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 |
|---|---|---|---|---|
| Exc excessive skin leg CPT 15833 | not published | not published | $914.79 – $1,861.13 | 7 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $971.50 – $1,989.06 | 7 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $727.09 – $1,531.18 | 7 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $625.38 – $1,222.28 | 7 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $350.46 – $695.00 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $441.34 – $848.67 | 6 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $574.14 – $1,102.95 | 6 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $169.06 – $333.06 | 7 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,006.31 | $2,719.75 | $250.54 – $492.20 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $507.66 – $992.18 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $291.63 – $565.52 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $469.07 – $900.92 | 6 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $474.77 – $1,088.12 | 7 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $586.08 – $1,121.66 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $361.60 – $698.11 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $600.72 – $1,151.32 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $508.52 – $1,106.85 | 7 |
| Exchange biliary drg cath CPT 47536 | not published | not published | $152.11 – $287.43 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $142.61 – $234.01 | 7 |
| Exchange drainage catheter CPT 49423 | $881.16 | $2,381.50 | $81.84 – $156.78 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $936.40 – $1,958.63 | 7 |
| Exchange nephrostomy cath CPT 50435 | $1,762.31 | $4,763.00 | $114.14 – $195.36 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $240.37 – $508.57 | 7 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $360.94 – $741.80 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $285.79 – $596.72 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $517.50 – $1,291.72 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $829.80 – $1,578.75 | 6 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $77.66 – $160.68 | 7 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $74.55 – $142.74 | 7 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $135.20 – $261.30 | 7 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $734.69 – $1,401.70 | 6 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $374.48 – $750.38 | 7 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $769.20 – $1,464.10 | 6 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,846.11 – $4,545.96 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,779.00 – $3,489.04 | 7 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $748.87 – $1,481.26 | 7 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $967.43 – $1,932.11 | 7 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $954.19 – $1,920.41 | 7 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,059.68 – $2,106.83 | 7 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $122.12 – $254.28 | 7 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,050.02 – $2,132.58 | 7 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $396.35 – $769.87 | 7 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $311.18 – $646.63 | 7 |
| Excise inferior turbinate CPT 30130 | not published | not published | $392.97 – $807.32 | 7 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $922.09 – $1,810.42 | 7 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,798.62 – $3,510.09 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,487.35 – $2,899.34 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,494.48 – $3,049.10 | 7 |
| Excise lesion testis CPT 54512 | not published | not published | $606.12 – $1,138.83 | 7 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $247.74 – $507.02 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,447.51 – $2,779.98 | 7 |
| Excise mandible lesion CPT 21040 | not published | not published | $429.84 – $887.66 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $432.23 – $886.88 | 7 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,288.01 – $2,492.16 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $287.54 – $577.21 | 7 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $691.28 – $1,346.31 | 7 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,178.31 – $2,285.47 | 7 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,323.60 – $2,567.05 | 7 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $931.80 – $1,810.42 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $179.68 – $351.79 | 7 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $210.73 – $424.32 | 7 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,435.32 – $4,695.72 | 7 |
| Excise sublingual gland CPT 42450 | not published | not published | $394.24 – $778.45 | 7 |
| Excise submaxillary gland CPT 42440 | not published | not published | $456.63 – $892.34 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $363.64 – $689.53 | 6 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $564.72 – $1,129.47 | 7 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $409.76 – $799.52 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $182.42 – $342.43 | 7 |
| Excision aural polyp CPT 69540 | not published | not published | $135.07 – $273.79 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $134.77 | $364.25 | $135.92 – $278.47 | 7 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $940.45 | $2,541.75 | $141.45 – $287.82 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $463.33 | $1,252.25 | $118.22 – $241.81 | 7 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $253.01 – $520.27 | 7 |
| Excision breast lesion CPT 19125 | not published | not published | $476.37 – $969.56 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $234.56 – $478.16 | 7 |
| Excision graft extremity CPT 35903 | not published | not published | $639.84 – $1,255.05 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,030.61 – $3,749.55 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $269.10 – $404.20 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $731.48 – $1,662.23 | 7 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $194.03 – $384.56 | 7 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $376.02 – $749.59 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $141.18 – $279.24 | 7 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $141.64 – $290.16 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $60.70 – $120.40 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $191.43 – $392.35 | 7 |
| Excision of gum lesion CPT 41823 | not published | not published | $341.44 – $694.23 | 7 |
| Excision of gum lesion CPT 41826 | not published | not published | $218.24 – $456.32 | 7 |
| Excision of gum lesion CPT 41827 | not published | not published | $324.99 – $660.67 | 7 |
| Excision of gum lesion CPT 41828 | not published | not published | $238.86 – $457.09 | 7 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $134.66 – $263.64 | 7 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $914.17 – $1,788.59 | 7 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $613.53 – $1,250.37 | 7 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $825.42 – $1,626.35 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $339.87 – $684.85 | 7 |
| Excision of neck cyst CPT 42815 | not published | not published | $610.39 – $1,210.59 | 7 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $309.12 – $628.69 | 7 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $144.77 – $274.56 | 7 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,079.35 – $2,173.13 | 7 |
| Excision of rectal stricture CPT 45150 | not published | not published | $402.96 – $845.53 | 7 |
| Excision of salivary cyst CPT 42408 | not published | not published | $362.41 – $708.26 | 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.