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 |
|---|---|---|---|---|
| Revise gastric port open 43886 CPT 43886 | not published | not published | $355.72 – $772.23 | 7 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $529.48 – $1,183.29 | 7 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $661.66 – $1,449.27 | 7 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $643.98 – $1,422.75 | 7 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $720.18 – $1,561.61 | 7 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $646.15 – $1,428.99 | 7 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,058.40 – $2,064.71 | 7 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,171.16 – $2,276.88 | 7 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $882.98 – $1,730.08 | 7 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,055.96 – $2,060.03 | 7 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $581.88 – $1,145.07 | 7 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,137.70 – $4,074.04 | 7 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,703.84 – $3,253.47 | 7 |
| Revise/implant finger joint CPT 26536 | not published | not published | $702.80 – $1,474.25 | 7 |
| Revise kneecap CPT 27437 | not published | not published | $720.38 – $1,393.11 | 7 |
| Revise kneecap with implant CPT 27438 | not published | not published | $926.11 – $1,780.78 | 7 |
| Revise knuckle joint CPT 26530 | not published | not published | $573.90 – $1,126.34 | 7 |
| Revise knuckle with implant CPT 26531 | not published | not published | $668.86 – $1,308.09 | 7 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $724.94 – $1,370.50 | 7 |
| Revise lower leg tendon CPT 27690 | not published | not published | $698.50 – $1,348.65 | 7 |
| Revise lower leg tendon CPT 27691 | not published | not published | $823.77 – $1,599.05 | 7 |
| Revise lower leg tendons CPT 27686 | not published | not published | $615.23 – $1,171.60 | 7 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,011.17 – $1,997.63 | 7 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,316.95 – $2,604.49 | 7 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,270.53 – $2,496.84 | 7 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,132.87 – $2,244.12 | 7 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,455.84 – $2,882.96 | 7 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,333.68 – $2,636.47 | 7 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,602.55 – $3,172.33 | 7 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,674.96 – $3,306.51 | 7 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,574.14 – $3,109.16 | 7 |
| Revise ocular implant CPT 65125 | not published | not published | $287.00 – $639.62 | 7 |
| Revise ocular implant CPT 65150 | not published | not published | $579.23 – $1,214.49 | 7 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $848.72 – $1,624.01 | 7 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,004.07 – $1,895.46 | 7 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,075.38 – $1,985.93 | 7 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,188.84 – $2,144.27 | 7 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,340.12 – $2,616.19 | 7 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $931.14 – $1,830.70 | 6 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,109.61 – $2,121.65 | 7 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,009.20 – $1,929.00 | 7 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,051.92 – $1,934.45 | 7 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $1,722.76 – $3,269.07 | 6 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $1,983.72 – $3,769.84 | 6 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $579.74 – $1,200.46 | 7 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $425.19 – $823.71 | 7 |
| Revise/remove sling repair CPT 57287 | not published | not published | $752.95 – $1,449.27 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,513.78 – $2,875.93 | 7 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,561.73 – $2,986.69 | 7 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,956.75 – $3,735.51 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $871.75 – $1,641.95 | 6 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $392.78 – $744.91 | 7 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $481.34 – $907.16 | 7 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $502.49 – $7,541.00 | 7 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $960.65 – $7,541.00 | 7 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,796.22 – $3,474.98 | 7 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $744.93 – $1,463.32 | 7 |
| Revise thumb tendon CPT 26490 | not published | not published | $831.71 – $1,644.29 | 7 |
| Revise thumb tendon CPT 26496 | not published | not published | $916.01 – $1,776.88 | 7 |
| Revise two eye muscles CPT 67312 | not published | not published | $718.57 – $1,572.53 | 7 |
| Revise two eye muscles CPT 67316 | not published | not published | $807.23 – $1,771.43 | 7 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $423.28 – $840.08 | 7 |
| Revise ureter CPT 50727 | not published | not published | $568.32 – $1,066.28 | 7 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $899.34 – $1,700.44 | 7 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $988.43 – $1,846.30 | 7 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $526.50 – $1,026.51 | 7 |
| Revise windpipe scar CPT 31830 | not published | not published | $373.66 – $737.90 | 7 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $616.34 – $1,186.40 | 7 |
| Revise wrist joint CPT 25332 | not published | not published | $925.97 – $1,780.01 | 7 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,868.84 – $3,630.21 | 7 |
| Revision of amputation CPT 24935 | not published | not published | $1,085.72 – $2,233.97 | 7 |
| Revision of ankle joint CPT 27700 | not published | not published | $676.04 – $1,269.88 | 7 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $845.58 – $1,135.34 | 5 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $843.79 – $1,570.96 | 7 |
| Revision of big toe CPT 28310 | not published | not published | $398.31 – $763.65 | 7 |
| Revision of bladder neck CPT 52500 | not published | not published | $545.64 – $1,028.06 | 7 |
| Revision of calf tendon CPT 27687 | not published | not published | $499.62 – $975.03 | 7 |
| Revision of cervix CPT 57720 | not published | not published | $336.57 – $661.46 | 7 |
| Revision of cervix CPT 59320 | $3,273.85 | $8,848.25 | $171.54 – $327.61 | 7 |
| Revision of collar bone CPT 23480 | not published | not published | $903.99 – $1,731.64 | 7 |
| Revision of collar bone CPT 23485 | not published | not published | $1,053.22 – $2,026.49 | 7 |
| Revision of colostomy CPT 44340 | $1,776.74 | $4,802.00 | $650.00 – $1,333.84 | 7 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,141.16 – $2,249.57 | 7 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,282.77 – $2,531.17 | 7 |
| Revision of cornea CPT 65600 | not published | not published | $334.52 – $744.91 | 7 |
| Revision of cranial nerve CPT 64716 | not published | not published | $566.93 – $1,139.60 | 7 |
| Revision of eyelid CPT 67880 | not published | not published | $363.82 – $805.77 | 7 |
| Revision of eyelid CPT 67882 | not published | not published | $469.49 – $1,039.77 | 7 |
| Revision of eyelid CPT 67950 | not published | not published | $473.99 – $1,013.25 | 7 |
| Revision of eyelid CPT 67961 | not published | not published | $463.02 – $997.65 | 7 |
| Revision of eyelid CPT 67966 | not published | not published | $660.02 – $1,446.93 | 7 |
| Revision of foot CPT 28116 | not published | not published | $637.05 – $1,239.45 | 7 |
| Revision of foot and ankle CPT 28262 | not published | not published | $1,276.10 – $2,481.24 | 7 |
| Revision of foot bones CPT 28737 | not published | not published | $774.34 – $1,482.81 | 7 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $446.42 – $862.70 | 7 |
| Revision of foot tendon CPT 28238 | not published | not published | $541.83 – $1,041.32 | 7 |
| Revision of foot tendon CPT 28261 | not published | not published | $882.89 – $1,641.16 | 7 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,888.79 – $3,766.71 | 7 |
| Revision of hip tendon CPT 27097 | not published | not published | $730.70 – $1,430.56 | 7 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,106.82 – $2,153.63 | 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.