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 |
|---|---|---|---|---|
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $587.67 – $1,205.91 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,010.93 – $1,975.01 | 7 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $798.25 – $1,549.12 | 7 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $677.17 – $1,312.00 | 7 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $665.96 – $1,308.09 | 7 |
| Oral aprepitant HCPCS J8501 | $91.24 | $246.60 | $10.74 – $11.51 | 5 |
| Oral busulfan HCPCS J8510 | $232.30 | $627.85 | $17.28 – $18.51 | 5 |
| Orchiectomy partial CPT 54522 | not published | not published | $664.09 – $1,274.55 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $814.59 – $1,503.09 | 7 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $533.63 – $1,015.59 | 7 |
| Organic acids total quant ea spec CPT 83918 | $147.17 | $397.75 | $17.46 – $112.27 | 7 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,212.12 | $3,276.00 | $34.51 – $36.98 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $122.35 – $244.15 | 7 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $12.47 | $33.71 | $9.60 – $10.29 | 5 |
| Orthopantogram CPT 70355 | not published | not published | $9.70 – $259.34 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $813.61 | $2,198.95 | $697.01 – $697.01 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $110.08 | $297.50 | $33.43 – $57.83 | 6 |
| Osmolality blood CPT 83930 | $53.56 | $144.75 | $7.04 – $60.18 | 7 |
| Osmolality urine CPT 83935 | $39.22 | $106.00 | $7.30 – $60.18 | 7 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $362.52 – $712.94 | 7 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $604.65 – $1,201.23 | 7 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,522.53 – $2,905.58 | 7 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,070.15 – $2,070.95 | 7 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,316.98 – $2,588.89 | 7 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $47.82 | $129.25 | $51.64 – $101.41 | 7 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $61.03 – $128.71 | 7 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $70.82 – $153.66 | 7 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,085.00 – $2,095.13 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $901.08 – $1,735.55 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $741.78 – $1,404.04 | 7 |
| Ot evaluation high complexity patient/family CPT 97167 | $74.56 | $201.50 | $85.24 – $146.88 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $74.56 | $201.50 | $85.24 – $146.88 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $74.56 | $201.50 | $85.24 – $146.88 | 6 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $14.66 – $108.04 | 7 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $82.64 – $88.55 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $34.50 | $93.25 | $38.32 – $80.34 | 7 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $33.95 | $91.75 | $31.61 – $63.18 | 7 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $10.58 – $17.68 | 7 |
| Otoplasty 69300 CPT 69300 | not published | not published | $505.17 – $1,023.38 | 7 |
| Ot re-evaluation patient/family CPT 97168 | $38.30 | $103.50 | $56.10 – $96.97 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $34.50 | $93.25 | $35.67 – $73.32 | 7 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $33.02 | $89.25 | $34.04 – $67.85 | 7 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $31.17 | $84.25 | $34.94 – $70.21 | 7 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $42.55 | $115.00 | $35.74 – $73.32 | 7 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,782.61 – $3,416.49 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $826.40 – $1,599.05 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $26.95 | $72.85 | $3.26 – $3.50 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $33.86 | $91.50 | $0.42 – $0.45 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $58.28 | $157.50 | $0.67 – $0.72 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.05 | $2.85 | $0.25 – $0.27 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $38.81 | $104.90 | $15.09 – $16.17 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $767.83 – $767.83 | 1 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $342.03 – $342.03 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $1,118.68 | $3,023.45 | $12.11 – $12.97 | 5 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,633.27 | $4,414.25 | $906.88 – $2,000.27 | 6 |
| Palonosetron hcl HCPCS J2469 | $372.41 | $1,006.50 | $30.66 – $32.85 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $647.48 | $1,749.95 | $13.61 – $14.58 | 5 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,408.62 – $6,568.54 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,704.81 – $3,316.64 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $187.16 | $505.85 | $144.59 – $154.92 | 5 |
| Papaverin hcl injection HCPCS J2440 | $39.86 | $107.73 | $4.00 – $4.29 | 5 |
| Parathormone (pth) intact CPT 83970 | $139.49 | $377.00 | $43.52 – $111.67 | 7 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,548.50 – $2,989.03 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $354.63 – $678.63 | 6 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $274.57 – $519.49 | 7 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $51.98 – $610.75 | 7 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $315.47 – $722.30 | 6 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $904.35 – $1,756.60 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $956.77 – $1,900.91 | 7 |
| Paricalcitol HCPCS J2501 | $41.14 | $111.20 | $2.60 – $2.79 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $182.78 | $494.00 | $18.23 – $34.31 | 7 |
| Parotid duct diversion CPT 42507 | not published | not published | $551.29 – $1,113.87 | 7 |
| Parotid duct diversion CPT 42509 | not published | not published | $924.28 – $1,748.02 | 7 |
| Parotid duct diversion CPT 42510 | not published | not published | $695.23 – $1,363.48 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $887.10 – $1,831.49 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $205.76 – $403.27 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,429.51 – $2,693.42 | 7 |
| Partial exc bone humerus CPT 24140 | not published | not published | $772.65 – $1,479.70 | 7 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $488.19 – $946.95 | 7 |
| Partial excision of lip CPT 40500 | not published | not published | $388.89 – $783.92 | 7 |
| Partial hip replacement CPT 27125 | not published | not published | $1,251.63 – $2,400.12 | 7 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,066.91 – $2,073.29 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,216.01 – $2,411.04 | 7 |
| Partial removal finger bone CPT 26235 | not published | not published | $530.53 – $1,033.53 | 7 |
| Partial removal finger bone CPT 26236 | $767.01 | $2,073.00 | $468.88 – $925.10 | 7 |
| Partial removal foot fascia CPT 28060 | not published | not published | $394.96 – $763.65 | 7 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $928.13 – $1,802.63 | 7 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,086.13 – $2,049.90 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,790.05 – $5,284.63 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,885.30 – $5,472.63 | 7 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $469.27 – $1,044.45 | 7 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $545.02 – $1,172.37 | 7 |
| Partial removal of fibula CPT 27641 | not published | not published | $737.93 – $1,412.62 | 7 |
| Partial removal of foot bone CPT 28288 | not published | not published | $473.09 – $918.86 | 7 |
| Partial removal of hand bone CPT 26230 | not published | not published | $540.45 – $1,049.13 | 7 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,510.65 – $4,325.22 | 7 |
| Partial removal of lip CPT 40530 | not published | not published | $444.39 – $870.51 | 7 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,665.76 – $3,190.29 | 7 |
| Partial removal of nose CPT 30150 | not published | not published | $830.91 – $1,635.70 | 7 |
| Partial removal of penis CPT 54120 | not published | not published | $709.49 – $1,334.62 | 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.