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 |
|---|---|---|---|---|
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $14.80 | $40.00 | $10.58 – $17.68 | 7 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $10.23 – $18.36 | 7 |
| Venogram ext bil s&i CPT 75822 | $890.50 | $2,406.75 | $66.71 – $542.92 | 7 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $610.50 | $1,650.00 | $44.86 – $542.92 | 7 |
| Venous mech thrombectomy CPT 37187 | $2,388.81 | $6,456.25 | $450.39 – $887.66 | 7 |
| Venous m-thrombectomy add-on CPT 37188 | $2,004.66 | $5,418.00 | $319.26 – $631.82 | 7 |
| Venous sampling s&i CPT 75893 | $4,171.01 | $11,273.00 | $33.88 – $542.92 | 7 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $48.14 – $1,233.83 | 29 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $56.92 – $921.08 | 29 |
| Ventilator each subsequent day CPT 94003 | $286.84 | $775.25 | $74.93 – $1,515.38 | 29 |
| Ventilator initial day CPT 94002 | $354.55 | $958.25 | $104.17 – $1,515.38 | 29 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $113.18 – $2,040.73 | 29 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $2,298.60 – $4,414.14 | 7 |
| Version cephalic external CPT 59412 | $1,642.06 | $4,438.00 | $115.95 – $194.55 | 7 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $302.18 – $565.52 | 7 |
| Very long chain fatty acids CPT 82726 | $150.96 | $408.00 | $19.02 – $108.04 | 29 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $391.95 – $772.23 | 7 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $20.48 | $55.35 | $2.35 – $21.29 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $36.41 | $98.40 | $8.71 – $50.53 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $54.06 | $146.10 | $15.11 – $50.53 | 5 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $10.16 – $100.82 | 29 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $20.20 – $113.14 | 29 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $34,254.64 – $34,254.64 | 5 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $34,254.64 – $34,254.64 | 5 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $42.55 – $358.63 | 29 |
| Vital capacity test CPT 94150 | $84.92 | $229.50 | $4.77 – $358.63 | 29 |
| Vitamin b-12 CPT 82607 | $49.67 | $134.25 | $15.08 – $85.28 | 29 |
| Vitamin D Test CPT 82306 | $131.17 | $354.50 | $29.60 – $108.04 | 29 |
| Vit for macular hole CPT 67042 | not published | not published | $1,253.81 – $3,283.10 | 7 |
| Vit for macular pucker CPT 67041 | not published | not published | $1,252.73 – $2,872.81 | 7 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,324.76 – $3,503.85 | 7 |
| Vkorc1 gene CPT 81355 | $318.85 | $861.75 | $79.86 – $198.45 | 28 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $55.78 – $231.67 | 7 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $15.37 – $392.78 | 28 |
| Volume deplete of harvest CPT 38214 | not published | not published | $48.17 – $1,002.11 | 29 |
| Volume measurement urine timed CPT 81050 | $11.38 | $30.75 | $3.13 – $8.19 | 29 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $59.11 | $159.75 | $5.36 – $21.29 | 6 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,624.90 – $3,042.08 | 7 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $559.98 – $1,090.46 | 7 |
| Warde 1003990 aldosterone CPT 82088 | $124.23 | $335.75 | $40.75 – $111.67 | 29 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $111.19 | $300.50 | $27.80 – $108.04 | 29 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $91.21 | $246.50 | $12.90 – $31.36 | 29 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $104.53 | $282.50 | $25.25 – $111.67 | 29 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $98.24 | $265.50 | $15.50 – $111.67 | 29 |
| Warde 1015200 kappa light chain free CPT 83521 | not published | not published | $17.27 – $38.86 | 22 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $36.63 | $99.00 | $8.02 – $79.86 | 29 |
| Warde 3008005 oligoclonal bands CPT 83916 | $103.95 | $280.95 | $21.11 – $108.04 | 29 |
| Warde 3016000 west nile virus antibody CPT 86788 | $106.84 | $288.75 | $16.85 – $40.98 | 29 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $108.32 | $292.75 | $14.39 – $35.02 | 29 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $85.66 | $231.50 | $12.25 – $62.53 | 29 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $58.46 | $158.00 | $8.90 – $21.27 | 29 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $31.82 | $86.00 | $17.98 – $60.18 | 29 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | not published | not published | $142.63 – $320.92 | 23 |
