Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)

3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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.