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 |
|---|---|---|---|---|
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $181.91 – $326.07 | 6 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $178.54 – $307.10 | 6 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $122.03 – $426.10 | 6 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $98.37 – $426.10 | 6 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $241.09 – $474.26 | 7 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $384.17 – $751.16 | 7 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $225.54 – $425.12 | 7 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $137.44 – $271.45 | 7 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $223.58 – $504.67 | 7 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $18.43 – $30.61 | 7 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $101.13 – $276.13 | 7 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $736.01 – $1,413.39 | 7 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $352.99 – $681.74 | 7 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $81.70 – $230.89 | 7 |
| Endoscopy of ureter CPT 50951 | not published | not published | $347.54 – $651.31 | 7 |
| Endoscopy of ureter CPT 50953 | not published | not published | $369.24 – $719.96 | 7 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $76.22 – $143.52 | 7 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,516.93 | $6,802.50 | $186.98 – $421.98 | 7 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,102.01 – $2,138.82 | 7 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $646.84 – $1,175.48 | 7 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $34,254.64 – $34,254.64 | 5 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $238.95 – $454.75 | 7 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $156.47 – $377.52 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $197.23 – $340.13 | 6 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $98.79 – $170.78 | 6 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $155.78 – $379.09 | 7 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $21.88 | $59.14 | $2.48 – $2.65 | 5 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $12.77 – $62.53 | 7 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $275.01 – $514.81 | 7 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,333.49 – $2,603.70 | 7 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,396.69 – $2,798.72 | 7 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,518.90 – $3,003.86 | 7 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,739.67 – $3,450.03 | 7 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $914.20 – $1,795.61 | 7 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $19.02 – $108.04 | 7 |
| Enzyme histochemistry CPT 88319 | $145.60 | $393.50 | $32.21 – $113.79 | 7 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $948.21 – $11,285.00 | 7 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $1,269.86 – $11,285.00 | 7 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $2,386.96 | $6,451.25 | $774.96 – $1,614.65 | 7 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $548.34 | $1,482.00 | $166.08 – $289.39 | 7 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $1,641.97 | $4,437.75 | $766.81 – $1,612.29 | 7 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $857.75 | $2,318.25 | $116.61 – $219.18 | 7 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $58.40 – $113.88 | 7 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $358.44 – $755.06 | 7 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $266.54 – $521.83 | 7 |
| Epiglottidectomy CPT 31420 | not published | not published | $909.07 – $1,784.69 | 7 |
| Epilepsy gen seq alys panel CPT 81419 | $1,163.17 | $3,143.70 | $2,779.12 – $2,779.12 | 1 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $175.85 – $8,949.00 | 7 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $753.51 – $1,266.75 | 7 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $573.06 – $1,296.40 | 7 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $656.07 | $1,773.15 | $1.92 – $2.06 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $165.78 – $319.82 | 7 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $34.97 | $94.50 | $0.96 – $1.94 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $536.54 | $1,450.10 | $18.54 – $18.54 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $417.79 | $1,129.17 | $18.03 – $19.32 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $27.27 | $73.70 | $24.81 – $26.58 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $46.44 | $125.50 | $13.81 – $79.86 | 7 |
| Epstein barr nuclear antigen antibody CPT 86664 | $42.83 | $115.75 | $16.16 – $79.86 | 7 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $43.38 | $117.25 | $19.02 – $44.15 | 7 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $66.06 | $178.55 | $43.96 – $47.10 | 5 |
| Ercp biliary & pancreas CPT 74330 | $421.80 | $1,140.00 | $56.92 – $542.92 | 6 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $530.87 – $992.18 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $434.04 – $822.92 | 6 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $496.52 – $936.02 | 6 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $496.91 – $1,238.68 | 7 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $417.26 – $1,103.72 | 7 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $431.69 – $817.46 | 6 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $410.17 – $910.28 | 7 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $552.75 – $1,031.97 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $369.24 – $745.71 | 7 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,346.95 | $3,640.40 | $155.69 – $166.81 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $64.55 | $174.45 | $53.40 – $57.21 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $141.62 | $382.75 | $23.74 – $35.35 | 7 |
| ER Visit (level 2) CPT 99282 | $314.96 | $851.25 | $46.32 – $70.09 | 7 |
| ER Visit (level 3) CPT 99283 | $529.47 | $1,431.00 | $69.41 – $104.82 | 7 |
| ER Visit (level 4) CPT 99284 | $757.95 | $2,048.50 | $131.75 – $200.34 | 7 |
| ER Visit (level 5, high severity) CPT 99285 | $1,152.46 | $3,114.75 | $194.56 – $293.38 | 6 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $107.65 | $290.95 | $7.57 – $47.09 | 6 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $35.07 – $542.92 | 6 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $132.43 – $217.68 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $47.14 – $460.99 | 7 |
| Esophageal recording CPT 93615 | not published | not published | $15.73 – $8,949.00 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $25.19 – $8,949.00 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,450.79 – $2,837.71 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,509.35 – $2,888.41 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $219.68 – $404.84 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $112.42 – $197.35 | 6 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $269.56 – $503.12 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $217.25 – $397.03 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $182.58 – $409.51 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $134.13 – $274.56 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $188.42 – $458.66 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $117.31 – $250.38 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $98.96 – $225.42 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $94.07 – $165.36 | 6 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $161.47 – $333.06 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $225.50 – $426.66 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $153.19 – $320.59 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $295.42 – $559.28 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $207.66 – $368.96 | 6 |
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.