Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.)
237 S Locust St, Nowata, OK · Ascension · · NPI 1548247489
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 |
|---|---|---|---|---|
| Cell cryopreserve/storage CPT 88240 | not published | not published | $10.68 – $113.79 | 7 |
| Cell enumeration & id CPT 86152 | not published | not published | $79.86 – $382.54 | 6 |
| Cell function assay w/stim CPT 86352 | $247.35 | $668.50 | $79.86 – $211.53 | 6 |
| Cell marker study CPT 88182 | $141.03 | $381.15 | $28.87 – $195.81 | 7 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,040.84 – $1,933.68 | 7 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $273.21 – $473.46 | 7 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $341.44 – $667.70 | 7 |
| Cerebrospinal fld flw imag CPT 78645 | $350.02 | $946.00 | $36.08 – $655.99 | 7 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,465.34 – $2,890.75 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,035.38 – $1,984.36 | 7 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $109.08 | $294.80 | $83.27 – $89.22 | 5 |
| #cf-97variants CPT 81220 | $723.91 | $1,956.50 | $79.86 – $631.74 | 6 |
| Cftr gene dup/delet variants CPT 81222 | $160.95 | $435.00 | $79.86 – $493.80 | 6 |
| Cftr gene intron poly t CPT 81224 | $137.73 | $372.25 | $79.86 – $191.53 | 6 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $79.86 – $110.34 | 6 |
| Change cystostomy tube; complex 51710 CPT 51710 | $571.10 | $1,543.50 | $89.59 – $147.62 | 7 |
| Change cystostomy tube simple CPT 51705 | $126.17 | $341.00 | $58.29 – $95.91 | 7 |
| Change gastric port open CPT 43888 | not published | not published | $474.46 – $976.58 | 7 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $171.19 – $353.36 | 7 |
| Change nephroureteral cath CPT 50387 | not published | not published | $96.91 – $212.95 | 7 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $88.12 – $147.62 | 7 |
| Change of windpipe airway 31502 CPT 31502 | $152.16 | $411.25 | $39.46 – $65.98 | 7 |
| Change stent via transureth CPT 50385 | not published | not published | $248.94 – $496.10 | 7 |
| Change ureter stent percut CPT 50382 | not published | not published | $294.32 – $588.14 | 7 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $55.02 – $124.48 | 7 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $108.85 – $210.61 | 7 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $247.09 – $537.43 | 7 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $375.19 – $779.25 | 7 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $268.78 – $556.94 | 7 |
| Chemo adm cns w/lmbr punct CPT 96450 | $248.18 | $670.75 | $90.07 – $170.04 | 7 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $131.98 – $232.44 | 6 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $81.13 – $145.86 | 6 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $93.86 – $166.93 | 6 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $132.65 – $236.35 | 6 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $121.39 – $216.07 | 6 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $239.74 – $516.38 | 7 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $127.35 – $256.62 | 7 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $218.05 – $482.05 | 7 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $56.76 – $112.32 | 7 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $45.34 – $87.36 | 7 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $139.41 – $269.11 | 6 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $121.98 – $215.29 | 6 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $111.95 – $204.37 | 6 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $130.05 – $234.01 | 6 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $153.92 – $270.66 | 6 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $77.02 – $157.57 | 7 |
| Chemo ia infusion up to 1 hr CPT 96422 | $161.88 | $437.50 | $188.43 – $339.30 | 7 |
| Chemo ia push tecnique CPT 96420 | $110.35 | $298.25 | $108.65 – $212.16 | 7 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $51.30 – $97.51 | 7 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $33.41 – $63.97 | 7 |
