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 |
|---|---|---|---|---|
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $696.71 | $1,883.00 | $56.50 – $101.36 | 7 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $187.41 | $506.50 | $46.92 – $84.34 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $265.66 | $718.00 | $46.32 – $80.27 | 7 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $221.82 | $599.50 | $57.25 – $100.68 | 7 |
| Ghs cricothyroidotomy CPT 31605 | $1,183.26 | $3,198.00 | $208.76 – $396.25 | 7 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $45.40 – $86.58 | 7 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $59.38 – $113.11 | 7 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $16.16 – $79.86 | 7 |
| Ghs dislocation elbow closed treatment CPT 24600 | $444.09 | $1,200.25 | $344.90 – $712.17 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $965.15 | $2,608.50 | $123.10 – $220.74 | 6 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $120.07 | $324.50 | $37.66 – $72.55 | 7 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $8.63 – $75.19 | 6 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $17.88 – $212.95 | 7 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $1.09 – $12.49 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $82.91 – $159.12 | 7 |
| Ghs excision ingrown nail CPT 11765 | $314.32 | $849.50 | $72.31 – $198.13 | 7 |
| Ghs eye exam CPT 92002 | not published | not published | $53.12 – $90.48 | 7 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $435.86 | $1,178.00 | $115.28 – $251.17 | 7 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.91 – $113.79 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,006.86 | $2,721.25 | $347.37 – $677.83 | 7 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,354.50 | $6,363.50 | $273.22 – $528.85 | 7 |
| Ghs fb removal - incisional CPT 10121 | $923.34 | $2,495.50 | $203.72 – $397.82 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | $1,376.49 | $3,720.25 | $154.83 – $310.44 | 7 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.33 – $62.53 | 7 |
| Ghs fish cytogen CPT 88271 | $176.93 | $478.19 | $22.67 – $52.11 | 7 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $249.47 | $674.25 | $42.47 – $79.86 | 7 |
| Ghs flow volume loop CPT 94375 | $269.36 | $728.00 | $18.02 – $244.04 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $186.20 | $503.25 | $24.85 – $44.46 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $145.23 | $392.50 | $37.00 – $113.14 | 7 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $18.24 – $108.04 | 7 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $16.42 – $108.04 | 7 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.86 – $108.04 | 7 |
| Ghs histoplasma antigen CPT 87385 | $214.69 | $580.25 | $12.77 – $62.53 | 7 |
| Ghs HIV antibody CPT 86703 | $44.96 | $121.50 | $14.59 – $62.53 | 7 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $49.47 – $100.24 | 7 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,313.50 | $3,550.00 | $238.67 – $452.41 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,301.57 | $3,517.75 | $420.68 – $880.64 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,468.35 | $3,968.50 | $181.85 – $367.39 | 7 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $197.77 | $534.50 | $102.87 – $218.41 | 7 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $14.92 – $108.04 | 7 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $186.48 | $504.00 | $113.63 – $227.76 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $238.65 | $645.00 | $144.62 – $280.03 | 7 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $103.21 – $223.08 | 7 |
| Ghs inhibitor screen CPT 85335 | $122.66 | $331.50 | $13.55 – $100.82 | 7 |
| Ghs init tx 1st degree burn CPT 16000 | $86.58 | $234.00 | $51.78 – $87.08 | 7 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $188.60 – $379.09 | 7 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $101.55 – $201.24 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $47.50 – $91.26 | 7 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $71.24 – $141.18 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $140.95 – $291.73 | 7 |
| Ghs insertion of needle - bone CPT 36680 | $160.86 | $434.75 | $66.61 – $112.25 | 7 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $375.09 | $1,013.75 | $258.84 – $516.38 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $368.61 | $996.25 | $299.39 – $597.49 | 7 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,550.02 | $4,189.25 | $348.43 – $690.32 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $10.58 – $17.68 | 7 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $224.59 | $607.00 | $151.25 – $285.49 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $237.36 | $641.50 | $159.67 – $366.43 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $220.24 | $595.25 | $154.37 – $337.76 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $216.27 | $584.50 | $168.28 – $326.83 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $203.87 | $551.00 | $166.24 – $333.06 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $207.11 | $559.75 | $188.93 – $365.83 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $235.78 | $637.25 | $225.72 – $434.47 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $231.53 | $625.75 | $214.11 – $426.66 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $277.41 | $749.75 | $234.49 – $404.07 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $292.58 | $790.75 | $220.52 – $440.72 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $287.86 | $778.00 | $231.82 – $457.86 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $296.46 | $801.25 | $247.51 – $489.86 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $322.09 | $870.50 | $269.27 – $577.99 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $378.79 | $1,023.75 | $306.29 – $559.85 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $317.24 – $717.62 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $203.41 | $549.75 | $373.10 – $802.64 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $347.13 – $797.96 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $426.70 – $805.77 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $57.81 | $156.25 | $9.12 – $51.91 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $26.49 – $26.49 | 5 |
| Ghs mbp CPT 83873 | $74.19 | $200.50 | $18.24 – $41.87 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $51.89 | $140.25 | $26.51 – $26.51 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $76.22 | $206.00 | $103.75 – $103.75 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $62.53 | $169.00 | $85.28 – $85.28 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $53.00 | $143.25 | $11.15 – $11.15 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $47.36 | $128.00 | $64.65 – $64.65 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $45.26 – $173.94 | 6 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $40.24 – $124.03 | 6 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $43.11 – $145.08 | 6 |
| Ghs nailbed repair/nail removal CPT 11760 | $193.60 | $523.25 | $125.81 – $283.92 | 7 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $102.66 – $205.14 | 7 |
| Ghs nerve blk intercostal, single level CPT 64420 | $750.55 | $2,028.50 | $75.45 – $149.76 | 7 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $79.22 – $153.66 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $74.02 – $141.97 | 7 |
| Ghs nerve block celiac plexus CPT 64530 | $342.71 | $926.25 | $101.82 – $203.58 | 7 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $77.59 – $160.68 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $342.71 | $926.25 | $87.57 – $174.72 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | $854.89 | $2,310.50 | $81.60 – $156.78 | 7 |
| Ghs nerve block suprascapular CPT 64418 | $1,198.62 | $3,239.50 | $83.87 – $162.25 | 7 |
| Ghs ng placement w fluoro guidance CPT 43752 | $107.30 | $290.00 | $46.34 – $88.15 | 7 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.12 – $60.18 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $15.27 – $244.04 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | $50.41 | $136.25 | $4.37 – $89.11 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $828.52 | $2,239.25 | $39.58 – $76.44 | 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.