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 |
|---|---|---|---|---|
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $481.85 – $1,066.28 | 7 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $492.91 – $1,074.09 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $953.22 – $1,832.26 | 7 |
| Prophylactic tx radius CPT 25490 | not published | not published | $790.12 – $1,476.59 | 7 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $996.86 – $1,684.84 | 7 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $813.76 – $1,557.70 | 7 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $20.85 | $56.35 | $2.04 – $2.19 | 5 |
| Prostate biopsy, any mthd HCPCS G0416 | $599.68 | $1,620.75 | $113.79 – $492.64 | 7 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $952.29 – $1,788.59 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $925.15 – $1,723.06 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $678.34 – $1,280.01 | 7 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $698.55 – $1,315.11 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $27.48 | $74.27 | $1.47 – $1.57 | 5 |
| Protein c activity CPT 85303 | $91.85 | $248.25 | $14.59 – $100.82 | 7 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $47.82 | $129.25 | $11.20 – $60.18 | 7 |
| Protein s total CPT 85305 | $85.10 | $230.00 | $12.25 – $100.82 | 7 |
| Protein total 24 hour urine CPT 84156 | $32.10 | $86.75 | $3.91 – $60.18 | 7 |
| Protein total body fluid CPT 84157 | $27.94 | $75.50 | $3.91 – $8.93 | 7 |
| Protein total serum plasma whole blood CPT 84155 | $40.70 | $110.00 | $3.91 – $33.65 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $17.48 | $47.25 | $4.17 – $38.30 | 7 |
| Proton treatment complex CPT 77525 | not published | not published | $2,985.92 – $2,985.92 | 5 |
| Proton trmt intermediate CPT 77523 | not published | not published | $12,812.28 – $12,812.28 | 5 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $12,378.84 – $12,378.84 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $5,851.44 – $5,851.44 | 5 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.12 – $108.04 | 7 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $652.78 – $1,243.35 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $85.24 – $85.24 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $15,412.38 – $19,696.00 | 6 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $15,412.38 – $21,711.00 | 6 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $757.51 – $21,711.00 | 7 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $15,412.38 – $21,711.00 | 6 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $673.50 – $21,711.00 | 7 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $15,412.38 – $21,711.00 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $568.75 – $1,114.65 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $754.93 – $1,511.67 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $808.20 – $1,568.62 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $454.77 – $947.72 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $289.33 – $672.38 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $673.91 – $21,711.00 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $755.97 – $21,711.00 | 7 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $605.50 – $19,696.00 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $722.70 – $19,696.00 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $756.77 – $21,711.00 | 7 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $112.97 – $206.71 | 7 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $150.31 | $406.25 | $52.63 – $108.84 | 7 |
| Pr removal intrauterine device CPT 58301 | $113.31 | $306.25 | $75.56 – $128.56 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $243.18 | $657.25 | $209.13 – $414.97 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $120.81 | $326.50 | $62.02 – $120.90 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $125.34 | $338.75 | $65.63 – $135.00 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $129.50 | $350.00 | $49.75 – $114.55 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $146.43 | $395.75 | $65.94 – $127.92 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $776.07 – $1,526.50 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $37.23 – $49.34 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $676.55 – $1,308.87 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $641.54 – $1,246.47 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $120.82 – $208.71 | 6 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $727.19 – $1,411.84 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $717.58 – $1,396.24 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,074.85 | $2,905.00 | $178.81 – $379.09 | 7 |
| PSA (Prostate) Test CPT 84153 | $76.96 | $208.00 | $19.28 – $60.18 | 7 |
| Psychoanalysis CPT 90845 | not published | not published | $100.65 – $101.76 | 2 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $28.36 – $54.61 | 7 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $70.84 – $70.84 | 1 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $94.45 – $94.45 | 1 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $142.05 – $142.05 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $8.26 – $15.61 | 6 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $73.37 – $73.37 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $92.90 – $92.90 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $122.75 – $122.75 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $25.07 | $67.75 | $19.59 – $39.78 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $5.50 – $12.49 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $32.38 | $87.50 | $23.53 – $67.85 | 7 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $29.05 | $78.50 | $13.95 – $27.30 | 7 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $17.60 – $34.31 | 7 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $79.86 – $99.97 | 6 |
| Pten gene full sequence CPT 81321 | not published | not published | $79.86 – $685.54 | 6 |
| Pten gene known fam variant CPT 81322 | not published | not published | $66.65 – $79.86 | 6 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $811.28 – $1,618.54 | 7 |
| Pt evaluation high complexity patient/family CPT 97163 | $74.56 | $201.50 | $87.76 – $151.09 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $74.56 | $201.50 | $87.76 – $151.09 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $74.56 | $201.50 | $87.76 – $151.09 | 6 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $28.39 – $46.26 | 7 |
| Pt re-evaluation patient/family CPT 97164 | $40.89 | $110.50 | $59.34 – $102.60 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $41.72 – $70.06 | 7 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $30.43 | $82.25 | $29.81 – $60.06 | 7 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $19.61 | $53.00 | $27.07 – $48.30 | 7 |
| Pt wheelchair management each 15 minutes CPT 97542 | $29.60 | $80.00 | $32.95 – $64.74 | 7 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $736.20 – $1,387.66 | 7 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $364.10 – $687.19 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,977.19 – $9,118.44 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,115.48 – $2,144.27 | 7 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $171.03 – $442.26 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $78.07 | $211.00 | $24.80 – $42.85 | 7 |
| Pulse ox multiple CPT 94761 | $52.91 | $143.00 | $4.68 – $8.85 | 7 |
| Pulse ox single CPT 94760 | $24.88 | $67.25 | $2.98 – $5.45 | 7 |
| Punc of shunt for asp or inj CPT 61070 | $668.13 | $1,805.75 | $64.04 – $157.81 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $69.01 | $186.50 | $17.37 – $29.93 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $191.94 | $518.75 | $103.96 – $203.58 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | $2,427.76 | $6,561.50 | $54.42 – $103.75 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $507.55 | $1,371.75 | $87.57 – $168.49 | 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.