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 |
|---|---|---|---|---|
| Repair hand joint with graft CPT 26541 | not published | not published | $852.78 – $1,658.32 | 7 |
| Repair hand joint with graft CPT 26542 | not published | not published | $717.74 – $1,407.94 | 7 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $2,086.02 – $3,981.22 | 7 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $2,005.11 – $3,953.14 | 7 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $1,869.08 – $3,584.98 | 7 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $4,621.85 – $8,890.66 | 7 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,169.82 – $2,276.09 | 7 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $615.55 – $1,216.06 | 7 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $509.74 – $1,143.51 | 7 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $616.95 – $1,396.24 | 7 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $202.44 – $1,167.30 | 29 |
| Repair leg fascia defect CPT 27656 | not published | not published | $383.96 – $833.84 | 7 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $605.41 | $1,636.25 | $379.24 – $1,167.30 | 29 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $890.87 | $2,407.75 | $461.12 – $914.18 | 7 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $1,489.18 – $2,913.37 | 7 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $2,030.76 – $3,985.91 | 7 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $662.55 – $1,319.02 | 7 |
| Repair lower leg tendons CPT 27675 | not published | not published | $541.53 – $1,048.34 | 7 |
| Repair lower leg tendons CPT 27676 | not published | not published | $669.18 – $1,322.13 | 7 |
| Repair lumbar hernia CPT 49540 | not published | not published | $729.39 – $1,435.24 | 7 |
| Repair lung hernia 32800 CPT 32800 | not published | not published | $1,061.03 – $2,028.83 | 7 |
| Repair major blood vessel(s) w/bypass 33322 CPT 33322 | not published | not published | $1,567.83 – $3,017.12 | 7 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | not published | not published | $1,199.09 – $2,280.77 | 7 |
| Repair meningocele <5cm diam 63700 CPT 63700 | not published | not published | $1,286.41 – $2,638.03 | 7 |
| Repair middle ear structures CPT 69666 | not published | not published | $875.27 – $1,741.79 | 7 |
| Repair middle ear structures CPT 69667 | not published | not published | $878.13 – $1,743.34 | 7 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $888.22 – $1,669.24 | 7 |
| Repair muscles of hand CPT 26591 | not published | not published | $449.80 – $904.82 | 7 |
| Repair nasal septum defect CPT 30630 | not published | not published | $666.63 – $1,336.96 | 7 |
| Repair nasal stenosis CPT 30465 | not published | not published | $1,057.91 – $2,095.13 | 7 |
| Repair nerve add-on CPT 64837 | not published | not published | $427.45 – $794.85 | 7 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $379.25 – $717.62 | 7 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $859.48 – $1,663.00 | 7 |
| Repair nonunion hand CPT 26546 | not published | not published | $1,031.03 – $2,064.71 | 7 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $761.27 – $1,516.35 | 7 |
| Repair of achilles tendon CPT 27654 | not published | not published | $782.45 – $1,506.22 | 7 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,169.30 – $2,357.23 | 7 |
| Repair of anal sphincter CPT 46761 | not published | not published | $1,013.08 – $1,994.51 | 7 |
| Repair of anal stricture CPT 46700 | not published | not published | $681.16 – $1,401.70 | 7 |
| Repair of aneurysm CPT 35141 | not published | not published | $1,268.77 – $2,464.09 | 7 |
| Repair of ankle ligament CPT 27695 | not published | not published | $525.12 – $1,024.17 | 7 |
| Repair of ankle ligament CPT 27698 | not published | not published | $708.66 – $1,372.06 | 7 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $612.18 – $1,198.89 | 7 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,398.48 – $2,780.78 | 7 |
| Repair of bladder opening CPT 51880 | not published | not published | $523.59 – $992.18 | 7 |
| Repair of body cast CPT 29720 | not published | not published | $49.36 – $361.69 | 29 |
| Repair of bowel lesion CPT 44605 | not published | not published | $1,433.18 – $2,778.44 | 7 |
| Repair of circumcision CPT 54163 | not published | not published | $242.94 – $458.66 | 7 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $736.83 – $1,447.72 | 7 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $887.26 – $1,726.19 | 7 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $531.79 – $1,038.21 | 7 |
