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 |
|---|---|---|---|---|
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $240.50 | $650.00 | $2.06 – $2.21 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,488.73 | $17,537.10 | $217.57 – $233.12 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $230.61 – $466.45 | 7 |
| Ocular reconst transplant CPT 65780 | not published | not published | $716.62 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,349.16 – $9,641.00 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,162.52 – $9,641.00 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $106.63 | $288.20 | $74.77 – $80.11 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $1,109.67 | $2,999.10 | $4.37 – $4.68 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $65.90 | $178.10 | $19.22 – $43.52 | 6 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,586.74 – $3,091.99 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $401.06 – $751.93 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $4,395.85 – $4,395.85 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,547.70 – $3,547.70 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $581.61 – $799.00 | 6 |
| Oncology gynecologic CPT 81535 | not published | not published | $662.30 – $938.73 | 6 |
| Oncology gynecologic CPT 81536 | not published | not published | $202.94 – $287.64 | 6 |
| Oncology prostate prob score CPT 81539 | not published | not published | $683.38 – $975.40 | 6 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,314.54 – $3,314.54 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $79.86 – $1,018.10 | 6 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $79.86 – $295.67 | 6 |
| Oncoprotein dcp CPT 83951 | not published | not published | $68.01 – $195.81 | 7 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $68.01 – $195.81 | 7 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $4,086.00 – $4,086.00 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.36 | $3.68 | $0.06 – $0.06 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.25 | $25.00 | $0.15 – $0.17 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $195.81 – $195.81 | 5 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,287.75 – $2,454.72 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,595.67 – $3,054.57 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,069.48 – $3,932.87 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,193.35 – $4,229.27 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $857.13 – $1,687.18 | 6 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $262.42 – $502.33 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $866.37 – $1,804.19 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $772.67 – $1,592.01 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $734.42 – $1,462.53 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,217.77 – $4,356.42 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $314.76 – $603.74 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $545.90 – $999.99 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $606.39 – $1,202.80 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $789.45 – $1,553.02 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $685.18 – $996.57 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $822.31 – $1,193.84 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,084.95 – $1,631.23 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $596.89 – $1,166.13 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $904.40 – $1,744.13 | 6 |
| Ophthalmic biometry CPT 92136 | not published | not published | $34.38 – $164.63 | 7 |
| Ophthalmic mitomycin HCPCS J7315 | $516.61 | $1,396.25 | $512.65 – $549.27 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $12.11 – $21.09 | 7 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $73.79 – $372.84 | 7 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $41.10 – $202.81 | 7 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $49.23 – $213.73 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $723.27 – $1,308.09 | 6 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $325.45 – $647.43 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $317.68 – $672.38 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $747.33 – $1,421.98 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,216.30 – $2,380.62 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,262.68 – $2,736.31 | 7 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,241.21 – $2,594.34 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $402.47 – $806.54 | 7 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,190.97 – $2,363.47 | 7 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $991.09 – $1,948.48 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $780.77 – $1,569.40 | 7 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $727.92 – $1,491.39 | 7 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $746.13 – $1,466.44 | 7 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $961.99 – $1,901.68 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $697.27 – $1,398.58 | 7 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $587.38 – $1,196.55 | 7 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $842.40 – $1,720.72 | 7 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,067.37 – $2,106.05 | 7 |
| Oprelvekin injection HCPCS J2355 | $353.44 | $955.25 | $438.49 – $469.81 | 5 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $716.26 – $1,387.66 | 7 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $614.85 – $1,202.80 | 7 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $629.84 – $1,232.43 | 7 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $776.30 – $1,513.24 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $765.82 – $1,523.39 | 7 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,305.43 – $2,575.63 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $611.56 – $1,198.12 | 7 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $818.21 – $1,655.21 | 7 |
| Optx lunate dislocation CPT 25695 | not published | not published | $686.92 – $1,332.28 | 7 |
| Optx medial ankle fx CPT 27766 | not published | not published | $663.42 – $1,290.15 | 7 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $998.31 – $2,000.76 | 7 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $966.59 – $2,004.66 | 7 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $598.21 – $1,155.99 | 7 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $649.66 – $1,320.58 | 7 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $725.79 – $1,418.07 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,198.45 – $2,292.48 | 7 |
| Optx post ankle fx CPT 27769 | not published | not published | $764.16 – $1,552.25 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $953.45 – $1,872.82 | 7 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,375.68 – $2,631.02 | 7 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $725.64 – $1,411.84 | 7 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $683.50 – $1,326.03 | 7 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $660.47 – $1,271.44 | 7 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $861.65 – $1,648.19 | 7 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,046.96 – $2,014.02 | 7 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $973.93 – $1,899.34 | 7 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $713.67 – $1,420.41 | 7 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,046.11 – $2,081.10 | 7 |
| Optx sho dislc fx CPT 23670 | not published | not published | $921.89 – $1,858.01 | 7 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $998.36 – $1,964.88 | 7 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $673.68 – $1,314.34 | 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.