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 |
|---|---|---|---|---|
| Interdiscal perq aspir dx CPT 62267 | $633.07 | $1,711.00 | $179.89 – $341.64 | 7 |
| Interferon alfa-2b inj HCPCS J9214 | $473.03 | $1,278.45 | $12.64 – $35.07 | 6 |
| Intermediate visual field xm CPT 92082 | not published | not published | $26.96 – $89.79 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $207.59 – $390.01 | 7 |
| Interrogate subq defib CPT 93261 | not published | not published | $21.57 – $106.80 | 6 |
| Interrogation vad in person CPT 93750 | not published | not published | $51.91 – $83.67 | 6 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $9.70 – $55.78 | 7 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $15.10 – $64.62 | 7 |
| Interrog device eval heart CPT 93289 | not published | not published | $20.12 – $119.04 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $16.17 – $66.66 | 7 |
| Interstitial brachy inter CPT 77799 | not published | not published | $1,214.25 – $1,214.25 | 5 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,180.36 – $2,293.26 | 7 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $217.84 – $481.27 | 7 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $232.66 – $479.71 | 7 |
| Intra-atrial pacing CPT 93610 | not published | not published | $61.34 – $8,949.00 | 7 |
| Intra-atrial recording CPT 93602 | not published | not published | $50.39 – $8,949.00 | 7 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $55.86 – $303.43 | 6 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,622.39 – $2,942.23 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,485.13 – $2,700.43 | 7 |
| Intracranial complete study CPT 93886 | $336.61 | $909.75 | $58.19 – $757.40 | 7 |
| Intracranial limited study CPT 93888 | $238.37 | $644.25 | $39.31 – $440.72 | 7 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $75.03 – $148.21 | 7 |
| Intranasal reconstruction CPT 30620 | not published | not published | $649.07 – $1,337.73 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $148.26 – $8,949.00 | 7 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $119.62 – $241.02 | 7 |
| Intrapul surf admin endo tube CPT 94610 | $100.64 | $272.00 | $62.75 – $130.26 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $389.66 – $780.79 | 7 |
| Intraventricular pacing CPT 93612 | not published | not published | $71.59 – $8,949.00 | 7 |
| Intrinsic factor antibody CPT 86340 | $59.66 | $161.25 | $15.90 – $111.67 | 7 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $56.88 – $99.31 | 7 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $165.15 – $284.61 | 6 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $246.16 – $424.45 | 6 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $337.07 – $581.88 | 6 |
| Intro catheter aorta CPT 36200 | not published | not published | $160.69 – $332.29 | 7 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $125.35 – $263.64 | 7 |
| Intro long gi tube CPT 44500 | $481.00 | $1,300.00 | $22.02 – $52.25 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $33.88 – $542.92 | 6 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $169.30 – $316.69 | 7 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $105.59 – $180.60 | 6 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $85.13 – $144.76 | 6 |
| Intubation endotracheal emergency procedure CPT 31500 | $263.53 | $712.25 | $132.58 – $238.68 | 7 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $19.44 – $32.66 | 7 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.92 – $67.35 | 7 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $36.33 – $69.42 | 6 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $144.81 – $144.81 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $11.99 | $32.40 | $0.34 – $0.36 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $153.98 | $416.15 | $0.28 – $0.30 | 5 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $767.92 – $767.92 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $767.92 – $767.92 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $230.57 | $623.15 | $204.40 – $219.00 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $25.55 | $69.05 | $7.20 – $7.71 | 5 |
| Iron CPT 83540 | $70.67 | $191.00 | $6.78 – $60.18 | 7 |
| Iron binding capacity CPT 83550 | $24.14 | $65.25 | $9.12 – $60.18 | 7 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $62.12 | $167.90 | $19.08 – $20.45 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.78 – $51.91 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $53.50 | $144.60 | $0.43 – $0.47 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $71.04 | $192.00 | $15.37 – $49.47 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $100.36 | $271.25 | $25.34 – $43.53 | 7 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $203.60 – $427.45 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $32.51 – $55.09 | 7 |
| Island pedicle flap graft CPT 15740 | not published | not published | $934.03 – $1,819.79 | 7 |
| Ivc venogram s&i CPT 75825 | not published | not published | $71.85 – $542.92 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $75.94 | $205.25 | $32.19 – $56.46 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $71.87 | $194.25 | $21.67 – $33.33 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $67.62 | $182.75 | $19.92 – $44.46 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $229.40 | $620.00 | $71.10 – $131.29 | 7 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $46.88 – $80.27 | 7 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $123.52 – $208.16 | 7 |
| Ivp w/nephrotomography CPT 74415 | $322.92 | $872.75 | $30.74 – $283.92 | 7 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $330.32 | $892.75 | $30.74 – $232.44 | 7 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $139.88 | $378.05 | $108.79 – $116.56 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $215.62 | $582.75 | $210.20 – $210.20 | 1 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $563.45 – $1,086.58 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $702.42 – $1,377.51 | 7 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $275.12 – $554.60 | 7 |
| John cunningham antibody CPT 86711 | not published | not published | $22.40 – $62.53 | 6 |
| J-tube placement CPT 44015 | not published | not published | $161.78 – $303.43 | 7 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,435.01 – $3,297.93 | 7 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $14.85 – $85.28 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $64.10 | $173.25 | $8.60 – $60.18 | 7 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $9.71 | $26.25 | $0.62 – $0.66 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $333.78 – $625.58 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $354.71 – $670.04 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $560.01 – $1,042.89 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $812.30 – $1,518.69 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $386.82 – $725.43 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $642.24 – $1,202.00 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $392.65 – $735.56 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $446.97 – $838.52 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $640.66 – $1,198.12 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $690.55 – $1,291.72 | 7 |
| Kidney function study CPT 78725 | not published | not published | $23.59 – $227.76 | 7 |
| Kidney imaging morphology CPT 78700 | not published | not published | $28.46 – $362.71 | 7 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $89.00 – $757.40 | 7 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $60.53 – $475.82 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $400.16 | $1,081.50 | $46.34 – $273.02 | 7 |
| Kit gene analys d816 variant CPT 81273 | $269.27 | $727.75 | $142.71 – $202.29 | 6 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $670.83 – $1,319.02 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $556.58 – $1,086.58 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $441.53 – $872.06 | 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.