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 |
|---|---|---|---|---|
| Debridement (>20 cm) charge pt CPT 97598 | $186.76 | $504.75 | $12.30 – $52.13 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,036.00 | $2,800.00 | $259.11 – $499.99 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $363.80 | $983.25 | $63.29 – $120.12 | 6 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,283.44 | $3,468.75 | $112.38 – $212.16 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $406.35 | $1,098.25 | $53.29 – $132.61 | 7 |
| Debride nail1-5 11720 CPT 11720 | $110.35 | $298.25 | $16.64 – $31.97 | 7 |
| Debride nail6 or more 11721 CPT 11721 | $64.84 | $175.25 | $28.14 – $53.82 | 7 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $567.77 | $1,534.50 | $335.25 – $636.50 | 7 |
| Debride skin bone at fx site CPT 11012 | $2,379.93 | $6,432.25 | $475.94 – $898.58 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $655.52 – $1,234.77 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $872.44 – $1,665.34 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $363.80 | $983.25 | $29.40 – $58.50 | 6 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $57.25 – $133.39 | 7 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $847.49 | $2,290.50 | $315.09 – $594.38 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | $280.00 | $756.75 | $16.20 – $31.20 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $381.66 | $1,031.50 | $174.22 – $336.19 | 7 |
| Decalcification CPT 88311 | $7.31 | $19.75 | $6.67 – $113.79 | 7 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $81.81 | $221.10 | $51.09 – $54.73 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $165.58 | $447.50 | $31.98 – $53.74 | 7 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $545.80 – $1,072.52 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $608.94 – $1,207.47 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,299.86 – $2,590.44 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $614.68 – $1,202.00 | 7 |
| Decompress fingers/hand CPT 26035 | not published | not published | $890.74 – $1,806.53 | 7 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,187.66 – $2,340.06 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $837.22 – $1,659.89 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $591.52 – $1,357.23 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $603.44 – $1,172.37 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $609.93 – $1,291.72 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $939.70 – $1,854.11 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $451.65 – $887.66 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $482.56 – $941.48 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $545.82 – $1,144.28 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $596.49 – $1,226.98 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $651.28 – $1,378.29 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $721.64 – $1,476.59 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $393.11 – $759.74 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $365.48 – $771.44 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,514.46 – $4,976.53 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,167.68 – $2,644.28 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,769.70 – $3,417.26 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $1,069.81 – $2,077.97 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,634.63 – $3,126.32 | 7 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,938.32 – $3,721.48 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $363.04 – $678.63 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $166.11 – $326.83 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $23.75 | $64.20 | $12.32 – $13.20 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $30.47 | $82.35 | $5.57 – $5.97 | 5 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $997.75 – $1,971.10 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $251.57 – $510.91 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $366.57 – $740.24 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $335.45 – $693.44 | 7 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $211.75 – $439.15 | 7 |
| Delivery of placenta 59414 CPT 59414 | $1,017.13 | $2,749.00 | $103.98 – $198.13 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,058.73 – $2,049.10 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,354.86 – $1,448.66 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $85.56 | $231.25 | $15.92 – $31.96 | 7 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,181.88 – $2,145.84 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,257.70 | $6,101.90 | $22.64 – $24.25 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $223.76 | $604.75 | $135.58 – $279.58 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | $17.80 | $48.10 | $13.94 – $14.94 | 5 |
| Dermabrasion other than face CPT 15782 | not published | not published | $435.61 – $844.76 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $455.82 – $921.99 | 7 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $395.37 – $796.39 | 7 |
| Dermabrasion total face CPT 15780 | not published | not published | $699.20 – $1,406.38 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $710.00 – $1,439.92 | 7 |
| Dermagraft HCPCS Q4106 | $67.62 | $182.75 | $70.41 – $75.44 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $811.11 – $1,635.70 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $605.50 – $1,199.67 | 7 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,058.03 – $3,961.73 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $149.62 – $314.35 | 7 |
| Design mlc device for imrt CPT 77338 | not published | not published | $291.41 – $1,028.85 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $69.11 | $186.78 | $8.40 – $9.00 | 5 |
| Desoxycorticosterone CPT 82633 | not published | not published | $32.57 – $111.67 | 7 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $473.67 – $900.92 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,767.33 – $3,400.11 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,280.69 – $2,459.41 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $96.72 – $193.45 | 7 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $135.45 – $266.77 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $157.52 – $307.33 | 7 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $106.54 – $212.95 | 7 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $119.99 – $237.12 | 7 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $139.39 – $272.22 | 7 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $73.08 – $148.21 | 7 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $98.31 – $195.01 | 7 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $126.20 – $248.04 | 7 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $139.93 – $274.56 | 7 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,998.30 | $8,103.50 | $251.13 – $475.82 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $808.36 | $2,184.75 | $76.84 – $144.31 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $693.94 | $1,875.50 | $159.51 – $315.12 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $79.64 | $215.25 | $57.60 – $118.56 | 7 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $221.71 – $428.23 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | $106.47 | $287.75 | $125.58 – $246.49 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $89.78 – $180.96 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $380.63 – $748.05 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $303.49 – $579.55 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $524.17 – $1,118.55 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.71 – $9.36 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $141.56 – $288.62 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $198.57 – $396.25 | 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.