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 |
|---|---|---|---|---|
| Av fistula revision CPT 36833 | not published | not published | $790.13 – $1,439.92 | 7 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $837.13 – $1,620.88 | 7 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $791.69 – $1,473.46 | 7 |
| Av fusion direct any site CPT 36821 | not published | not published | $757.99 – $1,522.60 | 7 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $835.31 – $1,772.99 | 7 |
| Avul nail plate addl CPT 11732 | $63.64 | $172.00 | $20.17 – $43.69 | 7 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $105.45 | $285.00 | $62.23 – $455.47 | 29 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $738.45 – $1,469.55 | 7 |
| Azacitidine injection HCPCS J9025 | $201.43 | $544.40 | $4.81 – $21.29 | 6 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.36 | $3.68 | $0.27 – $0.78 | 5 |
| Azathioprine parenteral HCPCS J7501 | $160.88 | $434.80 | $199.53 – $369.00 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.71 | $26.25 | $4.73 – $21.29 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,062.64 | $2,872.00 | $199.53 – $282.75 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $162.80 | $440.00 | $99.67 – $128.79 | 5 |
| Baclofen eval charges CPT 97750 | $44.49 | $120.25 | $31.25 – $70.31 | 29 |
| Bacterial meningitis antigen CPT 86403 | $52.17 | $141.00 | $10.68 – $62.53 | 29 |
| Bacterial vaginosis pcr CPT 87801 | $298.04 | $805.50 | $49.47 – $157.95 | 29 |
| Bactericidal level serum CPT 87197 | $51.06 | $138.00 | $15.02 – $56.64 | 29 |
| #bac vag cand-c. albicans naa CPT 87481 | $171.87 | $464.50 | $23.44 – $78.95 | 29 |
| Balloon dilate urtrl strix CPT 50706 | $1,765.64 | $4,772.00 | $214.71 – $365.43 | 5 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $2,162.84 | $5,845.50 | $200.61 – $393.91 | 7 |
| Bartonella dna pcr-sendout CPT 87471 | $166.87 | $451.00 | $35.09 – $113.14 | 29 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $22.64 – $358.63 | 28 |
| Basiliximab HCPCS J0480 | $1,744.05 | $4,713.65 | $1,395.94 – $4,191.99 | 5 |
| B cells total count CPT 86355 | $167.72 | $453.31 | $37.73 – $84.89 | 29 |
| Bckdhb gene CPT 81205 | not published | not published | $79.86 – $213.73 | 28 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $11.58 | $31.30 | $4.64 – $6.45 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $93.28 | $252.10 | $61.50 – $99.67 | 5 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $4,779.62 | $12,917.90 | $20.33 – $36.26 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $182.78 | $494.00 | $25.78 – $455.47 | 29 |
| Benign lesion paring 4+ CPT 11057 | $267.97 | $724.25 | $33.69 – $455.47 | 29 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $18.49 | $49.98 | $21.29 – $36.05 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $58.74 | $158.75 | $25.45 – $108.04 | 29 |
| Beta-2 microglobulin CPT 82232 | $167.89 | $453.75 | $16.18 – $111.67 | 29 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $75.46 | $203.95 | $9.20 – $21.29 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $141.30 | $381.90 | $99.67 – $111.51 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $139.55 | $377.15 | $128.66 – $128.66 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $72.24 – $162.54 | 22 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $29.64 – $66.69 | 22 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $108.04 | 29 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $615.39 – $2,936.04 | 6 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $90.83 – $2,040.73 | 29 |
| Bilateral n block inj occipital 64405 CPT 64405 | $762.76 | $2,061.50 | $69.69 – $676.64 | 29 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $455.66 | $1,231.50 | $72.04 – $676.64 | 29 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $108.04 | 29 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $187.84 – $351.79 | 7 |
| Biliary endo perq dx w/speci CPT 47552 | $2,570.95 | $6,948.50 | $352.38 – $675.50 | 7 |
| Biliary endoscopy thru skin CPT 47553 | $2,570.95 | $6,948.50 | $351.73 – $677.83 | 7 |
| Biliary endoscopy thru skin CPT 47554 | $3,996.46 | $10,801.25 | $538.74 – $1,046.79 | 7 |
