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
Post seg spine instrument/3-6 seg 22842 CPT 22842 not published not published $866.06 – $1,612.29 7
Potassium 24 hour urine CPT 84133 $25.16 $68.00 $4.43 – $10.46 7
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $48.56 $131.25 $0.03 – $0.03 5
Potassium serum/plasma/whole blood CPT 84132 $24.79 $67.00 $4.95 – $33.65 7
Pq biliary strict dil s&i CPT 74363 $369.91 $999.75 $55.99 – $542.92 6
Pq dr cath chg w cont s&i CPT 75984 $391.18 $1,057.25 $45.80 – $542.92 7
Pq kyphplsty 1 bdy lumb w/img CPT 22514 not published not published $544.64 – $12,277.16 6
Pq thr inj ext pse CPT 36002 $843.97 $2,281.00 $120.64 – $202.03 7
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $1,035.91 $2,799.75 $237.73 – $1,642.13 6
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $2,318.70 $6,266.75 $492.41 – $2,974.05 6
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $2,318.70 $6,266.75 $461.62 – $2,942.09 6
Pralatrexate injection HCPCS J9307 $328.13 $886.85 $303.74 – $325.44 5
Pralidoxime 1 gram solution for injection HCPCS J2730 $160.65 $434.20 $141.93 – $152.07 5
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 $1,301.20 $3,516.75 $646.27 – $1,352.56 7
Pr application of long arm splint CPT 29105 $225.33 $609.00 $65.44 – $127.14 7
Pr application splint static short arm CPT 29125 $222.37 $601.00 $43.05 – $84.25 7
Pr assessment emotional/behavioral per instrument brief CPT 96127 not published not published $5.75 – $5.75 1
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published $668.75 – $1,258.18 7
Pr correction hammertoe CPT 28285 not published not published $368.48 – $806.54 7
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $91.48 $247.25 $13.74 – $20.48 7
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published $175.82 – $329.17 7
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $125.71 $339.75 $26.17 – $44.90 7
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 not published not published $79.86 – $81.81 2
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 not published not published $118.44 – $119.04 2
Prealbumin CPT 84134 $68.45 $185.00 $15.37 – $60.18 7
Pr ecg 12 lead report only CPT 93010 $12.86 $34.75 $9.44 – $15.64 7
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 not published not published $29.82 – $48.98 7
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.55 $4.20 $0.15 – $0.17 5
Prednisone 1 mg tablet HCPCS J7512 $10.80 $29.20 $0.29 – $0.32 5
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $1,105.28 $2,987.25 $228.77 – $542.90 7
Pregnancy associated plasma protein-a CPT 84163 $64.47 $174.25 $15.90 – $108.04 7
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $566.29 $1,530.50 $61.14 – $420.03 7
Pregnancy Ultrasound (first trimester) CPT 76801 $488.77 $1,321.00 $61.54 – $420.03 7
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 not published not published $94.62 – $173.06 7
Prenatal Care Only (4-6 visits) CPT 59425 not published not published $397.68 – $673.46 7
Prenatal Care Only (7+ visits) CPT 59426 not published not published $703.77 – $1,187.71 7
Preparation palate mold CPT 42280 not published not published $115.79 – $241.81 7
Prepare embryo for transfer CPT 89255 not published not published $113.79 – $113.79 5
Prepare penis study CPT 54230 not published not published $89.19 – $168.49 7
Prep skin to 100cm2 other CPT 15004 $892.44 $2,412.00 $301.99 – $583.46 7
Prep skin to 100cm2 trk/ext CPT 15002 $937.12 $2,532.75 $253.33 – $487.52 7
Prep skn trk/ext adl 100cm2 CPT 15003 not published not published $51.38 – $97.51 7
Pressure max expiratory/inspiratory CPT 94799 $232.27 $627.75 $5.50 – $244.04 6
Pressure velocity wire add ves CPT 93572 not published not published $95.79 – $153.66 6
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 not published not published $14.59 – $49.47 6
Pretreat rbc absorption reference CPT 86978 $19.61 $53.00 $14.59 – $49.47 6
Pretreat rbc density gradient separation reference CPT 86972 $119.51 $323.00 $17.46 – $49.47 6
Pretreat rbc w chem/drugs reference CPT 86970 $207.39 $560.50 $10.94 – $49.47 6
Pretreat rbc w enzyme reference CPT 86971 not published not published $10.94 – $49.47 6
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 not published not published $159.80 – $269.11 6
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 $1,907.07 $5,154.25 $86.60 – $173.17 7
