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 |
|---|---|---|---|---|
| Removal cerumen impacted (both sides) CPT 69210 | $113.96 | $308.00 | $36.75 – $136.15 | 29 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $680.64 – $1,322.92 | 7 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,086.67 – $2,106.05 | 7 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $112.85 | $305.00 | $40.63 – $455.47 | 28 |
| Removal duct glbldr calculi CPT 47544 | $245.22 | $662.75 | $185.25 – $412.51 | 5 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $838.33 | $2,265.75 | $125.30 – $2,149.09 | 29 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,036.83 | $2,802.25 | $109.82 – $217.63 | 7 |
| Removal foreign body foot cmplx CPT 28193 | $1,907.07 | $5,154.25 | $410.64 – $798.73 | 7 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,433.57 | $3,874.50 | $148.12 – $1,612.78 | 29 |
| Removal foreign body gum 41805 CPT 41805 | $1,079.48 | $2,917.50 | $170.64 – $365.83 | 7 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $271.19 – $567.07 | 7 |
| Removal foreign body mouth CPT 40805 | not published | not published | $245.01 – $1,167.30 | 29 |
| Removal implant from finger/hand 26320 CPT 26320 | $1,510.80 | $4,083.25 | $363.65 – $725.43 | 7 |
| Removal implant superficial separate procedure CPT 20670 | $1,108.06 | $2,994.75 | $160.42 – $313.57 | 7 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $678.31 – $1,349.44 | 7 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $522.19 – $1,080.33 | 7 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,091.57 – $2,021.81 | 7 |
| Removal of adenoids CPT 42830 | not published | not published | $226.62 – $450.85 | 7 |
| Removal of adenoids CPT 42831 | not published | not published | $244.21 – $485.18 | 7 |
| Removal of adenoids CPT 42836 | not published | not published | $265.35 – $521.83 | 7 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $199.94 – $418.10 | 7 |
| Removal of anal fissure CPT 46200 | not published | not published | $314.52 – $692.66 | 7 |
| Removal of anal tags CPT 46230 | not published | not published | $184.06 – $370.51 | 7 |
| Removal of ankle bone CPT 28130 | not published | not published | $711.29 – $1,537.42 | 7 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $455.40 – $882.98 | 7 |
| Removal of ankle implant CPT 27704 | not published | not published | $625.86 – $1,241.01 | 7 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $684.52 – $1,332.28 | 7 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $684.89 – $1,331.49 | 7 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,607.42 – $3,105.25 | 7 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,107.06 – $2,138.82 | 7 |
| Removal of bladder lesion CPT 51520 | not published | not published | $667.87 – $1,253.48 | 7 |
| Removal of bladder stone CPT 51050 | not published | not published | $528.29 – $996.09 | 7 |
| Removal of bone for graft CPT 20900 | not published | not published | $210.97 – $446.96 | 7 |
| Removal of bone for graft CPT 20902 | not published | not published | $318.70 – $649.76 | 7 |
| Removal of bone lesion CPT 23140 | not published | not published | $559.29 – $1,121.66 | 7 |
| Removal of bone lesion CPT 23145 | not published | not published | $753.10 – $1,464.10 | 7 |
| Removal of bone lesion CPT 23146 | not published | not published | $653.62 – $1,307.32 | 7 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,340.08 – $4,581.84 | 7 |
| Removal of breast lesion CPT 19120 | not published | not published | $428.79 – $872.85 | 7 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $961.50 – $1,314.08 | 6 |
| Removal of calcium deposits CPT 23000 | not published | not published | $385.31 – $783.13 | 7 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $2,294.90 – $4,571.69 | 7 |
| Removal of epididymis CPT 54860 | not published | not published | $468.32 – $883.77 | 7 |
| Removal of epididymis CPT 54861 | not published | not published | $634.09 – $1,193.44 | 7 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $560.80 – $1,212.93 | 7 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $784.04 – $1,583.45 | 7 |
| Removal of external ear CPT 69120 | not published | not published | $425.25 – $875.96 | 7 |
| Removal of eye CPT 65101 | not published | not published | $728.83 – $1,612.29 | 7 |
| Removal of eye CPT 65110 | not published | not published | $1,236.60 – $2,624.77 | 7 |
| Removal of eye lesion CPT 65400 | not published | not published | $591.99 – $2,220.10 | 29 |
