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 |
|---|---|---|---|---|
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 22 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $23.13 | $62.50 | $5.39 – $56.64 | 29 |
| Smear gram stain CPT 87205 | $42.37 | $114.50 | $4.27 – $56.64 | 29 |
| Smear nasal eosinophil CPT 89190 | $21.65 | $58.50 | $4.95 – $13.03 | 29 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.08 | $140.75 | $5.99 – $14.58 | 29 |
| Smear wet mount CPT 87210 | $21.74 | $58.75 | $4.43 – $56.64 | 29 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $678.04 | 25 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $105.75 | 28 |
| Snrpn/ube3a gene CPT 81331 | $479.34 | $1,295.50 | $51.07 – $114.91 | 28 |
| Sodium 24 hour urine CPT 84300 | $47.18 | $127.50 | $5.06 – $11.84 | 29 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.58 | $131.31 | $1.88 – $21.29 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.71 | $131.64 | $0.94 – $9.29 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $24.18 | $65.34 | $0.48 – $9.29 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $17.39 | $47.00 | $0.03 – $21.29 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.45 | $25.55 | $3.56 – $4.38 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $24.88 | $67.25 | $4.81 – $33.65 | 29 |
| Somatosensory testing CPT 95927 | $358.35 | $968.50 | $34.07 – $713.79 | 29 |
| Somatropin injection HCPCS J2941 | $339.59 | $917.80 | $58.84 – $139.84 | 6 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,017.96 | 22 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $138.18 – $988.50 | 6 |
| Special physics consult CPT 77370 | $224.41 | $606.50 | $124.40 – $445.27 | 29 |
| Special radiation dosimetry CPT 77331 | $138.75 | $375.00 | $19.41 – $359.39 | 29 |
| Special radiation treatment CPT 77470 | $609.48 | $1,647.25 | $39.53 – $1,325.97 | 29 |
| Special teletx port plan CPT 77321 | $389.33 | $1,052.25 | $44.56 – $857.53 | 29 |
| Specific gravity body fluid CPT 84315 | $14.99 | $40.50 | $2.61 – $7.38 | 29 |
| Specimen fat stain CPT 89125 | not published | not published | $4.43 – $113.79 | 29 |
| Speech audiometry complete CPT 92556 | not published | not published | $26.47 – $136.15 | 29 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.51 – $554.06 | 29 |
| Speech recep thresh CPT 92555 | not published | not published | $17.12 – $136.15 | 29 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $113.79 | 29 |
| Sperm identification CPT 89257 | not published | not published | $54.43 – $122.47 | 27 |
| Sperm isolation complex CPT 89261 | not published | not published | $54.43 – $122.47 | 27 |
| Sperm isolation simple CPT 89260 | not published | not published | $54.43 – $122.47 | 27 |
| Sperm washing 58323 CPT 58323 | not published | not published | $13.34 – $461.12 | 29 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $686.71 – $1,373.61 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $825.47 – $1,634.93 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $127.35 – $235.57 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $147.29 – $1,156.50 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $705.51 – $1,587.40 | 22 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $164.72 – $713.79 | 28 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $159.01 | $429.75 | $18.02 – $713.79 | 29 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $102.26 – $358.63 | 28 |
| Spleen imaging CPT 78185 | not published | not published | $25.32 – $921.08 | 29 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,245.51 – $2,451.60 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $770.73 – $1,489.06 | 7 |
| Split blood or products CPT 86985 | $65.12 | $176.00 | $10.94 – $392.78 | 28 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $337.91 – $760.30 | 22 |
| Sputum specimen collection CPT 89220 | not published | not published | $10.55 – $392.78 | 29 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $10,718.35 | $28,968.50 | $4,252.87 – $4,937.39 | 5 |
| Srs linear based CPT 77372 | $3,766.05 | $10,178.50 | $892.56 – $1,539.76 | 7 |
| Srs multisource CPT 77371 | not published | not published | $1,491.30 – $15,442.16 | 6 |
| Staggered spondaic word test CPT 92572 | not published | not published | $18.63 – $358.63 | 29 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,055.11 – $2,019.47 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $64.57 | $174.50 | $97.44 – $228.94 | 28 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $113.14 | 29 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $106.28 | $287.25 | $94.64 – $212.94 | 24 |
| Stem cells total count CPT 86367 | not published | not published | $38.03 – $175.00 | 29 |
| Stenger test pure tone CPT 92565 | not published | not published | $13.53 – $136.15 | 29 |
| Stenger test speech CPT 92577 | not published | not published | $15.46 – $1,216.24 | 29 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $46,301.25 | $125,138.50 | $840.66 – $1,631.02 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $24,193.19 | $65,387.00 | $571.46 – $1,107.63 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $20,776.24 | $56,152.00 | $246.72 – $468.79 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,255.23 – $2,314.31 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $27,143.57 | $73,361.00 | $804.85 – $1,533.52 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,507.00 – $2,945.36 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $594.56 – $1,161.45 | 7 |
| St evaluate speech sound production CPT 92522 | $68.64 | $185.50 | $100.67 – $232.78 | 28 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $142.36 | $384.75 | $212.44 – $477.99 | 28 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $134.59 | $363.75 | $83.86 – $259.34 | 29 |
| St evaluation swallow function CPT 92610 | $88.43 | $239.00 | $78.84 – $177.39 | 29 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $507.07 – $957.87 | 7 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $113.79 – $392.78 | 27 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $113.79 – $392.78 | 27 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $113.79 – $392.78 | 27 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $113.79 – $392.78 | 27 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $549.17 – $1,049.13 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $89.36 | $241.50 | $20.58 – $361.69 | 29 |
| Strapping of chest CPT 29200 | $111.37 | $301.00 | $20.57 – $361.69 | 29 |
| Strapping of elbow or wrist 29260 CPT 29260 | $176.31 | $476.50 | $22.02 – $136.15 | 29 |
| Strapping of hand or finger CPT 29280 | $153.74 | $415.50 | $22.02 – $136.15 | 29 |
| Strapping of hip CPT 29520 | $114.33 | $309.00 | $20.93 – $295.47 | 29 |
| Strapping of knee CPT 29530 | $93.52 | $252.75 | $20.57 – $295.47 | 29 |
| Strapping of toes 29550 CPT 29550 | $78.90 | $213.25 | $13.08 – $136.15 | 29 |
| Strep a ag ia CPT 87430 | not published | not published | $12.77 – $62.53 | 29 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $62.53 | 29 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $56.64 | 29 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $113.14 | 29 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.73 – $62.53 | 29 |
| Streptomycin injection HCPCS J3000 | $26.21 | $70.85 | $16.52 – $21.29 | 5 |
| Streptozocin injection HCPCS J9320 | $459.11 | $1,240.85 | $199.53 – $472.83 | 5 |
| Stress test pulmonary CPT 94618 | $135.61 | $366.50 | $19.03 – $295.47 | 26 |
| Stress tte complete CPT 93351 | not published | not published | $120.48 – $1,256.81 | 29 |
| Str markers spec anal addl CPT 81266 | not published | not published | $79.86 – $685.82 | 28 |
| Str markers specimen anal CPT 81265 | not published | not published | $79.86 – $524.41 | 28 |
| St treatment speech individual CPT 92507 | $66.05 | $178.50 | $32.14 – $160.58 | 29 |
| St treatment swallow dysfunction/oral CPT 92526 | $87.32 | $236.00 | $33.55 – $176.47 | 29 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $122.94 – $1,587.40 | 29 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $444.77 – $472.11 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $57.09 – $455.47 | 29 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $104.95 – $1,403.12 | 29 |
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.