| Biliary endoscopy thru skin CPT 47555 | $4,086.28 | $11,044.00 | $417.60 – $802.64 | 7 |
| Biliary endoscopy thru skin CPT 47556 | $2,666.04 | $7,205.50 | $476.00 – $911.84 | 7 |
| Bilicheck CPT 88720 | $20.81 | $56.25 | $5.02 – $12.21 | 29 |
| Bilirubin direct CPT 82248 | $37.74 | $102.00 | $5.02 – $60.18 | 29 |
| Bilirubin total CPT 82247 | $69.01 | $186.50 | $5.02 – $60.18 | 29 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,781.22 – $3,413.37 | 7 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $334.44 | $903.90 | $92.79 – $92.79 | 1 |
| Biofeedback, pt CPT 90901 | not published | not published | $21.75 – $82.26 | 29 |
| Biopsy abdominal mass CPT 49180 | $1,141.82 | $3,086.00 | $97.52 – $184.87 | 7 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $430.35 – $873.62 | 7 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $396.39 – $1,324.47 | 7 |
| Biopsy bone trocar/needle superficial CPT 20220 | $542.98 | $1,467.50 | $80.91 – $154.44 | 7 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $83.84 – $1,995.91 | 29 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $101.62 – $213.73 | 7 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $592.38 – $1,172.37 | 7 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $54.63 – $532.31 | 29 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $79.79 – $685.22 | 29 |
| Biopsy eye muscle CPT 67346 | not published | not published | $209.12 – $447.73 | 7 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $346.61 – $708.26 | 7 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $332.42 – $673.93 | 7 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $391.19 – $751.93 | 7 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $338.88 – $702.79 | 7 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $431.23 – $871.28 | 7 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $179.03 – $351.02 | 7 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $715.47 – $1,379.08 | 7 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,907.07 | $5,154.25 | $66.27 – $125.58 | 7 |
| Biopsy needle liver percutaneous CPT 47000 | $1,141.82 | $3,086.00 | $101.81 – $223.08 | 7 |
| Biopsy needle lymph node superficial CPT 38505 | $1,124.62 | $3,039.50 | $79.57 – $152.89 | 7 |
| Biopsy of cornea CPT 65410 | not published | not published | $107.65 – $231.67 | 7 |
| Biopsy of epididymis CPT 54800 | not published | not published | $149.75 – $273.02 | 7 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $341.58 – $605.30 | 7 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $313.01 – $605.30 | 7 |
| Biopsy of heart lining CPT 93505 | $3,595.66 | $9,718.00 | $299.00 – $1,578.75 | 7 |
| Biopsy of hip joint CPT 27052 | not published | not published | $602.57 – $1,221.51 | 7 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $123.76 – $2,149.09 | 29 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $82.51 – $532.31 | 29 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $86.12 – $1,612.78 | 29 |
| Biopsy of nerve CPT 64795 | not published | not published | $216.20 – $411.06 | 7 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $454.05 – $909.50 | 7 |
| Biopsy of penis CPT 54105 | not published | not published | $238.26 – $446.96 | 7 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $140.09 – $269.11 | 7 |
| Biopsy of prostate CPT 55700 | $2,412.22 | $6,519.50 | $148.39 – $295.63 | 7 |
| Biopsy of prostate CPT 55705 | not published | not published | $298.82 – $562.39 | 7 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $307.80 – $641.96 | 7 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $377.94 – $845.53 | 7 |
| Biopsy of salivary gland 42400 CPT 42400 | $440.21 | $1,189.75 | $60.94 – $1,612.78 | 29 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $251.38 – $488.29 | 7 |
| Biopsy of tear gland CPT 68510 | not published | not published | $308.52 – $654.44 | 7 |
| Biopsy of tear sac CPT 68525 | not published | not published | $285.04 – $590.48 | 7 |
| Biopsy of testis CPT 54500 | not published | not published | $84.00 – $156.78 | 7 |
| Biopsy of testis CPT 54505 | not published | not published | $234.83 – $443.05 | 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.