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
Partial removal of pharynx 42890 CPT 42890 not published not published $1,522.94 – $3,049.89 7
Partial removal of radius CPT 25151 not published not published $637.93 – $1,231.66 7
Partial removal of radius CPT 25230 not published not published $468.46 – $904.05 7
Partial removal of rib CPT 21600 not published not published $599.81 – $1,197.33 7
Partial removal of sternum CPT 21620 not published not published $557.81 – $1,090.46 7
Partial removal of thyroid CPT 60220 not published not published $785.33 – $1,516.35 7
Partial removal of thyroid CPT 60225 not published not published $1,024.58 – $1,993.74 7
Partial removal of tibia CPT 27640 not published not published $922.34 – $1,773.77 7
Partial removal of toe CPT 28160 not published not published $296.98 – $577.21 7
Partial removal of tongue CPT 41120 not published not published $1,119.01 – $2,255.04 7
Partial removal of ulna CPT 25119 not published not published $538.32 – $1,043.66 7
Partial removal of ulna CPT 25150 not published not published $617.83 – $1,187.97 7
Partial removal of ulna CPT 25240 not published not published $466.30 – $899.37 7
Partial removal of vaginal wall 57106 CPT 57106 not published not published $539.44 – $1,041.32 7
Partial removal tear gland CPT 68505 not published not published $981.02 – $2,138.82 7
Partial thyroid excision CPT 60210 not published not published $777.74 – $1,515.58 7
Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 not published not published $1,119.42 – $2,159.10 7
Part removal of metatarsal CPT 28110 not published not published $320.21 – $619.34 7
Part removal of metatarsal CPT 28113 not published not published $469.54 – $914.97 7
Part removal of metatarsal 28112 CPT 28112 not published not published $346.67 – $676.27 7
Passy muir valve metal trach HCPCS L8501 $160.47 $433.70 $201.57 – $201.57 1
Patient recorded spirometry CPT 94014 not published not published $22.89 – $244.04 7
Patient recorded spirometry CPT 94015 not published not published $25.80 – $244.04 7
Pdgfra gene CPT 81314 not published not published $376.62 – $533.80 6
Pdt dstr prmlg les phys/qhp CPT 96573 not published not published $316.15 – $338.73 5
Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 not published not published $830.22 – $1,634.93 7
Ped home apnea mntr att only CPT 94775 not published not published $244.04 – $244.04 5
Ped home apnea mntr dl&alys CPT 94776 not published not published $244.04 – $244.04 5
Pedicle enel/ntroral 15576 CPT 15576 not published not published $728.62 – $1,443.05 7
Pegaspargase injection HCPCS J9266 $3,604.91 $9,743.00 $6,909.77 – $9,521.13 5
Pelvic CT scan (with and without contrast) CPT 72194 $813.08 $2,197.50 $76.61 – $624.79 7
Pelvic CT scan (with contrast) CPT 72193 $971.25 $2,625.00 $73.00 – $557.71 7
Pelvic CT scan (without contrast) CPT 72192 $943.69 $2,550.50 $68.92 – $357.24 7
Pelvic MRI (with and without contrast) CPT 72197 $1,192.60 $3,223.25 $141.98 – $1,173.93 7
Pelvic MRI (with contrast) CPT 72196 $842.49 $2,277.00 $108.97 – $960.21 7
Pelvic MRI (without contrast) CPT 72195 $889.67 $2,404.50 $91.34 – $863.47 7
Pelvic Ultrasound (complete) CPT 76856 $485.35 $1,311.75 $43.20 – $256.62 7
Pelvic Ultrasound (limited) CPT 76857 $301.27 $814.25 $23.72 – $195.01 7
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $98.35 $265.80 $61.63 – $66.03 5
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $122.56 $331.25 $95.21 – $102.02 5
Peng benzathine/procaine inj HCPCS J0558 $108.11 $292.20 $6.44 – $6.90 5
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $47.66 $128.80 $8.11 – $8.69 5
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $53.28 $144.00 $0.85 – $0.92 5
Penicillin g procaine inj HCPCS J2510 $16.56 $44.75 $23.70 – $25.39 5
Penile injection CPT 54235 $222.46 $601.25 $81.98 – $135.38 7
Penile vascular study CPT 93980 $319.22 $862.75 $60.72 – $335.42 7
Penile vascular study CPT 93981 not published not published $27.59 – $225.42 7
Penile venous occlusion CPT 37790 not published not published $547.06 – $1,028.85 7
Penis plastic surgery CPT 54360 not published not published $810.47 – $1,523.39 7
Penis study CPT 54240 not published not published $35.57 – $181.62 7
