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 |
|---|---|---|---|---|
| Transplant palm tendon CPT 26485 | not published | not published | $853.64 – $1,671.58 | 7 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $987.52 – $1,932.88 | 7 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $133.20 – $251.17 | 6 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $148.51 – $356.47 | 7 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $113.22 – $248.04 | 7 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $149.31 – $354.13 | 7 |
| Transposition of vein valve CPT 34510 | not published | not published | $1,307.31 – $2,552.22 | 7 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,414.61 – $2,677.82 | 6 |
| Transurethral rf treatment CPT 53860 | not published | not published | $252.93 – $432.64 | 6 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $194.29 | $525.10 | $127.74 – $199.53 | 5 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $111.58 | 28 |
| Treat ankle dislocation CPT 27842 | $2,132.50 | $5,763.50 | $525.53 – $1,049.13 | 7 |
| Treat ankle dislocation CPT 27846 | not published | not published | $802.74 – $1,552.25 | 7 |
| Treat ankle dislocation CPT 27848 | not published | not published | $890.49 – $1,716.04 | 7 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,177.11 – $2,266.74 | 7 |
| Treat big toe fracture CPT 28505 | not published | not published | $541.12 – $1,068.64 | 7 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $574.95 – $1,137.26 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | $759.61 | $2,053.00 | $244.38 – $666.14 | 29 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $858.13 – $1,654.42 | 7 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $837.20 – $1,609.18 | 7 |
| Treat elbow dislocation CPT 24605 | $2,132.50 | $5,763.50 | $486.90 – $989.84 | 7 |
| Treat elbow dislocation CPT 24615 | not published | not published | $783.34 – $1,503.09 | 7 |
| Treat elbow fracture CPT 24586 | not published | not published | $1,196.47 – $2,288.58 | 7 |
| Treat elbow fracture CPT 24620 | $2,856.96 | $7,721.50 | $591.31 – $1,169.26 | 7 |
| Treat elbow fracture CPT 24635 | not published | not published | $737.31 – $1,418.07 | 7 |
| Treat eyelid by injection CPT 68200 | $147.08 | $397.50 | $35.92 – $914.67 | 29 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $143.61 – $2,220.10 | 29 |
| Treat finger fracture each CPT 26727 | not published | not published | $492.79 – $983.60 | 7 |
| Treat finger fracture each CPT 26742 | $2,628.48 | $7,104.00 | $346.57 – $701.24 | 7 |
| Treat foot bone lesion CPT 28005 | not published | not published | $642.06 – $1,246.47 | 7 |
| Treat foot dislocation CPT 28540 | $198.60 | $536.75 | $189.91 – $549.86 | 29 |
| Treat foot dislocation CPT 28545 | not published | not published | $237.36 – $552.26 | 7 |
| Treat foot dislocation CPT 28546 | not published | not published | $319.72 – $709.83 | 7 |
| Treat foot dislocation CPT 28570 | $260.85 | $705.00 | $162.59 – $549.86 | 29 |
| Treat foot dislocation CPT 28576 | not published | not published | $383.37 – $834.63 | 7 |
| Treat foot dislocation CPT 28600 | $235.69 | $637.00 | $195.34 – $549.86 | 29 |
| Treat foot dislocation CPT 28605 | not published | not published | $244.38 – $620.11 | 29 |
| Treat foot dislocation CPT 28606 | not published | not published | $424.52 – $840.86 | 7 |
| Treat fracture of radius CPT 25505 | $2,628.48 | $7,104.00 | $479.80 – $971.13 | 7 |
| Treat fracture of radius CPT 25520 | $2,628.48 | $7,104.00 | $548.28 – $1,130.25 | 7 |
| Treat fracture of ulna CPT 25535 | $637.33 | $1,722.50 | $244.38 – $955.53 | 29 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $1,339.24 – $2,651.29 | 7 |
| Treat hand bone lesion CPT 26034 | not published | not published | $567.53 – $1,133.38 | 7 |
| Treat hand dislocation CPT 26675 | $697.17 | $1,884.25 | $419.63 – $876.74 | 7 |
| Treat hand dislocation CPT 26685 | not published | not published | $600.33 – $1,217.61 | 7 |
| Treat hand dislocation CPT 26686 | not published | not published | $668.23 – $1,312.00 | 7 |
| Treat heel fracture CPT 28415 | not published | not published | $1,240.61 – $2,363.47 | 7 |
| Treat hip dislocation CPT 27252 | $2,132.50 | $5,763.50 | $834.99 – $1,608.41 | 7 |
| Treat hip dislocation CPT 27257 | $2,452.36 | $6,628.00 | $375.54 – $712.17 | 7 |
| Treat hip dislocation CPT 27258 | not published | not published | $1,228.43 – $2,342.40 | 7 |
