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 |
|---|---|---|---|---|
| Replace picvad cath CPT 36585 | not published | not published | $307.18 – $618.56 | 7 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $894.39 – $1,775.33 | 7 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,100.17 – $2,190.30 | 7 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $647.29 – $1,297.95 | 7 |
| Replace tunneled cv cath CPT 36578 | $1,689.14 | $4,565.25 | $227.44 – $468.01 | 7 |
| Replantation digit complete CPT 20822 | not published | not published | $1,987.19 – $3,864.22 | 7 |
| Replantation thumb complete CPT 20827 | not published | not published | $2,037.96 – $3,971.86 | 7 |
| Reposition intraocular lens CPT 66825 | not published | not published | $755.69 – $1,631.02 | 7 |
| Reposition pm/icd lead CPT 33215 | $3,595.66 | $9,718.00 | $348.18 – $644.29 | 7 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $748.51 | $2,023.00 | $199.43 – $392.35 | 6 |
| Repos lv lead pm/icd CPT 33226 | $3,595.66 | $9,718.00 | $562.32 – $1,035.87 | 7 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $456.93 – $721.07 | 5 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,235.00 – $2,389.20 | 7 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $759.66 – $1,486.72 | 7 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $755.17 – $1,478.92 | 7 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $179.41 – $362.71 | 7 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $73.85 – $358.63 | 29 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $75.39 – $358.63 | 29 |
| Reptilase test CPT 85635 | not published | not published | $9.85 – $89.93 | 29 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $409.88 – $812.79 | 7 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $783.95 – $1,534.29 | 7 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $801.57 – $1,520.26 | 7 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $681.62 – $1,341.63 | 7 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $2,341.91 – $4,407.12 | 7 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $2,038.02 – $3,896.20 | 7 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,145.44 – $2,190.30 | 7 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,578.18 – $2,995.28 | 6 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $290.83 – $570.20 | 7 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $3,126.80 – $6,062.31 | 7 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $889.60 – $1,687.96 | 7 |
| Resect distal finger tumor CPT 26262 | not published | not published | $489.74 – $1,334.62 | 7 |
| Resect enlarged toe CPT 28341 | not published | not published | $551.08 – $1,063.17 | 7 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $462.26 – $891.56 | 7 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,581.63 – $2,991.37 | 7 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $464.41 – $1,504.66 | 7 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,130.89 – $2,197.32 | 6 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,187.75 – $2,193.41 | 6 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,294.51 – $2,477.35 | 6 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $815.19 – $1,870.48 | 7 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,122.99 – $2,156.76 | 7 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,108.30 – $2,879.83 | 7 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,025.31 – $3,832.25 | 6 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,305.84 – $4,433.63 | 7 |
| Resect inferior turbinate CPT 30140 | not published | not published | $446.05 – $937.59 | 7 |
| Resection of elbow joint CPT 24155 | not published | not published | $934.41 – $1,800.29 | 7 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,050.07 – $2,145.06 | 7 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $976.37 – $2,177.04 | 7 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,412.55 – $2,672.35 | 6 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $982.21 – $1,883.74 | 7 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,277.70 – $2,457.85 | 7 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $646.95 – $1,673.92 | 7 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,500.94 – $2,857.99 | 6 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,225.94 – $2,351.76 | 7 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,585.34 – $3,023.36 | 7 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $274.97 – $532.75 | 7 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $454.62 – $1,056.92 | 7 |
| Resect prox finger tumor CPT 26260 | not published | not published | $588.09 – $1,694.20 | 7 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $966.22 – $3,127.10 | 7 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $917.67 – $2,248.80 | 7 |
| Resect tarsal tumor CPT 28171 | not published | not published | $708.97 – $1,838.51 | 7 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,150.69 – $2,192.64 | 7 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,738.87 – $3,303.38 | 6 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $369.34 – $1,384.03 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $43.01 | $116.25 | $12.77 – $62.53 | 29 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $40.61 | $109.75 | $12.77 – $62.53 | 29 |
| Resp virus 6-11 targets CPT 87632 | $405.43 | $1,095.75 | $113.14 – $490.63 | 28 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $3,362.51 – $6,446.87 | 7 |
| Resuscitation cardiopulmonary CPT 92950 | $481.09 | $1,300.25 | $211.70 – $713.79 | 29 |
| Resuscitation delivery/birthing room CPT 99465 | $282.77 | $764.25 | $169.42 – $1,499.96 | 29 |
| Reticulated platelet assay CPT 85055 | $53.74 | $145.25 | $28.14 – $100.82 | 29 |
| Reticulocyte automated CPT 85045 | $23.22 | $62.75 | $3.99 – $51.91 | 29 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $5.57 – $51.91 | 29 |
| Retrieval of oocyte CPT 58970 | not published | not published | $221.65 – $1,995.91 | 29 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $60.18 | 29 |
| Revise abdomen-venous shunt CPT 49426 | $2,833.65 | $7,658.50 | $686.50 – $1,336.96 | 7 |
| Revise additional leg tendon CPT 27692 | not published | not published | $118.09 – $227.76 | 7 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $743.07 – $1,639.61 | 7 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $519.12 – $1,053.04 | 7 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $829.11 – $1,649.74 | 7 |
| Revise circulation to head CPT 61708 | not published | not published | $2,418.05 – $4,673.10 | 7 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,478.69 – $2,857.99 | 7 |
| Revise eye CPT 65091 | not published | not published | $633.05 – $1,389.21 | 7 |
| Revise eyelashes CPT 67825 | not published | not published | $120.70 – $685.22 | 29 |
| Revise eyelashes CPT 67835 | not published | not published | $443.83 – $968.00 | 7 |
| Revise eyelid defect CPT 67909 | not published | not published | $444.06 – $962.55 | 7 |
| Revise eyelid defect CPT 67911 | not published | not published | $560.38 – $1,235.54 | 7 |
| Revise eyelid lining CPT 68330 | not published | not published | $455.95 – $1,014.80 | 7 |
| Revise eyelid lining CPT 68360 | not published | not published | $407.37 – $905.60 | 7 |
| Revise eyelid lining CPT 68362 | not published | not published | $655.18 – $1,448.50 | 7 |
| Revise eye muscle CPT 67311 | not published | not published | $598.69 – $1,305.76 | 7 |
| Revise eye muscle CPT 67314 | not published | not published | $671.68 – $1,471.12 | 7 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $702.48 – $1,484.38 | 7 |
| Revise eye socket implant CPT 67560 | not published | not published | $992.67 – $2,120.09 | 7 |
| Revise eye sockets CPT 21260 | not published | not published | $1,380.57 – $2,647.39 | 7 |
| Revise eye sockets CPT 21261 | not published | not published | $2,352.24 – $4,622.40 | 7 |
| Revise eye sockets CPT 21263 | not published | not published | $2,170.17 – $4,042.07 | 7 |
| Revise eye sockets CPT 21267 | not published | not published | $1,686.61 – $3,526.46 | 7 |
| Revise eye with implant CPT 65093 | not published | not published | $630.63 – $1,371.27 | 7 |
| Revise finger joint each CPT 26135 | not published | not published | $592.15 – $1,155.99 | 7 |
| Revise finger joint each CPT 26140 | not published | not published | $537.15 – $1,059.26 | 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.