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 of kneecap CPT 27350 | not published | not published | $706.49 – $1,377.51 | 7 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $387.68 – $782.36 | 7 |
| Removal of knee cartilage CPT 27332 | not published | not published | $694.11 – $1,351.78 | 7 |
| Removal of knee cartilage CPT 27333 | not published | not published | $627.72 – $1,234.00 | 7 |
| Removal of knee cyst CPT 27345 | not published | not published | $515.82 – $1,013.25 | 7 |
| Removal of larynx lesion CPT 31300 | not published | not published | $1,364.40 – $2,684.83 | 7 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $144.53 – $280.81 | 7 |
| Removal of lens lesion CPT 66830 | not published | not published | $713.84 – $1,503.88 | 7 |
| Removal of lens material CPT 66840 | not published | not published | $695.54 – $1,537.42 | 7 |
| Removal of lens material CPT 66850 | not published | not published | $794.41 – $1,714.48 | 7 |
| Removal of lens material CPT 66852 | not published | not published | $851.05 – $1,851.00 | 7 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $1,951.12 – $3,719.14 | 7 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $1,128.44 – $2,161.44 | 7 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $879.92 – $1,736.32 | 7 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $1,590.16 – $3,132.57 | 7 |
| Removal of metatarsal CPT 28140 | not published | not published | $489.42 – $949.29 | 7 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $918.08 – $1,789.37 | 7 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $1,331.00 – $1,573.80 | 6 |
| Removal of nerve lesion CPT 64790 | not published | not published | $907.02 – $1,747.24 | 7 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,176.84 – $2,491.39 | 7 |
| Removal of nose CPT 30160 | not published | not published | $836.26 – $1,652.08 | 7 |
| Removal of nose lesion CPT 30124 | not published | not published | $289.68 – $609.98 | 7 |
| Removal of nose lesion CPT 30125 | not published | not published | $653.44 – $1,297.95 | 7 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $453.75 – $918.08 | 7 |
| Removal of ocular implant CPT 65175 | not published | not published | $649.72 – $1,404.81 | 7 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $853.46 – $1,685.62 | 7 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $572.86 – $1,119.32 | 7 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $817.29 – $1,564.72 | 7 |
| Removal of palm tendon each CPT 26170 | not published | not published | $428.01 – $851.00 | 7 |
| Removal of rib CPT 21615 | not published | not published | $698.31 – $1,372.06 | 7 |
| Removal of salivary stone CPT 42340 | not published | not published | $373.47 – $729.31 | 7 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $283.56 – $558.50 | 7 |
| Removal of scrotum CPT 55150 | not published | not published | $550.00 – $1,038.98 | 7 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $401.29 – $758.97 | 7 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $361.74 – $698.11 | 7 |
| Removal of shunt CPT 49429 | $3,075.44 | $8,312.00 | $506.54 – $821.75 | 7 |
| Removal of skin tags each add'l 10 CPT 11201 | not published | not published | $18.67 – $35.88 | 7 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $2,810.85 – $4,480.60 | 6 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,293.71 – $2,518.68 | 7 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $478.68 – $962.55 | 7 |
| Removal of spinal shunt CPT 63746 | not published | not published | $596.93 – $1,260.52 | 7 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $297.57 – $556.16 | 7 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $2,477.82 – $4,815.85 | 7 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,591.27 – $3,085.77 | 7 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $2,175.36 – $4,316.63 | 7 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $225.91 – $435.36 | 7 |
| Removal of tail bone CPT 27080 | not published | not published | $537.47 – $1,085.78 | 7 |
| Removal of tear gland CPT 68500 | not published | not published | $976.01 – $2,177.81 | 7 |
| Removal of tear sac CPT 68520 | not published | not published | $689.35 – $1,478.92 | 7 |
| Removal of tendon for graft CPT 20924 | not published | not published | $551.58 – $1,068.64 | 7 |
| Removal of tendon lesion CPT 27630 | not published | not published | $400.09 – $776.91 | 7 |
