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Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.)

237 S Locust St, Nowata, OK · Ascension · · NPI 1548247489

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 $28.21 $76.25 $12.77 – $29.19 7
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 $150.13 $405.75 $12.77 – $56.64 7
Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 $219.13 $592.25 $37.00 – $113.14 7
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 $44.81 $121.10 $39.83 – $39.83 1
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 $225.15 $608.50 $37.00 – $113.14 7
Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 $197.58 $534.00 $45.08 – $113.14 7
Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 $146.89 $397.00 $81.94 – $81.94 1
Mayo infliximab therapeutic drug level CPT 80230 $167.06 $451.50 $43.78 – $43.78 1
Mayo inhab inhibin a CPT 86336 $103.23 $279.00 $16.42 – $37.92 7
Mayo insft insulin free CPT 83527 $37.74 $102.00 $13.55 – $31.50 7
Mayo insulin antibodies CPT 86337 $93.24 $252.00 $22.67 – $111.67 7
Mayo iodine CPT 83789 $113.50 $306.75 $19.02 – $108.04 7
Mayo itraconazole therapeutic drug level CPT 80189 $77.70 $210.00 $30.77 – $30.77 1
Mayo lacosamide therapeutic drug level CPT 80235 $79.27 $214.25 $30.77 – $30.77 1
Mayo lamotrigine therapeutic drug level CPT 80175 $73.91 $199.75 $20.63 – $129.19 6
Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 $44.03 $119.00 $13.55 – $108.04 7
Mayo legionella antibody CPT 86713 $72.89 $197.00 $16.16 – $79.86 7
Mayo leptospira antibody igm CPT 86720 $79.64 $215.25 $13.81 – $79.86 7
Mayo lipoprotein electrophoresis CPT 83700 $27.10 $73.25 $11.99 – $27.38 7
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 $88.10 $238.10 $16.42 – $79.86 7
Mayo manganese CPT 83785 $64.57 $174.50 $26.06 – $112.27 7
Mayo metanephrines plasma CPT 83835 $139.31 $376.50 $17.98 – $41.22 7
Mayo microsomal antibody liver-kidney CPT 86376 $82.33 $222.50 $15.37 – $111.67 7
Mayo mitotane (lysodren) therapeutic drug level CPT 80299 $167.61 $453.00 $14.33 – $33.33 7
Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 $990.03 $2,675.75 $79.86 – $155.50 6
Mayo mpl sequence analysis exon 10 CPT 81339 not published not published $210.20 – $210.20 1
Mayo muramidase CPT 85549 $64.38 $174.00 $19.80 – $108.04 7
Mayo mycophenolic acid therapeutic drug level CPT 80180 $70.39 $190.25 $28.10 – $129.19 6
Mayo myoglobin CPT 83874 $59.11 $159.75 $13.55 – $108.04 7
Mayo nickel CPT 83885 not published not published $25.80 – $112.27 7
Mayo organic acid methylmalonic single quantitative CPT 83921 $222.74 $602.00 $17.46 – $108.04 7
Mayo organic acids qualitative each specimen CPT 83919 $96.02 $259.50 $17.46 – $108.04 7
Mayo oxalate 24 hour urine CPT 83945 $48.31 $130.58 $13.55 – $31.30 7
Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 not published not published $12.25 – $108.04 7
Mayo parvs parvovirus b19 antibody igg CPT 86747 $43.48 $117.50 $15.90 – $79.86 7
Mayo paval fluorescent antibody screen agna type 1 CPT 86255 $377.68 $1,020.75 $12.77 – $29.32 7
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 $184.17 $497.75 $37.00 – $113.14 7
Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 not published not published $27.99 – $100.82 6
Mayo pntft phenytoin free therapeutic drug level CPT 80186 $46.62 $126.00 $14.59 – $33.49 7
Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 $62.53 $169.00 $8.86 – $20.54 7
Mayo pregnenolone CPT 84140 not published not published $21.89 – $111.67 7
Mayo prmb primidone therapeutic drug level CPT 80188 $66.32 $179.25 $17.46 – $129.19 7
Mayo proinsulin CPT 84206 $102.49 $277.00 $18.76 – $111.67 7
Mayo psaft prostate specific antigen free CPT 84154 $100.64 $272.00 $19.28 – $60.18 7
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 $211.64 $572.00 $14.33 – $62.53 7
Mayo rbcme osmotic fragility rbc incubated CPT 85557 not published not published $14.07 – $89.93 7
Mayo receptor assay transferrin soluble CPT 84238 $125.34 $338.75 $38.57 – $108.04 7
Mayo renin CPT 84244 $80.38 $217.25 $23.19 – $53.52 7
Mayo repu protein electrophoresis urine CPT 84166 $75.11 $203.00 $14.66 – $43.40 7
