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 |
|---|---|---|---|---|
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $264.33 – $537.43 | 7 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $922.87 – $1,875.16 | 7 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $879.28 – $1,703.56 | 7 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $1,543.53 – $2,944.57 | 7 |
| Remove epididymis lesion CPT 54830 | not published | not published | $415.97 – $787.04 | 7 |
| Remove epididymis lesion CPT 54840 | not published | not published | $358.81 – $677.06 | 7 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $76.39 – $542.92 | 6 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $304.70 – $615.43 | 7 |
| Remove ext hem groups 2+ CPT 46250 | $2,503.42 | $6,766.00 | $322.02 – $669.25 | 7 |
| Remove eye/attach implant CPT 65105 | not published | not published | $842.17 – $1,858.01 | 7 |
| Remove eye implant material CPT 67120 | not published | not published | $552.57 – $1,230.09 | 7 |
| Remove eye implant material CPT 67121 | not published | not published | $912.59 – $1,992.95 | 7 |
| Remove eye/insert implant CPT 65103 | not published | not published | $762.31 – $1,684.84 | 7 |
| Remove eye lesion CPT 65900 | not published | not published | $968.52 – $2,032.73 | 7 |
| Remove eye lesion CPT 66130 | not published | not published | $583.30 – $1,264.41 | 7 |
| Remove eyelid lesion CPT 67800 | $286.29 | $773.75 | $105.89 – $685.22 | 29 |
| Remove eyelid lesion CPT 67840 | not published | not published | $161.30 – $2,220.10 | 29 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $363.82 – $809.66 | 7 |
| Remove eyelid lesions CPT 67801 | not published | not published | $137.89 – $2,220.10 | 29 |
| Remove eyelid lesions CPT 67805 | not published | not published | $168.84 – $685.22 | 29 |
| Remove eye/revise socket CPT 65112 | not published | not published | $1,457.33 – $3,045.19 | 7 |
| Remove eye/revise socket CPT 65114 | not published | not published | $1,516.90 – $3,195.74 | 7 |
| Remove femur lesion CPT 27355 | not published | not published | $654.64 – $1,272.22 | 7 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $485.21 – $961.77 | 7 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $805.30 – $1,558.47 | 7 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $893.14 – $1,717.61 | 7 |
| Remove finger bone CPT 26185 | not published | not published | $559.26 – $1,154.43 | 7 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $565.22 – $1,086.58 | 7 |
| Remove foreign body from eye CPT 65235 | $1,206.57 | $3,261.00 | $699.92 – $1,535.08 | 7 |
| Remove foreign body from eye CPT 65260 | not published | not published | $961.64 – $2,021.03 | 7 |
| Remove foreign body from eye CPT 65265 | not published | not published | $1,083.96 – $2,395.44 | 7 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $334.55 – $696.57 | 7 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $649.82 – $1,267.54 | 7 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $595.27 – $1,189.53 | 7 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $628.39 – $1,224.64 | 7 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $442.72 – $843.99 | 7 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $389.27 – $750.38 | 7 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $644.20 – $1,252.71 | 7 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $645.20 – $1,256.61 | 7 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $1,126.49 – $2,183.28 | 7 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $826.53 – $1,604.50 | 7 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $841.44 – $1,644.29 | 7 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $603.81 – $1,173.14 | 7 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $529.28 – $1,036.64 | 7 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $928.56 – $1,789.37 | 7 |
| Remove hand bone lesion CPT 26200 | not published | not published | $481.84 – $945.38 | 7 |
| Remove hip bone les deep CPT 27066 | not published | not published | $885.93 – $1,714.48 | 7 |
| Remove hip bone les super CPT 27065 | not published | not published | $542.07 – $1,088.91 | 7 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $160.13 – $321.36 | 7 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $398.90 – $769.10 | 7 |
| Remove humerus lesion CPT 23174 | not published | not published | $819.16 – $1,597.48 | 7 |
| Remove humerus lesion CPT 23184 | not published | not published | $804.91 – $1,549.89 | 7 |
| Remove implant of eye CPT 65920 | not published | not published | $782.38 – $1,696.54 | 7 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $489.17 – $1,013.25 | 7 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $429.40 – $898.58 | 7 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $547.96 – $1,122.45 | 7 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $571.05 – $1,186.40 | 7 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $469.87 – $989.84 | 7 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $1,448.00 – $2,738.65 | 7 |
| Remove inner ear CPT 69905 | not published | not published | $997.31 – $1,979.69 | 7 |
| Remove inner ear lesion CPT 69970 | not published | not published | $2,365.11 – $4,620.06 | 7 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $1,121.02 – $2,194.20 | 7 |
| Remove intact mammary implant CPT 19328 | not published | not published | $526.14 – $1,055.37 | 7 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $367.41 – $752.72 | 7 |
| Remove iris and lesion CPT 66600 | not published | not published | $814.71 – $1,757.39 | 7 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $864.95 – $1,747.24 | 7 |
| Remove knee cyst CPT 27347 | not published | not published | $554.13 – $1,115.44 | 7 |
| Remove knee joint lining CPT 27334 | not published | not published | $740.26 – $1,445.38 | 7 |
| Remove knee joint lining CPT 27335 | not published | not published | $838.65 – $1,615.42 | 7 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $1,287.47 – $2,510.89 | 7 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $503.20 – $960.98 | 7 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $643.59 – $1,248.03 | 7 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $1,982.36 – $5,732.36 | 7 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,450.48 – $2,976.56 | 7 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,762.47 – $3,372.80 | 7 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $1,183.15 – $2,351.76 | 7 |
| Remove mastoid air cells CPT 69670 | not published | not published | $1,025.30 – $2,034.30 | 7 |
| Remove mastoid structures CPT 69505 | not published | not published | $1,295.94 – $2,580.31 | 7 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $1,200.36 – $2,414.16 | 7 |
| Remove middle ear nerve CPT 69676 | not published | not published | $899.42 – $1,792.48 | 7 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $821.07 – $1,542.10 | 7 |
| Remove nasal foreign body CPT 30310 | $2,232.95 | $6,035.00 | $215.11 – $439.92 | 7 |
| Remove nasal foreign body CPT 30320 | not published | not published | $475.95 – $962.55 | 7 |
| Remove nerve lesion CPT 64784 | not published | not published | $791.86 – $1,563.94 | 7 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $864.70 – $1,699.67 | 7 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $889.31 – $1,936.79 | 7 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,107.47 – $2,253.48 | 7 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $909.10 – $1,703.56 | 7 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $582.36 – $1,217.61 | 7 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $448.80 – $915.75 | 7 |
| Remove prostate regrowth CPT 52630 | not published | not published | $446.97 – $843.20 | 7 |
| Remove renal tube w/fluoro CPT 50389 | $365.28 | $987.25 | $61.77 – $1,529.98 | 29 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $937.41 – $1,859.56 | 7 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $965.91 – $1,815.89 | 7 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $908.34 – $1,708.25 | 7 |
| Remove/revise male sling CPT 53442 | not published | not published | $877.53 – $1,652.08 | 7 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $969.11 – $1,904.81 | 7 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,131.60 – $2,212.92 | 7 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,192.42 – $2,287.81 | 7 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $591.66 – $1,114.65 | 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.