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 |
|---|---|---|---|---|
| Treatment of fibula fracture 27780 CPT 27780 | $376.11 | $1,016.50 | $244.38 – $589.70 | 29 |
| Treatment of foot infection CPT 28002 | not published | not published | $354.40 – $693.44 | 7 |
| Treatment of foot infection CPT 28003 | not published | not published | $623.71 – $1,248.03 | 7 |
| Treatment of gum lesion CPT 41850 | not published | not published | $134.75 – $426.56 | 6 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $1,625.64 – $3,205.89 | 7 |
| Treatment of heel fracture 28400 CPT 28400 | $258.82 | $699.50 | $230.75 – $549.86 | 29 |
| Treatment of miscarriage CPT 59821 | $2,388.81 | $6,456.25 | $394.91 – $765.19 | 7 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $177.77 – $373.64 | 7 |
| Treatment of penis lesion CPT 54110 | not published | not published | $702.60 – $1,318.24 | 7 |
| Treatment of penis lesion CPT 54115 | not published | not published | $476.96 – $893.90 | 7 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $42.40 – $2,089.82 | 29 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $304.54 – $1,219.94 | 29 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $540.71 – $1,257.50 | 29 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $1,434.21 – $2,925.08 | 7 |
| Treatment of thigh fracture CPT 27501 | $394.98 | $1,067.50 | $244.38 – $1,053.81 | 29 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $881.41 – $1,698.88 | 7 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $1,481.74 – $2,836.16 | 7 |
| Treatment of thigh fracture CPT 27508 | $227.74 | $615.50 | $244.38 – $1,045.23 | 29 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $695.20 – $1,361.91 | 7 |
| Treatment of thigh fracture CPT 27510 | $2,628.48 | $7,104.00 | $752.28 – $1,453.95 | 7 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $1,107.36 – $2,113.86 | 7 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $616.80 – $1,222.28 | 7 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $980.92 – $1,886.08 | 7 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $1,104.46 – $2,114.64 | 7 |
| Treatment of toe fracture 28510 CPT 28510 | $376.11 | $1,016.50 | $118.80 – $549.86 | 29 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $511.95 – $958.64 | 7 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $200.92 – $382.99 | 7 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $208.07 – $393.91 | 7 |
| Treatment radiation delivery level 2 CPT 77407 | $150.96 | $408.00 | $204.00 – $602.80 | 28 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $334.62 – $2,067.06 | 29 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $501.65 – $1,001.54 | 7 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $585.60 – $1,210.59 | 7 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $358.64 – $731.65 | 7 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $585.33 – $1,124.00 | 7 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $281.71 – $503.89 | 7 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $680.15 – $1,295.61 | 7 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,032.83 – $1,914.94 | 7 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $968.62 – $1,797.16 | 7 |
| Treat penis lesion graft CPT 54111 | not published | not published | $907.95 – $1,692.65 | 7 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,056.25 – $1,982.02 | 7 |
| Treat radius fracture CPT 24665 | not published | not published | $701.05 – $1,373.61 | 7 |
| Treat radius fracture CPT 24666 | not published | not published | $799.22 – $1,546.78 | 7 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $200.75 – $407.95 | 7 |
| Treat skull fracture CPT 62000 | not published | not published | $949.01 – $2,159.10 | 7 |
| Treat skull fracture CPT 62005 | not published | not published | $1,330.64 – $2,660.65 | 7 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,008.70 – $1,938.35 | 7 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $175.97 – $2,040.73 | 29 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $170.16 – $2,040.73 | 29 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.86 – $549.86 | 29 |
| Treat tail bone fracture CPT 27202 | not published | not published | $608.88 – $1,124.79 | 7 |