| Repair of eye socket wound CPT 65290 | $2,963.70 | $8,010.00 | $492.56 – $1,081.88 | 7 |
| Repair of eye wound CPT 65270 | not published | not published | $143.68 – $305.76 | 7 |
| Repair of eye wound CPT 65272 | not published | not published | $348.02 – $741.03 | 7 |
| Repair of eye wound CPT 65275 | not published | not published | $456.54 – $971.90 | 7 |
| Repair of eye wound CPT 65280 | not published | not published | $672.15 – $1,483.60 | 7 |
| Repair of eye wound CPT 65285 | not published | not published | $1,052.48 – $2,434.44 | 7 |
| Repair of eye wound CPT 65286 | not published | not published | $493.68 – $1,071.75 | 7 |
| Repair of facial nerve CPT 64864 | not published | not published | $971.16 – $1,874.39 | 7 |
| Repair of facial nerve CPT 64865 | not published | not published | $1,233.04 – $2,390.77 | 7 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $409.05 – $941.48 | 7 |
| Repair of foot bones CPT 28320 | not published | not published | $678.66 – $1,312.77 | 7 |
| Repair of foot tendon CPT 28200 | not published | not published | $356.19 – $680.97 | 7 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $819.63 – $1,574.87 | 7 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $888.76 – $1,720.72 | 7 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $1,999.05 – $3,821.32 | 7 |
| Repair of humerus CPT 24430 | not published | not published | $1,156.43 – $2,237.87 | 7 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $424.93 – $804.20 | 7 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $638.06 – $1,254.28 | 7 |
| Repair of knee cartilage CPT 27403 | not published | not published | $699.59 – $1,352.56 | 7 |
| Repair of knee ligament CPT 27405 | not published | not published | $737.09 – $1,430.56 | 7 |
| Repair of knee ligament CPT 27407 | not published | not published | $845.71 – $1,670.81 | 7 |
| Repair of knee ligaments CPT 27409 | not published | not published | $1,064.67 – $2,037.41 | 7 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $734.49 – $1,310.43 | 7 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $777.10 – $1,442.25 | 7 |
| Repair of leg nerve CPT 64840 | not published | not published | $1,013.41 – $1,982.82 | 7 |
| Repair of leg tendon each CPT 27658 | not published | not published | $409.55 – $804.20 | 7 |
| Repair of leg tendon each CPT 27659 | not published | not published | $528.09 – $1,038.98 | 7 |
| Repair of leg tendon each CPT 27665 | not published | not published | $450.58 – $883.77 | 7 |
| Repair of low back nerves CPT 64862 | not published | not published | $1,502.16 – $2,882.96 | 7 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $806.57 – $1,602.94 | 7 |
| Repair of metatarsals CPT 28322 | not published | not published | $638.30 – $1,234.00 | 7 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $3,096.26 – $5,946.87 | 7 |
| Repair of nasal septum CPT 30520 | not published | not published | $642.37 – $1,333.05 | 7 |
| Repair of penis CPT 54440 | not published | not published | $695.76 – $4,124.56 | 6 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $769.87 – $1,494.53 | 7 |
| Repair of rectum CPT 45500 | not published | not published | $550.44 – $1,132.59 | 7 |
| Repair of rectum CPT 45505 | not published | not published | $602.64 – $1,267.54 | 7 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $1,386.06 – $2,707.45 | 7 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $853.80 – $1,641.95 | 7 |
| Repair of shoulder CPT 23420 | not published | not published | $1,067.97 – $2,049.90 | 7 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $1,123.06 – $2,181.72 | 7 |
| Repair of sperm duct CPT 55400 | not published | not published | $559.07 – $1,051.47 | 7 |
| Repair of thigh muscle CPT 27385 | not published | not published | $625.31 – $1,215.27 | 7 |
| Repair of tibia CPT 27720 | not published | not published | $964.74 – $1,859.56 | 7 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $609.61 – $1,234.77 | 7 |
| Repair of toe dislocation CPT 28675 | $1,633.64 | $4,415.25 | $437.81 – $872.06 | 7 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $888.19 – $1,760.51 | 7 |
| Repair of urethra defect CPT 53275 | not published | not published | $295.40 – $555.37 | 7 |
| Repair of urethra defect CPT 53520 | not published | not published | $622.96 – $1,173.14 | 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.