Mayo selenium CPT 84255 $103.60 $280.00 $26.84 – $108.04 7
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 not published not published $16.42 – $60.18 7
Mayo serotonin CPT 84260 $181.30 $490.00 $25.28 – $111.67 7
Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 $79.25 $214.20 $20.33 – $79.86 7
Mayo sirolimus therapeutic drug level CPT 80195 $94.72 $256.00 $14.59 – $129.19 7
Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 $25.62 $69.25 $4.43 – $62.53 7
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 not published not published $79.86 – $325.27 6
Mayo tgrp testosterone free CPT 84402 $83.81 $226.50 $26.84 – $111.67 7
Mayo tgrp testosterone total CPT 84403 $93.70 $253.25 $27.36 – $111.67 7
Mayo thyroglobulin CPT 84432 $77.24 $208.75 $16.94 – $111.67 7
Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 $42.46 $114.75 $10.68 – $79.86 7
Mayo ticks babesia microti antibody igg CPT 86753 $64.84 $175.25 $13.03 – $62.53 7
Mayo ttfb testosterone bioavailable direct CPT 84410 not published not published $82.34 – $117.53 6
Mayo tulab francisella tularensis antibody igg CPT 86668 $26.46 $71.50 $10.94 – $25.30 7
Mayo valpg valproic acid free therapeutic drug level CPT 80165 $35.80 $96.75 $21.09 – $31.82 6
Mayo vasoactive intestinal peptide CPT 84586 $130.15 $351.75 $37.26 – $111.67 7
Mayo vitamin b-2 (riboflavin) CPT 84252 $102.58 $277.25 $21.37 – $108.04 7
Mayo vitamin b3 (niacin) CPT 84591 $61.98 $167.50 $12.25 – $28.13 7
Mayo vitamin k CPT 84597 $148.93 $402.50 $14.33 – $108.04 7
Mayo zonisamide therapeutic drug level CPT 80203 $66.05 $178.50 $20.63 – $129.19 6
Maze/extensive/w/card/pulm bypass 33259 CPT 33259 not published not published $949.80 – $1,001.45 2
Mcoln1 gene CPT 81290 not published not published $44.62 – $79.86 6
Mcp joint arthroscopy dx CPT 29900 not published not published $462.19 – $957.08 7
Mcp joint arthroscopy surg CPT 29901 not published not published $543.61 – $1,124.79 7
Mcp joint arthroscopysurg 29902 CPT 29902 not published not published $536.66 – $1,262.86 7
Meas lung vol thru 2 yrs CPT 94013 not published not published $22.47 – $75.66 6
Measure kidney pressure CPT 50396 not published not published $131.97 – $240.25 7
Measurement post void urine by ultrasound CPT 51798 $95.92 $259.25 $18.50 – $34.02 7
Measure ureter pressure CPT 50686 not published not published $100.44 – $198.13 7
Mechlorethamine hcl inj HCPCS J9230 $231.27 $625.05 $245.18 – $262.69 5
Mecp2 gene dup/delet variant CPT 81304 not published not published $79.86 – $170.25 6
Mecp2 gene full seq CPT 81302 not published not published $79.86 – $599.13 6
Mecp2 gene known variant CPT 81303 not published not published $79.86 – $136.20 6
Medial canthopexy CPT 21280 not published not published $568.35 – $1,249.60 7
Mediastinoscpy w/lmph nod bx CPT 39402 not published not published $459.32 – $789.20 6
Mediastinoscpy w/medstnl bx 39401 CPT 39401 not published not published $351.15 – $604.37 6
Medical testimony CPT 99075 not published not published not published 0
Med physic dos eval rad exps CPT 76145 not published not published $846.07 – $846.07 1
Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 $9.25 $25.00 $0.38 – $0.41 5
Meg evoked single CPT 95966 not published not published $250.05 – $425.89 6
Meg spontaneous CPT 95965 not published not published $502.13 – $922.76 6
Meniscal trnspl knee w/scpe CPT 29868 not published not published $1,831.16 – $3,544.40 7
Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 $23.53 $63.60 $4.38 – $4.70 5
Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 $64.75 $175.00 $36.78 – $39.41 5
Meropenem 1 gram intravenous solution HCPCS J2185 $9.79 $26.46 $1.62 – $1.74 5
Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 not published not published $286.50 – $553.82 7
Mesna 100 mg/ml intravenous solution HCPCS J9209 $35.39 $95.65 $4.65 – $4.98 5
Metabolic Blood Panel (Basic) CPT 80048 $31.73 $85.75 $8.86 – $20.58 7
Metabolic Blood Panel (Comprehensive) CPT 80053 $40.79 $110.25 $11.20 – $109.05 7
Metabolic panel ionized ca CPT 80047 $76.78 $207.50 $8.86 – $109.05 7
Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 $0.97 $2.63 $0.78 – $0.84 5

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.