healthcosts.net

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
MRI orbit/face/neck without & w/contrast CPT 70543 $1,270.49 $3,433.75 $134.83 – $1,146.64 7
MRI orbit fac&nck w IV cont CPT 70542 $940.26 $2,541.25 $101.53 – $932.91 7
MRI tmj CPT 70336 $372.68 $1,007.25 $92.97 – $734.78 7
MRI upper extremity other than joint without contrast (both sides) CPT 73218 $1,932.33 $5,222.50 $84.19 – $848.67 7
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 $2,248.86 $6,078.00 $135.23 – $1,163.79 7
MRI upper extremity w/dye CPT 73219 $1,854.07 $5,011.00 $101.53 – $942.27 7
MRI w/cont, breast, bi HCPCS C8906 $991.69 $2,680.25 $2,153.56 – $2,153.56 5
MRI without fol w/cont, breast HCPCS C8908 $991.69 $2,680.25 $1,245.69 – $1,245.69 5
MRI without fol w/cont, brst, un HCPCS C8905 $781.26 $2,111.50 $1,255.05 – $1,255.05 5
Mr spectroscopy CPT 76390 $442.89 $1,197.00 $86.43 – $928.23 7
Msh2 gene dup/delete variant CPT 81297 not published not published $79.86 – $173.13 6
Msh2 gene full seq CPT 81295 not published not published $79.86 – $173.13 6
Msh2 gene known variants CPT 81296 not published not published $79.86 – $147.83 6
Msh6 gene dup/delete variant CPT 81300 not published not published $79.86 – $184.52 6
Msh6 gene full seq CPT 81298 not published not published $79.86 – $328.48 6
Msh6 gene known variants CPT 81299 not published not published $79.86 – $184.02 6
Mthfr gene analy common variants CPT 81291 $383.14 $1,035.50 $67.96 – $79.86 6
M.tuberculo dna dir probe CPT 87555 not published not published $21.11 – $113.14 7
Mucin synovial fluid CPT 83872 not published not published $6.25 – $60.18 7
Mucopolysaccharides CPT 83864 not published not published $21.11 – $108.04 7
Multi family grp psychotherapy CPT 90849 not published not published $34.47 – $62.40 7
Multifocal erg w/i&r CPT 92274 not published not published $94.44 – $94.44 3
Multiple sleep latency test CPT 95805 not published not published $113.11 – $855.68 7
Mumps antibody igg CPT 86735 $45.23 $122.25 $13.81 – $31.75 7
Muscle-skin graft arm CPT 15736 not published not published $1,261.52 – $2,450.04 7
Muscle-skin graft leg CPT 15738 not published not published $1,365.17 – $2,652.07 7
Muscle-skin graft trunk CPT 15734 not published not published $1,461.78 – $2,818.22 7
Muscle test cran nerv unilat CPT 95867 not published not published $33.06 – $234.78 7
Muscle test hemidiaphragm CPT 95866 not published not published $29.98 – $287.05 7
Muscle test larynx CPT 95865 not published not published $33.96 – $284.71 7
Muscle test one fiber CPT 95872 not published not published $28.97 – $429.79 7
Muscle transfers CPT 23397 not published not published $1,264.32 – $2,411.04 7
Muscle transfer shoulder/arm CPT 23395 not published not published $1,416.72 – $2,723.05 7
Musc/tdn transfer upr a/e 1 CPT 24301 not published not published $823.98 – $1,576.41 7
Mycobacteria dna amp probe CPT 87551 $145.04 $392.00 $37.00 – $113.14 7
Mycophenolate mofetil 250 mg capsule HCPCS J7517 $359.47 $971.55 $1.72 – $1.84 5
Mycoplasma antibody igm CPT 86738 $25.35 $68.50 $14.07 – $32.22 7
Myd88 gene p.leu265pro vrnt CPT 81305 $275.65 $745.00 $184.17 – $199.08 4
Myelogphy 2/> spine regions CPT 72270 $542.14 $1,465.25 $60.72 – $542.92 7
Myelography l-s spine CPT 72265 $482.85 $1,305.00 $51.38 – $542.92 7
Myelography neck spine CPT 72240 $436.60 $1,180.00 $53.54 – $542.92 7
Myelography thoracic spine CPT 72255 $464.81 $1,256.25 $52.46 – $542.92 7
Myelography via inj w/s&i 2+ regions CPT 62305 $911.87 $2,464.50 $142.23 – $458.49 6
Myelography via inj w/s&i cervical CPT 62302 $690.14 $1,865.25 $138.70 – $427.20 6
Myelography via inj w/s&i lumbosacral CPT 62304 $849.61 $2,296.25 $135.98 – $421.08 6
Myelography via inj w/s&i thoracic CPT 62303 $715.86 $1,934.75 $139.78 – $442.85 6
Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 $295.72 $799.25 $12.25 – $28.07 7
Myocardial resection 33542 CPT 33542 not published not published $2,976.58 – $5,715.20 7
Myocrd img pet 1std rst/strs CPT 78491 not published not published $98.80 – $2,111.51 6
Myocrd img pet mlt rst&strs CPT 78492 not published not published $124.41 – $2,120.88 6
Myomectomy abdom complex CPT 58146 not published not published $1,277.60 – $2,501.52 7
Myomectomy abdom method CPT 58140 not published not published $1,017.31 – $1,987.49 7
