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 |
|---|---|---|---|---|
| Fetal fibronectin CPT 82731 | $214.97 | $581.00 | $68.01 – $108.04 | 7 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $335.22 – $667.70 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $46.99 | $127.00 | $8.08 – $89.93 | 7 |
| Fetal hemoglobin rosette CPT 85461 | $45.79 | $123.75 | $7.04 – $51.91 | 7 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $62.90 | $170.00 | $20.06 – $46.02 | 7 |
| Fetal non stress test CPT 59025 | not published | not published | $16.93 – $101.41 | 7 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $113.50 – $233.23 | 7 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $529.06 – $1,123.23 | 7 |
| Fibrin degradation d dimer quantitative CPT 85379 | $58.28 | $157.50 | $10.68 – $100.82 | 7 |
| Fibrin degradation products CPT 85362 | not published | not published | $7.30 – $38.30 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.56 – $100.82 | 7 |
| Fibrinogen activity CPT 85384 | $31.17 | $84.25 | $8.86 – $38.30 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $5.47 – $38.30 | 7 |
| Fibrinolytic antiplasmin CPT 85410 | $93.24 | $252.00 | $8.08 – $100.82 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $112.02 | $302.75 | $18.24 – $100.82 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $47.08 | $127.25 | $6.78 – $100.82 | 7 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $683.63 | $1,847.65 | $1.57 – $1.68 | 5 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $762.45 – $1,515.58 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $17.52 – $56.16 | 7 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $891.95 – $1,752.70 | 7 |
| Fine needle asp without image guide 10021 CPT 10021 | $191.94 | $518.75 | $78.09 – $151.33 | 7 |
| Finger tendon transfer CPT 26497 | not published | not published | $916.28 – $1,790.14 | 7 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,225.72 – $2,381.41 | 7 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $703.89 – $1,384.53 | 7 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $20.84 – $35.37 | 7 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $28.30 – $46.94 | 7 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $13.65 – $100.98 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $21.20 – $58.48 | 7 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $54.39 – $91.83 | 7 |
| Fixation of ankle joint CPT 27860 | not published | not published | $189.97 – $379.86 | 7 |
| Fixation of knee joint CPT 27570 | $1,188.07 | $3,211.00 | $158.29 – $276.86 | 7 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,043.67 – $2,049.10 | 7 |
| Fix g/colon tube w/device CPT 49460 | $714.47 | $1,931.00 | $54.63 – $103.75 | 7 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $710.94 – $1,393.11 | 7 |
| Flebogamma injection HCPCS J1572 | $68.52 | $185.20 | $57.15 – $61.23 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | $39.31 | $106.25 | $21.16 – $21.16 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $219.78 | $594.00 | $35.36 – $66.31 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $63.05 – $137.29 | 7 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $782.59 – $1,512.46 | 7 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $855.42 – $1,658.32 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.95 – $195.79 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $82.89 – $113.79 | 7 |
| Flow cytometry marker each additional CPT 88185 | $58.92 | $159.25 | $33.48 – $92.52 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $174.83 | $472.50 | $56.41 – $113.79 | 7 |
| #flow interp 9 - 15 markers CPT 88188 | $82.90 | $224.05 | $64.77 – $113.79 | 7 |
| Floxuridine injection HCPCS J9200 | $82.29 | $222.40 | $109.97 – $117.83 | 5 |
| Flt3 gene CPT 81245 | $209.88 | $567.25 | $79.86 – $189.36 | 6 |
| Flt3 gene analysis CPT 81246 | not published | not published | $94.91 – $94.91 | 1 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $48.56 | $131.25 | $5.96 – $6.39 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $264.59 | $715.10 | $112.64 – $120.69 | 5 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $20.22 – $48.37 | 7 |
| Fluid pressure muscle 20950 CPT 20950 | $579.70 | $1,566.75 | $100.35 – $195.01 | 7 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $36.32 – $73.32 | 7 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $42.76 – $230.89 | 7 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $173.53 – $404.79 | 6 |
| Fluorescent antibody titer dna CPT 86256 | $183.15 | $495.00 | $12.77 – $29.32 | 7 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $45.79 | $123.75 | $33.54 – $542.92 | 7 |
| Fluoroguide needle placement CPT 77002 | $46.81 | $126.50 | $33.08 – $542.92 | 7 |
| Fluoro polarize fetal lung CPT 83663 | $62.81 | $169.75 | $20.06 – $46.02 | 7 |
| Fluoroscopy up to 1 hour CPT 76000 | $164.47 | $444.50 | $10.66 – $259.34 | 7 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $9.25 | $25.00 | $3.36 – $3.60 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $18.70 | $50.55 | $31.84 – $34.11 | 5 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $161.38 – $273.79 | 6 |
| Fmri brain by tech CPT 70554 | not published | not published | $133.75 – $998.43 | 7 |
| Foam stability fetal lung CPT 83662 | not published | not published | $20.06 – $108.04 | 7 |
| Folic acid CPT 82746 | $58.28 | $157.50 | $15.63 – $60.18 | 7 |
| Follow-up angiography CPT 75898 | not published | not published | $46.00 – $700.45 | 6 |
| Followup eval of foot pt lop HCPCS G0246 | $128.95 | $348.50 | $24.10 – $39.45 | 6 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $551.27 – $1,227.75 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $18.44 | $49.85 | $11.03 – $11.82 | 5 |
| Fondaparinux sodium HCPCS J1652 | $184.00 | $497.30 | $6.20 – $6.64 | 5 |
| Foot X-ray CPT 73630 | $273.99 | $740.50 | $10.66 – $259.34 | 7 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,104.98 – $2,164.55 | 7 |
| Forensic cytopathology CPT 88125 | not published | not published | $5.93 – $113.79 | 7 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $174.73 | $472.25 | $65.48 – $121.69 | 7 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $201.52 | $544.65 | $1.59 – $2.91 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $184.93 | $499.80 | $56.14 – $60.15 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $21.86 | $59.07 | $0.51 – $2.02 | 6 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.62 – $85.28 | 7 |
| Fracture assessment via dxa CPT 77086 | $87.14 | $235.50 | $26.96 – $60.54 | 6 |
| _fragile x methylation-sendout CPT 81244 | $105.10 | $284.06 | $50.95 – $79.86 | 6 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $636.60 – $1,198.89 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,197.98 – $2,329.14 | 7 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,796.11 – $3,443.78 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $159.95 – $317.46 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $36.02 – $67.08 | 7 |
| Frenulotomy of penis CPT 54164 | not published | not published | $214.63 – $406.38 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $100.73 | $272.25 | $7.04 – $49.47 | 6 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $49.47 – $54.46 | 6 |
| Frozen blood prep CPT 86930 | not published | not published | $49.47 – $54.46 | 6 |
| Frozen blood thaw CPT 86931 | not published | not published | $40.91 – $49.47 | 6 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.68 – $113.79 | 7 |
| Fructosamine glycated protein CPT 82985 | $59.76 | $161.50 | $15.90 – $108.04 | 7 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $79.86 – $174.22 | 6 |
| Full field erg w/i&r CPT 92273 | not published | not published | $158.73 – $158.73 | 3 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $13.80 – $259.34 | 7 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $926.95 – $1,840.07 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $668.45 – $1,312.77 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $80.24 – $152.89 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,291.76 | $3,491.25 | $853.66 – $1,711.37 | 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.