| Treat hip socket fracture CPT 27222 | not published | not published | $1,077.25 – $2,045.99 | 7 |
| Treat humerus fracture CPT 24515 | not published | not published | $962.46 – $1,851.77 | 7 |
| Treat humerus fracture CPT 24516 | not published | not published | $948.11 – $1,818.23 | 7 |
| Treat humerus fracture CPT 24535 | $2,628.48 | $7,104.00 | $604.92 – $1,198.12 | 7 |
| Treat humerus fracture CPT 24545 | not published | not published | $1,004.00 – $1,964.88 | 7 |
| Treat humerus fracture CPT 24546 | not published | not published | $1,148.01 – $2,200.43 | 7 |
| Treat humerus fracture CPT 24565 | $2,628.48 | $7,104.00 | $493.84 – $1,027.29 | 7 |
| Treat humerus fracture CPT 24575 | not published | not published | $802.70 – $1,549.12 | 7 |
| Treat humerus fracture CPT 24579 | not published | not published | $914.82 – $1,765.18 | 7 |
| Treat humerus fracture CPT 24582 | not published | not published | $842.39 – $1,702.78 | 7 |
| Treat kneecap dislocation CPT 27562 | $2,285.86 | $6,178.00 | $244.38 – $1,017.14 | 29 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $981.93 – $1,886.87 | 7 |
| Treat kneecap fracture CPT 27524 | not published | not published | $827.72 – $1,592.01 | 7 |
| Treat knee dislocation CPT 27552 | not published | not published | $672.81 – $1,322.13 | 7 |
| Treat knee fracture CPT 27535 | not published | not published | $995.12 – $1,900.91 | 7 |
| Treat knee fracture CPT 27536 | not published | not published | $1,316.97 – $2,521.81 | 7 |
| Treat knee fracture CPT 27540 | not published | not published | $894.12 – $1,715.27 | 7 |
| Treat knee fracture 27530 CPT 27530 | $239.39 | $647.00 | $244.38 – $590.48 | 29 |
| Treat knee fracture(s) CPT 27538 | $394.98 | $1,067.50 | $244.38 – $934.46 | 29 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $382.14 – $798.73 | 7 |
| Treat knuckle dislocation CPT 26715 | $1,437.27 | $3,884.50 | $586.39 – $1,207.47 | 7 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $1,075.94 – $2,212.92 | 7 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $670.23 – $1,290.93 | 7 |
| Treat lower leg dislocation CPT 27830 | $394.79 | $1,067.00 | $244.38 – $744.91 | 29 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $405.06 – $840.08 | 7 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $773.01 – $1,595.15 | 7 |
| Treat lower leg fracture CPT 27826 | not published | not published | $894.77 – $1,773.77 | 7 |
| Treat lower leg fracture CPT 27827 | not published | not published | $1,194.78 – $2,297.16 | 7 |
| Treat lower leg fracture CPT 27828 | not published | not published | $1,434.01 – $2,745.67 | 7 |
| Treat lower leg joint CPT 27829 | not published | not published | $713.60 – $1,450.84 | 7 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $882.91 – $1,735.55 | 7 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $1,128.95 – $2,207.47 | 7 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $772.09 – $1,549.12 | 7 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $2,974.25 | $8,038.50 | $328.99 – $632.60 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $103.79 | $280.50 | $37.25 – $295.47 | 29 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $87.97 | $237.75 | $14.54 – $25.84 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $29.88 | $80.75 | $14.54 – $466.20 | 29 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $2,005.86 | $5,421.25 | $387.64 – $762.08 | 7 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $162.51 – $319.03 | 7 |
| Treatment of anal fissure CPT 46942 | not published | not published | $141.16 – $2,089.82 | 29 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $159.05 – $315.12 | 7 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $716.56 – $1,386.87 | 7 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $849.05 – $1,637.27 | 7 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $931.49 – $1,782.35 | 7 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $1,064.40 – $2,022.60 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $283.05 | $765.00 | $244.38 – $606.08 | 29 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $540.71 – $1,257.50 | 29 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $304.54 – $691.10 | 29 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $55.50 – $685.22 | 29 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $756.64 – $1,514.80 | 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.