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 |
|---|---|---|---|---|
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,188.10 – $2,304.95 | 7 |
| Telavancin injection HCPCS J3095 | $464.05 | $1,254.20 | $4.64 – $6.97 | 5 |
| Telethx isodose plan cplx CPT 77307 | $277.22 | $749.25 | $141.58 – $839.12 | 28 |
| Telethx isodose plan simple CPT 77306 | $200.36 | $541.50 | $78.34 – $839.12 | 28 |
| Temozolomide HCPCS J8700 | $427.46 | $1,155.30 | $15.36 – $21.29 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $29.19 | $78.90 | $8.15 – $9.98 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $1.89 – $358.63 | 29 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $116.48 | $314.80 | $53.80 – $199.53 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $597.30 – $1,205.14 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $626.24 – $1,216.06 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $602.06 – $1,200.46 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $928.77 – $1,834.60 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,570.16 | $20,459.90 | $99.67 – $134.19 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $665.07 – $1,297.17 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $598.56 – $1,189.53 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $653.14 – $1,289.38 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $842.33 – $1,646.62 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $546.45 – $1,074.86 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $328.31 – $617.77 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $268.59 – $524.96 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.71 | $26.25 | $2.73 – $21.29 | 5 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $416.70 | 25 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $112.27 | 29 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.43 – $60.18 | 29 |
| Test for urine cystines CPT 82615 | $18.50 | $50.00 | $8.60 – $21.49 | 29 |
| Testicular imaging w/vasc flow CPT 78761 | $342.62 | $926.00 | $44.93 – $921.08 | 29 |
| Test stress cardiovascular tracing only CPT 93017 | $365.84 | $988.75 | $39.88 – $713.79 | 29 |
| Test urine for lactose CPT 83633 | not published | not published | $5.73 – $60.18 | 29 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.12 – $108.04 | 29 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.39 – $20.23 | 29 |
| Tetanus immune globulin inj HCPCS J1670 | $404.61 | $1,093.55 | $379.02 – $466.00 | 5 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,708.94 | 22 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,345.30 | 22 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $113.79 – $392.78 | 27 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $113.79 – $392.78 | 27 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $113.79 – $392.78 | 27 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $54.43 – $122.47 | 27 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.65 – $1,002.11 | 29 |
| Theophylline therapeutic drug level CPT 80198 | $60.77 | $164.25 | $14.14 – $129.19 | 29 |
| Therapeutic procd strg endur HCPCS G0237 | $35.71 | $96.50 | $10.07 – $21.05 | 7 |
| Therapy activation ipnss CPT 93150 | not published | not published | $93.51 – $210.40 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $48.29 | $130.50 | $33.55 – $75.49 | 29 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.64 | $72.00 | $29.23 – $65.77 | 29 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $128.71 – $455.47 | 29 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.90 – $264.43 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.19 | $687.00 | $106.35 – $423.55 | 29 |
| Ther/proph/diag inj ia CPT 96373 | $221.54 | $598.75 | $20.23 – $482.94 | 29 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.68 | $31.57 | $5.45 – $21.29 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $967.18 | $2,614.00 | $127.81 – $1,417.18 | 28 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,371.83 – $5,971.84 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $245.04 – $465.67 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,143.50 – $7,946.06 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,809.56 – $3,457.05 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $348.52 – $666.91 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $245.76 – $465.67 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,232.33 – $2,358.77 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,516.80 – $2,895.43 | 6 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,191.17 – $2,274.55 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,074.18 – $2,063.16 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $745.08 – $1,435.24 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,333.05 – $2,539.75 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $949.01 – $1,825.25 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,873.37 – $3,577.94 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $523.52 – $997.65 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $547.01 – $1,036.64 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,579.78 – $3,017.12 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,002.21 – $1,917.28 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $897.39 – $1,717.61 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $898.39 – $1,717.61 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $819.62 – $1,567.06 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,370.48 – $2,585.76 | 6 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $977.52 – $1,915.74 | 6 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $178.75 – $356.47 | 6 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $178.75 – $357.24 | 6 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $863.76 – $1,673.15 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $807.67 – $1,553.80 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,040.44 – $2,000.76 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $911.62 – $1,756.60 | 7 |
| Thoracotomy with cardiac massage CPT 32160 | $921.49 | $2,490.50 | $883.71 – $1,698.88 | 7 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,352.15 – $2,656.75 | 7 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $292.19 – $582.67 | 6 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $348.52 – $689.53 | 6 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $428.12 – $848.67 | 6 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $19.68 – $259.34 | 29 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,061.92 | $5,572.75 | $201.34 – $328.56 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,284.08 | $16,984.00 | $388.12 – $669.72 | 5 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,037.62 | $37,939.50 | $487.19 – $840.50 | 5 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $21,277.04 | $57,505.50 | $568.56 – $981.04 | 5 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,289.40 – $2,328.36 | 7 |
| Thrombin time CPT 85670 | $42.83 | $115.75 | $3.36 – $38.30 | 29 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $38.30 | 29 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $938.77 – $1,822.91 | 7 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,020.24 – $1,971.89 | 7 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,469.68 – $2,847.86 | 7 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,290.71 – $2,506.21 | 7 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $34.60 | $93.50 | $6.47 – $38.30 | 29 |
| Thromboxane urine CPT 84431 | not published | not published | $26.16 – $108.04 | 28 |
| Thumb fusion with graft CPT 26820 | not published | not published | $820.73 – $1,636.48 | 7 |
| Thumb fusion with graft CPT 26842 | not published | not published | $836.64 – $1,631.80 | 7 |
| Thumb tendon transfer CPT 26510 | not published | not published | $622.58 – $1,234.00 | 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.