| Warde 3400852 arsenic CPT 82175 | $85.01 | $229.75 | $18.97 – $112.27 | 29 |
| Warde 3708165 mercury urine CPT 83825 | $65.95 | $178.25 | $16.26 – $112.27 | 29 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | not published | not published | $18.40 – $41.40 | 22 |
| Warde actin (smooth muscle) antibody each CPT 86015 | not published | not published | $12.05 – $27.11 | 22 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $91.76 | $248.00 | $7.30 – $18.22 | 29 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $126.45 | $341.75 | $38.62 – $111.67 | 29 |
| Warde aldolase CPT 82085 | $37.28 | $100.75 | $9.71 – $60.18 | 29 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $274.73 | $742.50 | $16.87 – $41.02 | 29 |
| Warde amiodarone therapeutic drug level CPT 80151 | $85.66 | $231.50 | $18.64 – $41.94 | 23 |
| Warde analysis gene hfe common variants CPT 81256 | $260.94 | $705.25 | $65.36 – $147.06 | 28 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $254.38 | $687.50 | $79.86 – $368.91 | 28 |
| Warde anti-mullerian hormone CPT 82166 | not published | not published | $38.62 – $86.89 | 22 |
| Warde apolipoprotein b CPT 82172 | $34.69 | $93.75 | $16.42 – $47.45 | 29 |
| Warde bile acids CPT 82239 | $33.86 | $91.50 | $17.12 – $41.69 | 29 |
| Warde cadmium blood CPT 82300 | $83.53 | $225.75 | $23.64 – $112.27 | 29 |
| Warde calcitonin CPT 82308 | $87.51 | $236.50 | $26.79 – $111.67 | 29 |
| Warde calculus (stone) infrared CPT 82365 | $49.67 | $134.25 | $12.90 – $108.04 | 29 |
| Warde clozapine therapeutic drug level CPT 80159 | $59.57 | $161.00 | $20.15 – $129.19 | 28 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $126.08 | $340.75 | $21.96 – $112.27 | 29 |
| Warde collagen cross links c-telopeptide CPT 82523 | $85.84 | $232.00 | $18.68 – $79.86 | 29 |
| Warde complement total hemolytic CPT 86162 | $141.43 | $382.25 | $20.32 – $62.53 | 29 |
| Warde copper CPT 82525 | $102.40 | $276.75 | $12.41 – $112.27 | 29 |
| Warde cryoglobulin CPT 82595 | $26.46 | $71.50 | $6.47 – $60.18 | 29 |
| Warde erythropoietin CPT 82668 | $76.31 | $206.25 | $18.79 – $108.04 | 29 |
| Warde estrogen fractionated CPT 82671 | not published | not published | $32.30 – $111.67 | 29 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | not published | not published | $12.09 – $27.20 | 22 |
| Warde folic acid rbc CPT 82747 | $66.19 | $178.90 | $17.65 – $51.91 | 29 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $84.82 | $229.25 | $9.70 – $23.59 | 29 |
| Warde gastrin CPT 82941 | $65.58 | $177.25 | $17.63 – $111.67 | 29 |
| Warde growth hormone (hgh) CPT 83003 | $57.35 | $155.00 | $16.67 – $111.67 | 29 |
| Warde haloperidol therapeutic drug level CPT 80173 | $176.58 | $477.25 | $15.37 – $129.19 | 29 |
| Warde helminth antibody strongyloides igg CPT 86682 | $77.52 | $209.50 | $13.01 – $62.53 | 29 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $68.08 | $184.00 | $12.87 – $31.30 | 29 |
| Warde hepatitis a antibody CPT 86708 | $62.25 | $168.25 | $12.39 – $60.18 | 29 |
| Warde hepatitis be antibody CPT 86707 | $42.83 | $115.75 | $11.57 – $60.18 | 29 |
| Warde hepatitis delta agent antibody CPT 86692 | $110.82 | $299.50 | $17.16 – $62.53 | 29 |
| Warde immunofixation electrophoresis urine CPT 86335 | $108.97 | $294.50 | $14.66 – $79.86 | 29 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $46.53 | $125.75 | $11.53 – $62.53 | 29 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $392.11 | $1,059.75 | $113.14 – $579.26 | 29 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $445.48 | $1,204.00 | $20.85 – $79.86 | 29 |
| Warde lipoprotein (a) CPT 83695 | $72.06 | $194.75 | $13.55 – $108.04 | 29 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $54.02 | $146.00 | $35.70 – $108.04 | 29 |
| Warde mitochondrial antibody each CPT 86381 | not published | not published | $25.45 – $57.26 | 22 |
| Warde neutralization rabies CPT 86382 | not published | not published | $16.91 – $79.86 | 29 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $79.27 | $214.25 | $13.25 – $129.19 | 28 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | not published | not published | $22.97 – $51.68 | 22 |
| Warde protein c antigen CPT 85302 | $164.28 | $444.00 | $12.01 – $100.82 | 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.