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 of urethra injury CPT 53505 | not published | not published | $544.06 – $1,024.95 | 7 |
| Repair of urethra injury CPT 53510 | not published | not published | $708.16 – $1,332.28 | 7 |
| Repair of urethra injury CPT 53515 | not published | not published | $888.97 – $1,680.16 | 7 |
| Repair of urethra injury 53502 CPT 53502 | $2,738.46 | $7,401.25 | $544.79 – $1,025.72 | 7 |
| Repair of urethral lesion CPT 57230 | not published | not published | $433.93 – $853.34 | 7 |
| Repair of web finger CPT 26560 | not published | not published | $596.02 – $1,225.41 | 7 |
| Repair of web finger CPT 26561 | not published | not published | $971.52 – $1,967.22 | 7 |
| Repair of web finger CPT 26562 | not published | not published | $1,417.45 – $2,681.70 | 7 |
| Repair of windpipe CPT 31750 | $2,894.60 | $7,823.25 | $1,442.90 – $2,932.88 | 7 |
| Repair of windpipe CPT 31755 | not published | not published | $1,814.74 – $3,677.02 | 7 |
| Repair of windpipe defect CPT 31825 | not published | not published | $526.94 – $1,032.74 | 7 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $467.85 – $915.75 | 7 |
| Repair palate CPT 42182 | not published | not published | $284.86 – $555.37 | 7 |
| Repair palate CPT 42235 | not published | not published | $796.69 – $1,585.00 | 7 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $771.52 – $1,528.84 | 7 |
| Repair paravag defect lap CPT 57423 | not published | not published | $1,010.64 – $1,985.16 | 7 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $744.75 – $1,451.61 | 7 |
| Repair penis CPT 54380 | not published | not published | $898.86 – $1,918.85 | 7 |
| Repair penis CPT 54385 | not published | not published | $1,088.81 – $2,088.89 | 7 |
| Repair pm/icd lead dual CPT 33220 | $1,873.22 | $5,062.75 | $434.97 – $838.52 | 7 |
| Repair pm/icd lead sgl CPT 33218 | $2,027.05 | $5,478.50 | $434.22 – $831.50 | 7 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,893.41 – $3,626.31 | 7 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,651.11 – $3,146.60 | 7 |
| Repair radius or ulna CPT 25400 | not published | not published | $884.22 – $1,692.65 | 7 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,067.86 – $2,039.75 | 7 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,605.15 – $3,144.26 | 7 |
| Repair rectum & vagina CPT 57250 | not published | not published | $746.80 – $1,460.99 | 7 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $607.60 – $1,199.67 | 7 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,021.67 – $1,998.42 | 7 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $644.36 – $1,267.54 | 7 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $1,024.05 – $1,996.85 | 7 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $831.35 – $1,631.02 | 7 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $1,457.93 – $3,783.88 | 7 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,042.26 – $2,077.97 | 7 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $904.99 – $1,737.10 | 7 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $938.54 – $1,803.40 | 7 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $821.03 | $2,219.00 | $233.21 – $532.31 | 29 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $890.87 | $2,407.75 | $311.71 – $1,167.30 | 29 |
| Repair salivary duct CPT 42500 | not published | not published | $374.56 – $743.37 | 7 |
| Repair salivary duct CPT 42505 | not published | not published | $500.61 – $985.16 | 7 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,302.14 – $2,562.37 | 7 |
| Repair shoulder capsule CPT 23450 | not published | not published | $1,049.43 – $2,003.87 | 7 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,101.18 – $2,121.65 | 7 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,202.50 – $2,301.84 | 7 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,169.61 – $2,258.15 | 7 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,229.58 – $2,364.24 | 7 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,226.54 – $2,375.17 | 7 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $613.35 – $1,216.83 | 7 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $977.54 – $1,932.11 | 7 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,103.62 – $4,257.00 | 6 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,452.41 – $4,786.76 | 6 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,754.58 – $3,390.74 | 7 |
| Repair stomach opening CPT 43870 | not published | not published | $766.05 – $1,517.14 | 7 |
| Repair tear ducts CPT 68700 | not published | not published | $602.17 – $1,330.71 | 7 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $346.45 – $659.90 | 7 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,279.59 | $8,863.75 | $687.49 – $1,326.81 | 7 |
| Repair testis injury CPT 54670 | $1,709.40 | $4,620.00 | $457.54 – $854.12 | 7 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,045.18 – $2,042.09 | 7 |
| Repair throat wound CPT 42900 | not published | not published | $376.63 – $734.78 | 7 |
| Repair toe dislocation CPT 28645 | not published | not published | $529.46 – $1,040.55 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $365.47 | $987.75 | $179.99 – $532.31 | 29 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,119.79 – $2,149.74 | 7 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $528.17 – $1,010.12 | 7 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $338.08 – $706.70 | 7 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $469.62 – $943.83 | 7 |
| Repair umbilical lesion CPT 49600 | not published | not published | $739.75 – $1,549.89 | 7 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,245.56 – $2,403.24 | 7 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $781.28 – $1,578.75 | 7 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $546.37 – $1,070.18 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $515.23 – $969.56 | 7 |
| Repair uro sphincter CPT 53449 | not published | not published | $685.73 – $1,290.93 | 7 |
| Repair vagina CPT 57335 | not published | not published | $1,341.98 – $2,506.99 | 7 |
| Repair vagina/perineum CPT 57210 | not published | not published | $402.69 – $787.04 | 7 |
| Repair valve femoral vein CPT 34501 | not published | not published | $1,026.57 – $1,992.17 | 7 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $1,013.64 – $1,975.80 | 7 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $801.88 – $1,565.49 | 7 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,225.35 – $2,485.92 | 7 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $412.97 – $786.26 | 7 |
| Repair windpipe opening CPT 31614 | not published | not published | $789.60 – $1,620.10 | 7 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,221.59 – $2,340.83 | 7 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,571.23 – $4,911.01 | 7 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $3,263.32 – $6,253.42 | 7 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,808.94 – $7,297.08 | 7 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,775.76 – $3,265.94 | 6 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,688.99 – $3,154.39 | 6 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,843.60 – $3,471.87 | 6 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $2,028.69 – $3,804.93 | 6 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,127.13 – $2,141.16 | 6 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $852.32 – $1,621.67 | 6 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $712.97 – $1,338.52 | 6 |
| Replace duod/jej tube perc CPT 49451 | $865.06 | $2,338.00 | $103.47 – $2,149.09 | 29 |
| Replace elbow joint CPT 24363 | not published | not published | $1,616.29 – $3,083.43 | 7 |
| Replace eye fluid CPT 67025 | not published | not published | $626.76 – $1,384.53 | 7 |
| Replace g/c tube perc CPT 49450 | $872.28 | $2,357.50 | $76.33 – $2,149.09 | 29 |
| Replace g-j tube perc CPT 49452 | $643.89 | $1,740.25 | $159.43 – $2,149.09 | 29 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $421.69 – $804.20 | 7 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $525.41 – $1,105.29 | 7 |
| Replacement of contact lens CPT 92326 | not published | not published | $35.57 – $136.15 | 29 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,642.05 – $5,100.56 | 7 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $3,129.23 – $5,996.80 | 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.