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 |
|---|---|---|---|---|
| Colonoscopy w/fb removal CPT 45379 | $1,154.22 | $3,119.50 | $273.58 – $587.36 | 7 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $196.25 – $196.25 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $277.12 – $277.12 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $229.43 – $559.28 | 7 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $196.28 – $400.16 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $291.15 – $664.57 | 7 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $314.99 – $314.99 | 1 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $380.62 – $380.62 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $297.89 – $297.89 | 1 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $262.63 – $262.63 | 1 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,305.30 – $2,566.27 | 7 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,077.28 – $2,107.62 | 7 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $89.97 – $177.06 | 7 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $560.02 – $1,100.61 | 7 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,057.99 – $2,056.14 | 7 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $550.59 – $1,075.65 | 7 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $760.88 – $1,489.06 | 7 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,825.12 | $4,932.75 | $331.41 – $559.85 | 7 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $138.72 – $265.98 | 7 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $209.37 – $408.72 | 7 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $102.21 – $198.13 | 7 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $96.85 – $185.64 | 7 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $129.36 – $248.04 | 7 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $123.64 – $240.25 | 7 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $477.53 – $937.59 | 7 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $203.38 – $408.72 | 7 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $49.86 | $134.75 | $16.42 – $49.47 | 6 |
| Compatibility test each unit electronic CPT 86923 | $158.55 | $428.50 | $13.03 – $79.86 | 6 |
| Compatibility test each unit immediate spin technique CPT 86920 | $83.16 | $224.75 | $17.98 – $49.47 | 6 |
| Compatibility test incubate CPT 86921 | not published | not published | $14.59 – $49.47 | 6 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $213.06 – $648.20 | 6 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $216.30 – $707.47 | 6 |
| Complement antigen each component c3 CPT 86160 | $83.53 | $225.75 | $12.77 – $62.53 | 7 |
| Complement fixation each CPT 86171 | not published | not published | $7.16 – $62.53 | 7 |
| Complete removal of vulva CPT 56625 | not published | not published | $678.22 – $1,309.66 | 7 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,713.33 – $5,136.44 | 7 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $110.30 – $543.67 | 7 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $314.32 | $849.50 | $260.90 – $503.89 | 7 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $317.00 | $856.75 | $280.20 – $541.34 | 7 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $7.55 – $28.88 | 7 |
| Compl oph exam general anes CPT 92018 | not published | not published | $157.93 – $308.10 | 7 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $503.02 | $1,359.50 | $319.90 – $614.66 | 7 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $395.16 | $1,068.00 | $388.40 – $686.42 | 7 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $356.68 | $964.00 | $159.02 – $301.86 | 7 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $308.86 | $834.75 | $278.10 – $534.32 | 7 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $381.93 | $1,032.25 | $350.79 – $672.38 | 7 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $238.10 | $643.50 | $147.66 – $280.81 | 7 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $107.58 | $290.75 | $96.19 – $183.30 | 7 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $228.52 – $438.38 | 7 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $222.65 | $601.75 | $83.35 – $158.34 | 7 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,156.55 | $5,828.50 | $767.39 – $1,522.60 | 7 |
| Comprehensive hearing test CPT 92557 | not published | not published | $36.32 – $69.42 | 7 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $87.39 – $150.33 | 7 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $110.47 – $187.75 | 7 |
| Concentration infection agents any type CPT 87015 | $58.28 | $157.50 | $7.04 – $15.87 | 7 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $44.01 – $147.42 | 7 |
| Condylomata destruction 56420 CPT 56420 | $113.04 | $305.50 | $100.46 – $197.35 | 7 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $266.96 – $524.17 | 7 |
| Conization of cervix CPT 57520 | not published | not published | $302.94 – $586.57 | 7 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $315.17 | $851.80 | $258.59 – $277.06 | 5 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $573.65 – $1,153.66 | 7 |
| Construction of vagina CPT 57291 | not published | not published | $581.53 – $1,146.64 | 7 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,628.65 – $3,457.84 | 7 |
| Construct vagina with graft CPT 57292 | not published | not published | $904.30 – $1,768.30 | 7 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $41.17 – $113.79 | 7 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $138.66 | $374.75 | $29.11 – $113.79 | 7 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $38.39 | $103.75 | $11.35 – $80.27 | 7 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $86.49 | $233.75 | $31.86 – $113.79 | 7 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $82.33 | $222.50 | $41.33 – $113.79 | 7 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $96.27 – $113.79 | 7 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $113.79 – $172.24 | 7 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $61.98 – $123.24 | 7 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $71.83 – $138.06 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $48.67 – $108.04 | 7 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $780.34 – $1,426.65 | 7 |
| Contour of face bone lesion CPT 21029 | not published | not published | $682.73 – $1,379.08 | 7 |
| Contrast baths charges CPT 97034 | not published | not published | $17.71 – $37.44 | 7 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $72.35 – $542.92 | 7 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $32.73 – $542.92 | 7 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,701.56 | $7,301.50 | $74.05 – $542.92 | 7 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $20.08 – $144.31 | 7 |
| Contrast x-ray of ankle CPT 73615 | $517.26 | $1,398.00 | $33.77 – $542.92 | 7 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $74.10 – $542.92 | 7 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $76.08 – $542.92 | 7 |
| Contrast x-ray of elbow CPT 73085 | $517.26 | $1,398.00 | $33.48 – $542.92 | 7 |
| Contrast x-ray of hip CPT 73525 | $497.28 | $1,344.00 | $34.17 – $542.92 | 7 |
| Contrast x-ray of knee joint CPT 73580 | $497.28 | $1,344.00 | $34.17 – $542.92 | 7 |
| Contrast x-ray of wrist CPT 73115 | $497.28 | $1,344.00 | $33.88 – $542.92 | 7 |
| Control nosebleed pack+caut 30905 CPT 30905 | $209.05 | $565.00 | $119.25 – $217.63 | 7 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $509.57 – $991.41 | 7 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $566.85 – $1,109.97 | 7 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $434.17 – $886.88 | 7 |
| Control of nosebleed ant comp 30903 CPT 30903 | $251.79 | $680.50 | $90.55 – $150.33 | 7 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $213.86 | $578.00 | $63.97 – $106.13 | 7 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $487.48 | $1,317.50 | $187.90 – $321.07 | 7 |
| Control throat bleeding CPT 42961 | not published | not published | $465.33 – $916.52 | 7 |
| Control throat bleeding CPT 42962 | not published | not published | $575.26 – $1,123.23 | 7 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $227.62 – $453.98 | 6 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $222.34 – $405.48 | 6 |
| Conv gtube to jtube CPT 44373 | $816.96 | $2,208.00 | $219.65 – $443.83 | 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.