| Chemotaxis assay CPT 86155 | not published | not published | $16.94 – $79.86 | 7 |
| Chemotherapy injection 96542 CPT 96542 | $132.65 | $358.50 | $46.76 – $88.15 | 7 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $31.44 – $45.24 | 6 |
| Chest 2 vws w oblique CPT 71048 | $119.33 | $322.50 | $30.67 – $44.97 | 6 |
| Chest apical lordotic proj CPT 71047 | $130.80 | $353.50 | $29.62 – $43.58 | 6 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,043.49 | $2,820.25 | $86.79 – $648.20 | 7 |
| Chest CT scan (with contrast) CPT 71260 | $1,108.34 | $2,995.50 | $77.94 – $535.87 | 7 |
| Chest CT scan (without contrast) CPT 71250 | $952.66 | $2,574.75 | $73.00 – $429.02 | 7 |
| Chest X-ray CPT 71046 | $118.40 | $320.00 | $23.34 – $34.44 | 6 |
| Chest X-ray (single view) CPT 71045 | $86.03 | $232.50 | $17.06 – $18.98 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $81.25 – $81.25 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $79.86 – $323.00 | 6 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $79.86 – $406.02 | 6 |
| Chlamydia culture CPT 87110 | $238.37 | $644.25 | $20.59 – $56.64 | 7 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $12.77 – $62.53 | 7 |
| Chlamydia type CPT 87140 | $67.80 | $183.25 | $5.99 – $113.14 | 7 |
| Chlnggrphy intraop addl s&i CPT 74301 | $107.30 | $290.00 | $13.33 – $19.73 | 6 |
| Chloramphenicol sodium injec HCPCS J0720 | $83.08 | $224.55 | $47.71 – $51.12 | 5 |
| Chloride CPT 82435 | $21.74 | $58.75 | $4.95 – $33.65 | 7 |
| Chloride 24 hour urine CPT 82436 | $22.85 | $61.75 | $5.21 – $33.65 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $106.21 | $287.05 | $240.49 – $257.67 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $47.84 | $129.30 | $21.29 – $21.29 | 5 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $359.27 | $971.00 | $139.53 – $294.84 | 7 |
| Cholangiogram percutaneous compl CPT 47532 | $2,915.42 | $7,879.50 | $244.56 – $420.94 | 6 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $244.48 | $660.75 | $22.65 – $542.92 | 6 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,382.85 – $2,693.42 | 7 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,065.06 – $2,389.97 | 7 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,229.48 – $2,450.04 | 7 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,424.41 | $3,849.75 | $367.01 – $705.92 | 7 |
| Cholesterol CPT 82465 | $18.32 | $49.50 | $4.69 – $10.59 | 7 |
| Cholesterol body fluid CPT 84999 | $187.01 | $505.44 | $60.18 – $252.72 | 6 |
| Cholesterol (Lipid) Test CPT 80061 | $66.42 | $179.50 | $16.63 – $24.87 | 7 |
| Cholinesterase CPT 82480 | $30.90 | $83.50 | $8.34 – $19.17 | 7 |
| Cholinesterase challenge CPT 95857 | not published | not published | $33.01 – $63.18 | 7 |
| Chorion biopsy CPT 59015 | not published | not published | $149.31 – $285.49 | 7 |
| Chrom analysis CPT 88273 | $108.80 | $294.05 | $33.88 – $79.86 | 7 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $8.68 – $108.04 | 7 |
| Chromatography CPT 83021 | not published | not published | $19.02 – $89.93 | 7 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $12.51 – $89.93 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | $180.75 | $488.50 | $64.74 – $79.86 | 6 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $175.37 – $258.96 | 7 |
| Chromosome analysis 100 CPT 88249 | $181.95 | $491.75 | $79.86 – $269.62 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $311.36 | $841.50 | $131.59 – $195.81 | 7 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $157.13 – $231.77 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $158.43 – $233.99 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $186.32 – $275.18 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $182.67 – $269.62 | 7 |
| Chromosome analys placenta CPT 88267 | not published | not published | $189.70 – $279.90 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $72.44 – $195.81 | 7 |
| Chromosome count additional CPT 88285 | not published | not published | $20.06 – $113.79 | 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.