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 |
|---|---|---|---|---|
| Coombs direct CPT 86880 | $61.98 | $167.50 | $5.73 – $62.53 | 7 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $17.95 | $48.50 | $5.99 – $13.94 | 7 |
| Coombs indirect titer reference CPT 86886 | $86.49 | $233.75 | $5.47 – $12.59 | 7 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,183.07 – $1,183.07 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $644.57 – $1,450.84 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $572.97 – $1,117.78 | 7 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $550.51 – $1,085.01 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $8.27 – $27.21 | 6 |
| Corneal smear CPT 65430 | not published | not published | $107.65 – $197.28 | 7 |
| Corneal transplant CPT 65710 | not published | not published | $1,106.59 – $9,641.00 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $1,233.00 – $9,641.00 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $1,252.81 – $9,641.00 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $1,245.36 – $9,641.00 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,204.19 – $9,641.00 | 8 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $785.76 – $2,468.77 | 6 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $715.70 – $2,234.76 | 6 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $832.10 – $2,647.39 | 6 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $703.11 – $2,166.89 | 6 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $600.36 – $1,865.03 | 6 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $335.96 | $908.00 | $70.48 – $143.45 | 7 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $536.37 – $1,290.93 | 7 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $331.82 – $644.29 | 7 |
| Correct finger deformity CPT 26567 | not published | not published | $718.61 – $1,408.71 | 7 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $612.38 – $1,207.47 | 7 |
| Correction claw finger other CPT 26499 | not published | not published | $874.50 – $1,714.48 | 7 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $501.60 – $1,056.92 | 7 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $595.73 – $1,027.42 | 6 |
| Correction of astigmatism CPT 65772 | not published | not published | $401.33 – $875.19 | 7 |
| Correction of astigmatism CPT 65775 | not published | not published | $548.15 – $1,163.01 | 7 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $167.42 – $365.83 | 7 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $55.59 – $117.01 | 7 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $138.79 – $303.43 | 7 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,637.26 – $3,186.39 | 7 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $711.29 – $1,410.28 | 7 |
| Correct rectal prolapse CPT 45541 | not published | not published | $998.37 – $1,992.17 | 7 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,167.50 – $2,275.32 | 7 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $125.41 – $245.70 | 7 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $536.30 – $925.51 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $514.44 – $1,178.61 | 7 |
| Cortisol acth stimulation test - sendout CPT 80400 | $110.82 | $299.50 | $40.48 – $111.67 | 7 |
| Cortisol total am CPT 82533 | $61.70 | $166.75 | $17.20 – $39.66 | 7 |
| Costotransversectomy CPT 21610 | not published | not published | $1,181.39 – $2,376.71 | 7 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $45.79 | $123.75 | $99.26 – $106.35 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $16.47 – $44.46 | 7 |
| Counseling smoke cess interm >10mins CPT 99407 | $91.48 | $247.25 | $28.66 – $42.80 | 7 |
| Cover eye w/membrane CPT 65778 | not published | not published | $63.41 – $156.78 | 6 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $167.36 – $615.43 | 6 |
| #covid19rsv-rsv CPT 87634 | $77.92 | $210.60 | $79.68 – $79.68 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $32.91 | $88.95 | $13.81 – $31.70 | 7 |
| C-peptide CPT 84681 | $79.64 | $215.25 | $21.89 – $108.04 | 7 |
| Cptrized corneal topography CPT 92025 | not published | not published | $14.64 – $79.57 | 7 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $15.46 – $83.67 | 6 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,560.49 – $4,992.90 | 7 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,769.76 – $3,437.54 | 7 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $2,142.97 – $4,160.63 | 7 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,978.36 – $5,785.41 | 7 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $3,211.36 – $6,172.31 | 7 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $2,063.00 – $3,985.91 | 7 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,230.64 – $4,333.01 | 7 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $2,115.76 – $4,160.63 | 7 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,375.87 – $4,603.68 | 7 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $43.13 – $705.13 | 7 |
| C-reactive protein CPT 86140 | $36.17 | $97.75 | $5.47 – $12.59 | 7 |
| C-reactive protein high sensitivity CPT 86141 | $43.48 | $117.50 | $13.55 – $60.18 | 7 |
| C-reactive protein, quantitative CPT 86406 | $113.50 | $306.75 | $11.20 – $62.53 | 7 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $690.29 – $1,748.02 | 7 |
| Create eardrum opening CPT 69436 | not published | not published | $174.42 – $345.55 | 7 |
| Create passage to kidney CPT 52334 | not published | not published | $289.41 – $545.24 | 7 |
| Create tear duct drain CPT 68745 | not published | not published | $767.39 – $1,675.49 | 7 |
| Create tear duct drain CPT 68750 | not published | not published | $787.86 – $1,727.74 | 7 |
| Create tear sac drain CPT 68720 | not published | not published | $764.81 – $1,648.19 | 7 |
| Creatine isoforms CPT 82554 | not published | not published | $12.51 – $108.04 | 7 |
| Creatine kinase CPT 82550 | $44.22 | $119.50 | $6.78 – $60.18 | 7 |
| Creatine kinase isoenzymes CPT 82552 | $44.22 | $119.50 | $14.07 – $60.18 | 7 |
| Creatine kinase mb CPT 82553 | $42.55 | $115.00 | $12.25 – $108.04 | 7 |
| Creatine - sendout CPT 82540 | $53.10 | $143.50 | $4.95 – $33.65 | 7 |
| Creatinine CPT 82565 | $19.70 | $53.25 | $5.47 – $12.46 | 7 |
| Creatinine 24 hour urine CPT 82570 | $186.61 | $504.35 | $5.47 – $12.59 | 7 |
| Creatinine clearance urine CPT 82575 | $50.88 | $137.50 | $9.90 – $60.18 | 7 |
| #creutz-prot.,western blot CPT 84182 | $365.93 | $989.00 | $15.11 – $43.78 | 7 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $576.06 – $1,123.23 | 7 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,857.90 – $3,205.24 | 6 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $148.06 – $148.06 | 1 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $70.84 – $114.28 | 6 |
| Critical care 30-74 minutes CPT 99291 | $1,211.94 | $3,275.50 | $248.97 – $377.12 | 6 |
| Critical care each additional 30 minutes CPT 99292 | $282.50 | $763.50 | $124.85 – $189.79 | 7 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,450.81 – $2,808.07 | 7 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,233.94 – $2,405.57 | 7 |
| Cross-over vein graft CPT 34520 | not published | not published | $1,201.81 – $2,205.90 | 7 |
| Crotalidae poly immune fab HCPCS J0840 | $3,996.74 | $10,802.00 | $3,747.86 – $4,015.56 | 5 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $898.78 – $1,726.19 | 7 |
| Cryoablate prostate CPT 55873 | not published | not published | $859.39 – $1,617.76 | 7 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $144.62 – $248.97 | 7 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $24.98 | $67.50 | $9.12 – $20.88 | 7 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $113.79 – $113.79 | 5 |
| Cryopreservation sperm CPT 89259 | not published | not published | $113.79 – $113.79 | 5 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $52.87 – $95.94 | 7 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $113.79 – $113.79 | 5 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $225.72 – $411.06 | 7 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $117.83 – $235.57 | 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.