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 shoulder blade lesion CPT 23172 | not published | not published | $590.06 – $1,193.44 | 7 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $494.87 – $914.18 | 6 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,234.14 | $3,335.50 | $160.09 – $350.23 | 7 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $447.63 – $890.79 | 7 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $419.08 – $849.44 | 7 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $937.11 – $1,862.69 | 7 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $405.52 – $728.54 | 7 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $294.96 – $560.84 | 7 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $939.02 – $1,991.40 | 7 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $239.84 – $448.51 | 7 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $358.02 – $691.87 | 6 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $929.67 – $1,654.42 | 6 |
| Remove spine fixation device CPT 22850 | not published | not published | $783.56 – $1,524.93 | 7 |
| Remove spine fixation device CPT 22852 | not published | not published | $748.89 – $1,460.19 | 7 |
| Remove spine infusion device CPT 62365 | not published | not published | $328.55 – $624.79 | 7 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $1,592.71 – $3,117.74 | 7 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,327.16 – $2,602.93 | 7 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,264.32 – $2,482.80 | 7 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $1,197.92 – $2,310.42 | 7 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $1,335.27 – $2,604.49 | 7 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $1,333.77 – $2,635.69 | 7 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $1,641.19 – $3,188.73 | 7 |
| Remove stent via transureth CPT 50386 | not published | not published | $185.56 – $374.41 | 7 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,008.23 – $1,858.79 | 7 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $743.53 – $1,471.89 | 7 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $735.33 – $1,471.89 | 7 |
| Remove tear gland lesion CPT 68540 | not published | not published | $933.33 – $2,001.53 | 7 |
| Remove tear gland lesion CPT 68550 | not published | not published | $1,149.08 – $2,453.17 | 7 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $482.47 – $951.62 | 7 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $648.24 – $1,267.54 | 7 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $723.50 – $1,413.39 | 7 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $319.64 – $628.69 | 7 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $333.27 – $652.88 | 7 |
| Remove/transplant tendon CPT 23440 | not published | not published | $831.55 – $1,598.26 | 7 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,720.29 – $3,289.35 | 7 |
| Remove ureter calculus CPT 51065 | not published | not published | $648.98 – $1,221.51 | 7 |
| Remove ureter stent percut CPT 50384 | $2,412.22 | $6,519.50 | $265.66 – $535.09 | 7 |
| Remove uro sphincter CPT 53446 | not published | not published | $719.59 – $1,355.67 | 7 |
| Remove vaginal foreign body 57415 CPT 57415 | $1,159.40 | $3,133.50 | $176.02 – $342.43 | 7 |
| Remove vagina tissue part CPT 57107 | not published | not published | $1,615.97 – $3,049.10 | 7 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $729.49 – $1,437.58 | 6 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $618.31 – $1,193.44 | 7 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $406.38 – $785.47 | 7 |
| Remove ventilating tube CPT 69424 | not published | not published | $68.12 – $134.16 | 7 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,282.52 – $2,451.60 | 7 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,941.84 – $3,728.50 | 7 |
| Remove windpipe lesion CPT 31785 | not published | not published | $1,206.94 – $2,326.02 | 7 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $831.98 – $1,595.15 | 7 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $654.91 – $1,262.86 | 7 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $657.74 – $1,292.49 | 7 |
| Remove wrist joint implant CPT 25449 | not published | not published | $1,140.07 – $2,194.20 | 7 |
| Remove wrist joint lining CPT 25105 | not published | not published | $525.52 – $1,015.59 | 7 |
