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 |
|---|---|---|---|---|
| Unlisted laps px esoph CPT 43289 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $1,132.59 – $1,132.59 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $10,413.84 – $10,413.84 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $10,413.84 – $10,413.84 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,060.03 – $2,060.03 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted misc path test CPT 89240 | not published | not published | $54.43 – $122.47 | 27 |
| Unlisted mr procedure CPT 76498 | not published | not published | $89.70 – $664.57 | 27 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $409.37 – $1,279.16 | 27 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $159.39 – $663.92 | 27 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $409.37 – $1,279.16 | 27 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $24.95 – $591.56 | 27 |
| Unlisted orl service/px CPT 92700 | not published | not published | $24.95 – $157.42 | 27 |
| Unlisted procedure colon CPT 45399 | not published | not published | $360.62 – $2,089.82 | 26 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $955.15 – $3,476.35 | 27 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $304.54 – $2,240.50 | 27 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted procedure liver CPT 47399 | not published | not published | $716.79 – $3,476.35 | 28 |
| Unlisted procedure microbiology CPT 87999 | $234.58 | $634.00 | $56.64 – $317.00 | 6 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $304.54 – $2,240.50 | 27 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $716.79 – $3,476.35 | 27 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $928.81 – $5,122.49 | 27 |
| Unlisted procedure spine CPT 22899 | not published | not published | $244.38 – $6,090.54 | 27 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,046.58 – $1,992.17 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $30.35 – $68.29 | 22 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $244.38 – $6,090.54 | 27 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,785.44 – $1,785.44 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $244.38 – $7,827.89 | 27 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $955.15 – $3,476.35 | 27 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $96.75 – $1,043.49 | 28 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $304.54 – $1,785.44 | 27 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $3,476.35 – $3,476.35 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $716.79 – $1,612.78 | 27 |
| Unlisted px external ear CPT 69399 | not published | not published | $236.58 – $560.85 | 27 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $304.54 – $4,116.92 | 27 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $244.38 – $1,608.16 | 27 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $244.38 – $2,247.03 | 27 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $244.38 – $1,608.16 | 27 |
| Unlisted px inner ear CPT 69949 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $304.54 – $2,240.50 | 27 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $244.38 – $6,090.54 | 27 |
| Unlisted px male genital sys CPT 55899 | $5,358.53 | $14,482.50 | $247.77 – $7,241.25 | 28 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,157.51 – $2,157.51 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $135.26 – $304.33 | 27 |
| Unlisted px middle ear CPT 69799 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $164.75 – $4,162.07 | 28 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $244.38 – $6,090.54 | 28 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $5,853.31 – $5,853.31 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px small intestine CPT 44799 | not published | not published | $586.38 – $3,476.35 | 28 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $135.26 – $857.53 | 27 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $236.58 – $4,162.07 | 27 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $54.43 – $1,468.03 | 27 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $409.37 – $921.08 | 27 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $202.43 – $657.03 | 27 |
| Unlisted surgical path px CPT 88399 | not published | not published | $54.43 – $122.47 | 27 |
| Unlisted transfusion med px CPT 86999 | $512.27 | $1,384.50 | $24.95 – $692.25 | 28 |
| Unlisted ultrasound procedure CPT 76999 | $74.09 | $200.25 | $89.70 – $289.39 | 28 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $629.86 – $9,376.10 | 27 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $409.37 – $1,279.16 | 27 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $903.26 – $903.26 | 5 |
| Upgrade pm system CPT 33214 | $4,096.36 | $11,071.25 | $535.32 – $31,789.00 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,390.28 | $3,757.50 | $161.59 – $1,070.98 | 29 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $972.27 | $2,627.75 | $120.96 – $883.77 | 29 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $976.62 | $2,639.50 | $100.59 – $778.45 | 29 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $139.96 – $2,149.09 | 29 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $158.31 – $2,149.09 | 29 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $291.48 – $559.28 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $157.94 – $2,149.09 | 29 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $716.16 – $1,343.97 | 7 |
| Urea nitrogen CPT 84520 | $20.44 | $55.25 | $3.95 – $33.65 | 29 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.47 | $87.75 | $4.95 – $12.51 | 29 |
| Urea nitrogen clearance CPT 84545 | $47.73 | $129.00 | $7.04 – $60.18 | 29 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $227.69 – $393.54 | 5 |
| Ureteral reflux study CPT 78740 | $406.35 | $1,098.25 | $36.38 – $921.08 | 29 |
| Ureter endoscopy CPT 50970 | not published | not published | $420.34 – $787.04 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $399.76 – $773.78 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $536.97 – $1,004.67 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $406.18 – $761.31 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $402.47 – $752.72 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $359.70 – $673.93 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $529.50 – $990.63 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $403.83 – $755.84 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,247.82 – $2,344.74 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,266.90 – $2,394.67 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $257.15 | $695.00 | $21.24 – $554.06 | 28 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $839.60 – $1,592.01 | 7 |
| Urethrocystography void s&i CPT 74455 | $269.36 | $728.00 | $21.24 – $554.06 | 29 |
| Uric acid blood CPT 84550 | $25.25 | $68.25 | $4.52 – $33.65 | 29 |
| Uric acid urine CPT 84560 | $23.59 | $63.75 | $4.95 – $11.56 | 29 |
| Urinalysis microscopic only CPT 81015 | $22.57 | $61.00 | $3.05 – $7.39 | 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.