 – $1,151.32 7
Release of lung 32220 CPT 32220 not published not published $1,778.01 – $3,421.94 7
Release of midfoot joint CPT 28260 not published not published $572.49 – $1,082.67 7
Release of midfoot joint CPT 28264 not published not published $748.14 – $1,549.89 7
Release of shoulder ligament CPT 23415 not published not published $760.57 – $1,468.78 7
Release palm contracture CPT 26040 not published not published $322.71 – $649.76 7
Release palm contracture CPT 26121 not published not published $642.28 – $1,254.28 7
Release palm contracture CPT 26123 not published not published $880.00 – $1,751.15 7
Release palm contracture CPT 26125 not published not published $307.27 – $579.55 7
Release palm contracture 26045 CPT 26045 not published not published $495.69 – $983.60 7
Release palm & finger tendon CPT 26442 not published not published $993.22 – $1,999.96 7
Release palm/finger tendon CPT 26440 not published not published $647.54 – $1,276.12 7
Release thumb contracture CPT 26508 not published not published $658.94 – $1,326.03 7
Release wrist/forearm tendon CPT 25295 not published not published $572.83 – $1,097.48 7
Relieve bladder contracture CPT 52640 not published not published $349.99 – $661.46 7
Relieve cranial pressure 61345 CPT 61345 not published not published $2,197.06 – $4,269.06 7
Relocation of testis(es) CPT 54680 not published not published $901.83 – $1,663.79 7
Relocation skin pocket aicd CPT 33223 $1,107.32 $2,992.75 $456.00 – $876.74 7
Relocation skin pocket pm CPT 33222 $1,078.37 $2,914.50 $374.05 – $730.88 7
Rem/biv cast full arm/leg CPT 29705 $471.57 $1,274.50 $52.61 – $608.76 29
Rem/biv cast shldr/hip spica CPT 29710 not published not published $92.87 – $608.76 29
Rem endovas vena cava filter CPT 37193 $4,756.07 $12,854.25 $403.47 – $801.07 6
Rem interrog dev eval icpms CPT 93297 not published not published $29.46 – $85.48 29
Rem interrog dev eval scrms CPT 93298 not published not published $29.83 – $85.48 29
Rem interrog evl pm/ids CPT 93296 $29.42 $79.50 $26.59 – $85.48 29
Rem mntr physiol 1st dev supply ea 30 days CPT 99454 not published not published $37.99 – $85.48 22
Rem mntr physiol 1st set up pt educaj eqp CPT 99453 not published not published $131.29 – $295.40 22
Rem mntr wrls p-art prs snr CPT 93264 not published not published $37.99 – $85.48 22
Remote 30 day ecg tech supp CPT 93229 not published not published $317.24 – $1,443.82 28
Removal abdomen lymph nodes 38564 CPT 38564 not published not published $780.18 – $1,488.28 7
Removal anal seton other marker 46030 CPT 46030 not published not published $93.74 – $194.22 7
Removal biliary drg cath CPT 47537 $653.79 $1,767.00 $110.28 – $2,149.09 28
Removal central venous catheter tunneled without port/pump CPT 36589 $871.17 $2,354.50 $153.83 – $1,417.18 29
Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 $1,296.20 $3,503.25 $213.99 – $443.83 7
Removal cerclage w/anes CPT 59871 $1,394.81 $3,769.75 $150.40 – $288.62 7
Removal cerclage without anes CPT 59899 not published not published $204.94 – $4,255.08 27

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.