| Removal of testis CPT 54520 | not published | not published | $364.39 – $690.32 | 7 |
| Removal of testis CPT 54530 | not published | not published | $565.18 – $1,067.84 | 7 |
| Removal of thyroid CPT 60240 | not published | not published | $1,025.80 – $1,967.22 | 7 |
| Removal of thyroid CPT 60252 | not published | not published | $1,470.91 – $2,824.45 | 7 |
| Removal of thyroid CPT 60271 | not published | not published | $1,182.16 – $2,262.83 | 7 |
| Removal of toe lesions CPT 28092 | not published | not published | $297.22 – $579.55 | 7 |
| Removal of toe lesions CPT 28108 | not published | not published | $319.14 – $617.00 | 7 |
| Removal of ureter stone CPT 51060 | not published | not published | $648.92 – $1,226.98 | 7 |
| Removal of urethra CPT 53210 | not published | not published | $874.45 – $1,641.95 | 7 |
| Removal of urethra CPT 53215 | not published | not published | $1,046.30 – $1,960.97 | 7 |
| Removal of urethra gland CPT 53250 | not published | not published | $455.84 – $879.07 | 7 |
| Removal of urethra gland CPT 53270 | not published | not published | $206.13 – $400.16 | 7 |
| Removal of urethra lesion CPT 53230 | not published | not published | $679.40 – $1,288.59 | 7 |
| Removal of urethra lesion CPT 53235 | not published | not published | $711.58 – $1,335.39 | 7 |
| Removal of vein clot CPT 34421 | not published | not published | $829.20 – $1,613.86 | 7 |
| Removal of vein clot CPT 34471 | not published | not published | $629.86 – $2,376.71 | 29 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $693.80 – $1,364.25 | 7 |
| Removal of wrist bone CPT 25210 | not published | not published | $529.24 – $1,025.72 | 7 |
| Removal of wrist bones CPT 25215 | not published | not published | $676.47 – $1,295.61 | 7 |
| Removal of wrist lesion CPT 25130 | not published | not published | $481.79 – $939.93 | 7 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $564.74 – $1,114.65 | 7 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $775.20 – $1,515.58 | 7 |
| Removal prosth radial head CPT 24164 | not published | not published | $535.18 – $1,047.57 | 7 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $5,378.78 | $14,537.25 | $395.35 – $31,789.00 | 7 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $155.49 | $420.25 | $72.89 – $455.47 | 29 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $51.27 – $99.85 | 7 |
| Removal tunnled intprtnl cath CPT 49422 | $2,103.36 | $5,684.75 | $426.46 – $814.33 | 7 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | not published | not published | $197.98 – $914.67 | 29 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $1,153.81 – $2,178.60 | 7 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $302.72 – $566.29 | 7 |
| Remove anal fist complex CPT 46280 | not published | not published | $475.26 – $1,004.67 | 7 |
| Remove anal fist inter CPT 46275 | not published | not published | $413.71 – $884.54 | 7 |
| Remove anal fist subq CPT 46270 | not published | not published | $384.91 – $832.27 | 7 |
| Remove ankle joint lining CPT 27625 | not published | not published | $639.57 – $1,231.66 | 7 |
| Remove ankle joint lining CPT 27626 | not published | not published | $669.11 – $1,323.69 | 7 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $941.46 – $1,861.13 | 7 |
| Remove bladder stone CPT 52317 | not published | not published | $394.22 – $737.90 | 7 |
| Remove bladder stone CPT 52318 | not published | not published | $537.42 – $1,005.44 | 7 |
| Remove blood clot from eye CPT 65930 | not published | not published | $645.51 – $1,396.24 | 7 |
| Remove brain canal fluid CPT 61050 | $783.48 | $2,117.50 | $96.47 – $676.64 | 29 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $616.81 – $1,259.73 | 7 |
| Remove brain lining lesion 61512 CPT 61512 | not published | not published | $2,768.85 – $5,343.15 | 7 |
| Remove cartilage for graft CPT 20910 | not published | not published | $469.41 – $1,403.12 | 29 |
| Remove cartilage for graft CPT 20912 | not published | not published | $523.63 – $1,028.85 | 7 |
| Remove collar bone lesion CPT 23170 | not published | not published | $576.25 – $1,180.18 | 7 |
| Remove coronoid process CPT 21070 | not published | not published | $671.40 – $1,364.25 | 7 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $94.23 – $1,587.40 | 29 |
| Remove cva lumen obstruct CPT 75902 | $131.91 | $356.50 | $24.45 – $135.38 | 7 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $428.09 – $824.48 | 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.