Pentamidine non-comp unit HCPCS J2545 $159.27 $430.45 $133.76 – $143.31 5
Pentobarbital sodium inj HCPCS J2515 $64.60 $174.60 $11.96 – $54.75 6
Pentostatin 10 mg intravenous solution HCPCS J9268 $1,838.79 $4,969.70 $2,255.65 – $2,416.77 5
Perc cryo ablate renal tum CPT 50593 $14,222.62 $38,439.50 $527.20 – $1,035.87 7
Perc rf ablate renal tumor CPT 50592 $12,484.54 $33,742.00 $392.97 – $776.12 7
Percut ablate liver rf CPT 47382 $6,242.27 $16,871.00 $856.83 – $1,671.58 7
Pericardiectomy/sub or com/w bypas 33031 CPT 33031 not published not published $1,689.43 – $5,363.42 7
Pericardiotomy/clot/for bod remove 33020 CPT 33020 not published not published $990.11 – $1,886.87 7
Peri-implt capslc brst compl CPT 19371 not published not published $847.84 – $1,674.70 7
Perineoplasty rpr per nonob CPT 56810 not published not published $287.23 – $560.05 7
Peripheral vascular rehab CPT 93668 not published not published $18.63 – $39.01 7
Peri-proc device eval icd CPT 93287 not published not published $13.65 – $63.95 7
Peri-proc device eval pm CPT 93286 not published not published $12.22 – $48.30 7
Peritoneal cath sub q resv per CPT 49419 not published not published $496.10 – $932.91 7
Peritoneogram rs&i CPT 74190 $295.26 $798.00 $30.27 – $542.92 6
Perit-vens shunt pat tst CPT 78291 not published not published $55.59 – $525.74 7
Perq art m-thrombect &/nfs CPT 61645 not published not published $892.45 – $1,513.72 6
Perq clsr tcat l atr apndge CPT 33340 not published not published $903.78 – $1,559.40 6
Perq dev breast 1st mr guide CPT 19287 $1,606.36 $4,341.50 $147.16 – $253.05 6
Perq dev breast 1st strtctc CPT 19283 $541.31 $1,463.00 $116.11 – $185.72 6
Perq nl/pl lithotrp cplx>2cm CPT 50081 not published not published $1,439.85 – $2,703.55 7
Perq nl/pl lithotrp smpl<2cm CPT 50080 not published not published $979.43 – $1,840.07 7
Perq plmt bile duct stent CPT 47538 not published not published $271.04 – $642.32 6
Perq plmt bile duct stent CPT 47539 not published not published $492.07 – $869.29 6
Perq plmt bile duct stent CPT 47540 not published not published $509.62 – $1,038.66 6
Perq rplcmt g-tube req revsn gstrst trk CPT 43763 $434.66 $1,174.75 $558.17 – $558.17 3
Perq skel fix rad/uln dislc CPT 25671 not published not published $554.48 – $1,116.99 7
Perq skel fix ulnar styld fx CPT 25651 not published not published $503.22 – $1,018.70 7
Perqt bx lung/mediastinum 32405 CPT 32405 not published not published $103.04 – $222.31 7
Perq transcath closure each CPT 93592 not published not published $495.73 – $855.24 6
Perq transcath closure pda CPT 93582 not published not published $745.77 – $1,388.44 6
Perq transcath cls aortic CPT 93591 not published not published $1,124.15 – $1,939.59 6
Perq transcath cls mitral CPT 93590 not published not published $1,354.68 – $2,337.34 6
Perq transcath septal reduxn CPT 93583 not published not published $844.37 – $1,545.21 6
Perq tx big toe fracture w/manip 28496 CPT 28496 not published not published $241.01 – $504.67 7
Perq tx malar fracture CPT 21355 not published not published $351.63 – $689.53 7
Perq tx mndblr fx xtrnl fixj CPT 21452 not published not published $341.68 – $720.73 7
Perq tx nasoethmoid fx CPT 21340 not published not published $882.67 – $1,753.49 7
Pertussis ag if CPT 87265 $82.42 $222.75 $12.77 – $62.53 7
Pertuzumab 30 mg/ml desensitization HCPCS J9306 $40.22 $108.70 $16.18 – $17.34 5
Pet CT skull-mid thgh initial CPT 78815 not published not published $154.30 – $2,138.82 6
Pet CT whole body initial CPT 78816 not published not published $158.31 – $2,137.25 6
Pet fdg brain metoblic eval sb CPT 78608 not published not published $94.41 – $2,109.17 6
Pet image full body CPT 78813 not published not published $127.30 – $2,127.11 6
Pet image ltd area CPT 78811 not published not published $98.55 – $2,117.75 6
Pet image skull-thigh CPT 78812 not published not published $122.82 – $2,123.99 6
Pet image w/ct lmtd CPT 78814 not published not published $139.46 – $2,133.35 6
Pet scan brain perf study CPT 78609 not published not published $83.40 – $163.81 7
Phalangectomy ea toe 28150 CPT 28150 not published not published $310.55 – $604.51 7
Pharmacologic management w/psytx CPT 90863 not published not published $297.32 – $297.32 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.