| Treat thigh fracture CPT 27230 | $394.98 | $1,067.50 | $244.38 – $996.86 | 29 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,005.35 – $1,921.96 | 7 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,323.63 – $2,536.62 | 7 |
| Treat thigh fracture CPT 27238 | $2,289.56 | $6,188.00 | $484.69 – $973.47 | 7 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,365.09 – $2,608.38 | 7 |
| Treat thigh fracture CPT 27246 | $376.11 | $1,016.50 | $244.38 – $815.13 | 29 |
| Treat thigh fracture CPT 27248 | not published | not published | $821.13 – $1,572.53 | 7 |
| Treat thigh fx growth plate CPT 27516 | $394.98 | $1,067.50 | $244.38 – $1,003.10 | 29 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $705.65 – $1,444.59 | 7 |
| Treat thumb fracture CPT 26650 | not published | not published | $500.53 – $1,000.76 | 7 |
| Treat thumb fracture CPT 26665 | not published | not published | $650.68 – $1,323.69 | 7 |
| Treat toe dislocation CPT 28636 | not published | not published | $226.61 – $415.76 | 7 |
| Treat toe dislocation CPT 28665 | not published | not published | $145.79 – $608.76 | 29 |
| Treat toe dislocation CPT 28666 | not published | not published | $204.55 – $411.85 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $428.23 – $856.46 | 7 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $909.44 – $1,829.15 | 7 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,179.66 – $2,336.16 | 7 |
| Treat ulnar fracture CPT 24675 | $2,628.48 | $7,104.00 | $436.11 – $877.53 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $704.21 – $1,380.64 | 7 |
| Treat vaginal bleeding CPT 57180 | $142.27 | $384.50 | $115.76 – $461.12 | 29 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $402.71 – $847.87 | 7 |
| Treat wrist dislocation CPT 25675 | $266.40 | $720.00 | $244.38 – $855.68 | 29 |
| Treponema pallidum antibody CPT 86780 | $59.02 | $159.50 | $13.24 – $32.22 | 28 |
| Treprostinil injection HCPCS J3285 | $4,774.98 | $12,905.36 | $55.89 – $199.53 | 6 |
| Trg gene rearrangement anal CPT 81342 | $214.32 | $579.25 | $79.86 – $453.38 | 28 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $27.12 | $73.30 | $2.88 – $9.29 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $10.38 | $28.05 | $3.59 – $6.29 | 6 |
| Trichinella antibody CPT 86784 | $41.07 | $111.00 | $12.56 – $79.86 | 29 |
| Trichomonas assay w/optic CPT 87808 | $23.31 | $63.00 | $12.77 – $56.64 | 29 |
| Triglycerides CPT 84478 | $19.80 | $53.50 | $5.74 – $33.65 | 29 |
| Trimethobenzamide hcl inj HCPCS J3250 | $77.98 | $210.75 | $14.90 – $21.29 | 5 |
| Trim nail(s) HCPCS G0127 | $132.92 | $359.25 | $8.73 – $16.37 | 6 |
| Trim nondyst nails CPT 11719 | $120.25 | $325.00 | $8.73 – $136.15 | 29 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,027.81 – $2,078.76 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,077.08 – $2,319.78 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $754.80 | $2,040.00 | $244.38 – $1,009.35 | 29 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $2,405.46 | $6,501.25 | $1,238.00 – $2,201.22 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $3,122.06 | $8,438.00 | $1,133.45 – $2,336.95 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | $1,337.64 | $3,615.25 | $928.36 – $1,506.75 | 5 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $12,816.80 | $34,640.00 | $245.60 – $450.07 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $12,816.80 | $34,640.00 | $173.52 – $314.35 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $27,826.41 | $75,206.50 | $344.42 – $674.72 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,279.96 | $8,864.75 | $346.62 – $667.70 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,601.64 | $4,328.75 | $442.76 – $874.40 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,242.03 | $8,762.25 | $268.70 – $539.77 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,242.03 | $8,762.25 | $141.22 – $315.12 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,380.01 | $3,729.75 | $386.33 – $772.23 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $976.30 – $1,886.87 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $248.35 – $468.79 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,456.14 | $3,935.50 | $740.17 – $1,440.69 | 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.