Myomectomy vag method CPT 58145 not published not published $604.16 – $1,174.71 7
Myringoplasty CPT 69620 not published not published $531.16 – $1,049.91 7
Nalbuphine 10 mg/ml injection solution HCPCS J2300 $14.10 $38.10 $2.60 – $2.79 5
Narcosynthesis CPT 90865 not published not published $143.78 – $240.13 7
Nasal endoscopy dx uni/bi separate proc CPT 31231 $160.21 $433.00 $72.22 – $138.84 7
Nasal endoscopy with removal of nasal foreign body CPT 30999 not published not published $4,162.07 – $4,162.07 5
Nasal function studies CPT 92512 not published not published $31.77 – $61.63 7
Nasal/sinus endoscopy surg CPT 31287 not published not published $257.76 – $499.21 7
Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 not published not published $178.39 – $389.24 7
Nasal/sinus endo spendt remove tiss 31288 CPT 31288 not published not published $299.08 – $578.78 7
Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 not published not published $178.09 – $345.55 7
Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 not published not published $303.75 – $586.57 7
Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 not published not published $445.50 – $859.59 7
Nasal/sinus endo w/front sinus expl 31276 CPT 31276 not published not published $562.20 – $1,085.01 7
Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 not published not published $151.18 – $294.07 7
Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 not published not published $178.93 – $347.11 7
Nasal sinus therapy CPT 30210 not published not published $105.63 – $185.72 7
Nasopharyngoscopy w/endoscope CPT 92511 $116.18 $314.00 $41.77 – $103.75 7
Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 $39.09 $105.65 $8.13 – $23.75 6
Natriuretic peptide CPT 83880 $83.62 $226.00 $35.70 – $108.04 7
Natural killer cells total count CPT 86357 $106.28 $287.25 $38.03 – $79.86 7
Navigational bronchoscopy 31627 CPT 31627 not published not published $111.08 – $182.31 6
N block inj common digit CPT 64632 not published not published $76.75 – $148.21 7
N block inj hypogas plxs CPT 64517 not published not published $136.67 – $266.77 7
Nctrnl pen tmscn&/rgdity tst CPT 54250 not published not published $11.15 – $222.44 7
Ndl emg musc 1 xtr/non-limb CPT 95870 not published not published $23.12 – $183.30 7
Ndl oculoelectromyography 1+ CPT 92265 not published not published $34.46 – $168.49 7
Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 $920.65 $2,488.25 $79.64 – $638.84 7
Neck (Cervical Spine) CT scan (with contrast) CPT 72126 $855.16 $2,311.25 $76.61 – $535.09 7
Neck (Cervical Spine) CT scan (without contrast) CPT 72125 $826.21 $2,233.00 $73.00 – $439.15 7
Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 $1,276.04 $3,448.75 $161.19 – $1,150.53 7
Neck (Cervical Spine) MRI (with contrast) CPT 72142 $972.27 $2,627.75 $120.57 – $997.65 7
Neck (Cervical Spine) MRI (without contrast) CPT 72141 $963.02 $2,602.75 $100.19 – $776.91 7
Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 $915.20 $2,473.50 $113.05 – $1,404.81 7
Neck MRA (blood vessel MRI, with contrast) CPT 70548 $624.38 $1,687.50 $75.27 – $982.05 7
Neck MRA (blood vessel MRI, without contrast) CPT 70547 $587.47 $1,587.75 $75.27 – $929.78 7
Neck spine disk surgery CPT 63020 not published not published $1,261.22 – $2,461.75 7
Neck spine disk surgery 63075 CPT 63075 not published not published $1,507.71 – $2,883.73 7
Neck spine disk surgery 63076 CPT 63076 not published not published $281.18 – $525.74 7
Needle emg guid w/chemodenervation add-on CPT 95874 not published not published $23.52 – $131.97 7
Neisseria meningitidis CPT 86741 not published not published $13.81 – $79.86 7
Nelarabine injection HCPCS J9261 $174.86 $472.60 $207.26 – $222.06 5
Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 $169.81 $458.95 $1.09 – $1.17 5
Nephrectomy open 50220 CPT 50220 not published not published $1,178.08 – $2,212.14 7
Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 not published not published $96.67 – $111.23 2
Nerve conduction 7-8 studies CPT 95910 not published not published $90.54 – $382.22 6
Nerve conduction studies 11-12 CPT 95912 not published not published $101.32 – $544.45 6
Nerve conduction studies 1-2 CPT 95907 not published not published $44.20 – $196.56 6

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.