| Removal of eye lesion CPT 65420 | not published | not published | $371.16 – $805.77 | 7 |
| Removal of eye lesion CPT 65426 | not published | not published | $476.29 – $1,032.74 | 7 |
| Removal of face wrinkles CPT 15828 | not published | not published | $2,515.07 – $4,480.60 | 6 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $862.03 – $1,677.05 | 7 |
| Removal of fascia for graft CPT 20920 | not published | not published | $433.79 – $845.53 | 7 |
| Removal of fascia for graft CPT 20922 | not published | not published | $539.52 – $1,059.26 | 7 |
| Removal of finger lesion CPT 26210 | not published | not published | $465.58 – $926.67 | 7 |
| Removal of finger tendon CPT 26180 | not published | not published | $467.88 – $929.78 | 7 |
| Removal of foot fascia CPT 28062 | not published | not published | $454.36 – $875.19 | 7 |
| Removal of foot joint lining CPT 28070 | not published | not published | $396.41 – $759.74 | 7 |
| Removal of foot joint lining CPT 28072 | not published | not published | $368.00 – $712.94 | 7 |
| Removal of foot lesion CPT 28080 | not published | not published | $391.25 – $787.04 | 7 |
| Removal of foot lesion CPT 28090 | not published | not published | $340.87 – $661.46 | 7 |
| Removal of foot lesion CPT 28104 | not published | not published | $391.45 – $744.91 | 7 |
| Removal of forearm lesion CPT 25120 | not published | not published | $542.58 – $1,046.79 | 7 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $1,183.70 – $1,823.20 | 6 |
| Removal of foreign body CPT 27372 | not published | not published | $435.33 – $854.12 | 7 |
| Removal of frontal sinus CPT 31080 | not published | not published | $1,092.40 – $2,195.75 | 7 |
| Removal of frontal sinus CPT 31081 | not published | not published | $1,328.35 – $3,131.78 | 7 |
| Removal of frontal sinus CPT 31084 | not published | not published | $1,275.74 – $2,457.85 | 7 |
| Removal of frontal sinus CPT 31086 | not published | not published | $1,208.68 – $2,388.43 | 7 |
| Removal of frontal sinus CPT 31087 | not published | not published | $1,183.70 – $2,304.18 | 7 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $1,349.48 – $3,324.45 | 7 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $1,150.95 – $2,271.41 | 7 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $1,368.35 – $2,666.89 | 7 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $1,501.61 – $2,928.97 | 7 |
| Removal of gum tissue CPT 41830 | not published | not published | $300.94 – $608.42 | 7 |
| Removal of head of humerus CPT 23195 | not published | not published | $822.52 – $1,592.81 | 7 |
| Removal of heel bone CPT 28118 | not published | not published | $455.37 – $885.32 | 7 |
| Removal of heel spur CPT 28119 | not published | not published | $400.38 – $775.34 | 7 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $681.40 – $1,330.71 | 7 |
| Removal of humerus lesion CPT 23150 | not published | not published | $712.38 – $1,394.68 | 7 |
| Removal of humerus lesion CPT 23155 | not published | not published | $864.30 – $1,672.36 | 7 |
| Removal of humerus lesion CPT 23156 | not published | not published | $733.42 – $1,428.22 | 7 |
| Removal of hydrocele CPT 55040 | not published | not published | $377.32 – $716.05 | 7 |
| Removal of hydrocele CPT 55500 | not published | not published | $440.86 – $841.65 | 7 |
| Removal of hydroceles CPT 55041 | not published | not published | $570.98 – $1,077.99 | 7 |
| Removal of implant deep CPT 20680 | not published | not published | $454.10 – $904.82 | 7 |
| Removal of infusion pump CPT 36262 | not published | not published | $316.16 – $652.88 | 7 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $975.53 – $2,075.63 | 7 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $478.53 – $1,257.50 | 29 |
| Removal of intranasal lesion CPT 30117 | $1,733.17 | $4,684.25 | $350.17 – $719.96 | 7 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $832.80 – $1,629.46 | 7 |
| Removal of iris CPT 66605 | not published | not published | $1,066.75 – $2,230.86 | 7 |
| Removal of iris CPT 66625 | not published | not published | $428.33 – $925.10 | 7 |
| Removal of iris CPT 66630 | not published | not published | $565.19 – $1,241.79 | 7 |
| Removal of iris CPT 66635 | not published | not published | $571.00 – $1,212.93 | 7 |
| Removal of ischial bursa CPT 27060 | not published | not published | $466.69 – $979.71 | 7 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $966.11 – $1,889.99 | 7 |
| Removal of jaw joint CPT 21050 | not published | not published | $920.76 – $1,843.19 | 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.