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 not published not published $167.86 – $343.21 7
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $503.29 $1,360.25 $124.09 – $369.73 7
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 not published not published $1,447.30 – $2,889.19 7
Prgrmg dev eval impltbl sys CPT 93260 not published not published $21.57 – $117.00 6
Prgrmg dev eval pm/ldls pm CPT 93279 not published not published $17.97 – $91.16 7
Prgrmg dev eval scrms ip CPT 93285 not published not published $16.17 – $74.83 7
Prgrmg eval implantable dfb CPT 93282 not published not published $20.85 – $114.28 7
Prgrmg eval implantable dfb CPT 93283 not published not published $24.07 – $146.94 7
Prgrmg eval implantable dfb CPT 93284 not published not published $27.67 – $161.90 7
Prgr stim/pace a/iv drug CPT 93623 not published not published $58.65 – $8,949.00 7
Pr hospital ip/obs care initial high level per day CPT 99223 not published not published $224.49 – $224.63 2
Pr hospital ip/obs care initial moderate level per day CPT 99222 not published not published $151.74 – $152.46 2
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 not published not published $111.73 – $112.48 2
Pr hospital ip/obs care subsequent high level per day CPT 99233 not published not published $115.70 – $119.05 2
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 not published not published $80.04 – $83.09 2
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 not published not published $43.57 – $46.08 2
Prim art mech thrmbc non-intracranial CPT 37184 not published not published $514.14 – $988.28 7
Prim art mech thrmbc non-intracranial add-on CPT 37185 not published not published $193.03 – $362.71 7
Pr incision & drainage abscess complicated/multiple CPT 10061 $313.30 $846.75 $180.89 – $380.65 7
Pr incision & drainage abscess simple/single CPT 10060 $238.65 $645.00 $100.77 – $204.37 7
Pr incision & drainage abscess vulva/perineal CPT 56405 $168.72 $456.00 $118.31 – $233.23 7
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $429.94 $1,162.00 $99.06 – $219.18 7
Pr management transitional care high w/in 7 days of discharge CPT 99496 not published not published $177.18 – $334.32 6
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 not published not published $122.33 – $228.25 6
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $66.51 $179.75 $13.79 – $13.79 1
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published $610.17 – $1,250.37 7
Probe nasolacrimal duct CPT 68810 not published not published $137.54 – $408.72 7
Probe nasolacrimal duct CPT 68811 not published not published $147.50 – $452.41 7
Probe nasolacrimal duct CPT 68815 not published not published $239.11 – $563.18 7
Probe nl duct w/balloon CPT 68816 not published not published $176.55 – $549.92 7
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $9.25 $25.00 $4.93 – $21.29 6
Procalcitonin CPT 84145 $101.10 $273.25 $41.71 – $111.67 6
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $12.52 $33.84 $6.51 – $6.97 5
Proctectomy combined abd pull-thru px 45112 CPT 45112 not published not published $2,095.60 – $4,051.43 7
Proctectomy complete abd w/clst 45110 CPT 45110 not published not published $2,023.89 – $3,970.31 7
Proctosigmoidoscopy ablate CPT 45320 not published not published $117.22 – $230.89 7
Proctosigmoidoscopy control bleed 45317 CPT 45317 not published not published $126.48 – $256.62 7
Proctosigmoidoscopy dilate 45303 CPT 45303 not published not published $95.31 – $198.90 7
Proctosigmoidoscopy dx 45300 CPT 45300 $346.88 $937.50 $55.42 – $117.01 7
Proctosigmoidoscopy removal CPT 45308 not published not published $91.80 – $188.77 7
Proctosigmoidoscopy removal CPT 45309 not published not published $100.39 – $200.47 7
Proctosigmoidoscopy tumor removal 45315 CPT 45315 not published not published $118.39 – $237.12 7
Proctosigmoidoscopy volvul CPT 45321 not published not published $114.16 – $233.23 7
Proctosigmoidoscopy w/bx 45305 CPT 45305 not published not published $82.21 – $171.60 7
Proctosigmoidoscopy w/fb remove 45307 CPT 45307 $2,773.89 $7,497.00 $108.45 – $223.86 7
Proctosigmoidoscopy w/stent CPT 45327 not published not published $127.88 – $275.35 7
Progesterone CPT 84144 $66.14 $178.75 $21.89 – $85.28 7
Prolactin CPT 84146 $101.75 $275.00 $20.33 – $111.67 7
Promethazine hcl injection HCPCS J2550 $10.51 $28.40 $2.56 – $2.75 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.