| Remove wrist joint lining CPT 26130 | not published | not published | $484.64 – $960.98 | 7 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $370.99 – $713.71 | 7 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $333.10 – $671.59 | 7 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $1,154.57 – $2,169.23 | 7 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $932.47 – $1,819.79 | 7 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $1,011.35 – $1,900.91 | 7 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $795.91 – $1,500.75 | 7 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $1,141.79 – $2,259.72 | 7 |
| Renal cyst study s&i CPT 74470 | not published | not published | $34.28 – $1,256.81 | 28 |
| Renal endoscopy 50572 CPT 50572 | not published | not published | $604.13 – $1,529.98 | 29 |
| Renal function panel CPT 80069 | $26.55 | $71.75 | $8.68 – $21.14 | 29 |
| Renal scope w/tumor resect CPT 50562 | not published | not published | $657.20 – $1,232.43 | 7 |
| Renal venogram bil s&i CPT 75833 | $1,329.50 | $3,593.25 | $93.23 – $542.92 | 7 |
| Reopen fallopian tube CPT 58350 | not published | not published | $85.67 – $169.27 | 7 |
| Reopening of recent laparotomy 49002 CPT 49002 | not published | not published | $1,112.62 – $2,225.40 | 7 |
| Reoperation bypass graft 35700 CPT 35700 | not published | not published | $176.27 – $340.10 | 7 |
| Reoperation carotid add-on 35390 CPT 35390 | not published | not published | $183.99 – $353.36 | 7 |
| Repair achilles tendon CPT 27650 | not published | not published | $724.32 – $1,414.96 | 7 |
| Repair anal fistula CPT 46288 | not published | not published | $563.45 – $1,169.26 | 7 |
| Repair anorectal fist w/plug CPT 46707 | not published | not published | $519.90 – $989.84 | 6 |
| Repair aortic valve supraval stenosis 33417 CPT 33417 | not published | not published | $1,891.41 – $3,606.81 | 7 |
| Repair arm/leg nerve CPT 64857 | not published | not published | $1,171.06 – $2,234.76 | 7 |
| Repair artery rupture thigh 35142 CPT 35142 | not published | not published | $1,518.77 – $2,941.46 | 7 |
| Repair art rupture aorta 35082 CPT 35082 | not published | not published | $2,520.97 – $4,850.95 | 7 |
| Repair art rupture arm 35013 CPT 35013 | not published | not published | $1,434.45 – $2,762.04 | 7 |
| Repair art rupture chest 35022 CPT 35022 | not published | not published | $1,626.14 – $3,130.23 | 7 |
| Repair art rupture groin 35132 CPT 35132 | not published | not published | $1,882.78 – $3,630.21 | 7 |
| Repair av fistula ext 35190 CPT 35190 | $1,880.62 | $5,082.75 | $866.52 – $1,670.81 | 7 |
| Repair biceps tendon CPT 23430 | not published | not published | $812.10 – $1,583.45 | 7 |
| Repair bladder defect CPT 57288 | not published | not published | $793.31 – $1,523.39 | 7 |
| Repair bladder neck CPT 51845 | not published | not published | $654.63 – $1,247.26 | 7 |
| Repair bladder & vagina CPT 57289 | not published | not published | $818.46 – $1,538.99 | 7 |
| Repair bladder-vagina lesion CPT 57320 | not published | not published | $591.34 – $1,126.34 | 7 |
| Repair bladder-vagina lesion CPT 57330 | not published | not published | $840.33 – $1,561.61 | 7 |
| Repair blood ves direct neck 35201 CPT 35201 | not published | not published | $1,076.45 – $2,074.85 | 7 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | not published | not published | $1,664.01 – $3,159.86 | 7 |
| Repair blood vessel direct hand finger CPT 35207 | $2,453.56 | $6,631.25 | $829.61 – $1,602.16 | 7 |
| Repair blood vessel direct intrathoracic without bypass 35216 CPT 35216 | not published | not published | $2,307.15 – $4,439.10 | 7 |
| Repair blood vessel dir lower extr CPT 35226 | $1,377.70 | $3,723.50 | $716.79 – $1,847.86 | 29 |
| Repair blood vessel dir upper extr CPT 35206 | $4,596.33 | $12,422.50 | $885.79 – $1,709.80 | 7 |
| Repair blood vessel lesion CPT 35180 | not published | not published | $1,018.92 – $1,992.95 | 7 |
| Repair blood vessel lesion CPT 35184 | not published | not published | $1,239.84 – $2,304.95 | 7 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $1,035.76 – $2,024.94 | 7 |
| Repair blood vessel lesion CPT 35261 | not published | not published | $1,212.07 – $2,308.86 | 7 |
| Repair blood vessel lesion CPT 35266 | not published | not published | $990.93 – $1,898.57 | 7 |
| Repair blood vessel lesion 35211 CPT 35211 | not published | not published | $1,561.32 – $2,997.62 | 7 |
| Repair blood vessel w/graft intra-abd 35281 CPT 35246 | not published | not published | $1,785.96 – $3,187.93 | 7 |
| Repair blood vessel w/graft lower extremity 35286 CPT 35256 | not published | not published | $1,166.85 – $2,258.15 | 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.