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 |
|---|---|---|---|---|
| Reconstruction knee CPT 27429 | not published | not published | $1,359.06 – $2,638.81 | 7 |
| Reconstruction of anus CPT 46753 | not published | not published | $622.04 – $1,258.95 | 7 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,714.79 – $3,360.33 | 7 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $744.97 – $1,598.26 | 7 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $966.46 – $2,059.25 | 7 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $962.66 – $2,056.14 | 7 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $702.78 – $1,510.90 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $977.36 – $1,906.36 | 7 |
| Reconstruction of jaw CPT 21246 | not published | not published | $943.78 – $1,764.41 | 7 |
| Reconstruction of jaw CPT 21248 | not published | not published | $966.30 – $1,916.51 | 7 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,376.69 – $2,633.35 | 7 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,221.22 – $2,349.42 | 7 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,117.39 – $2,147.40 | 7 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,838.26 – $3,558.46 | 7 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,133.75 – $2,276.88 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $698.91 – $1,349.44 | 7 |
| Reconstruction of mouth CPT 40842 | not published | not published | $685.89 – $1,379.08 | 7 |
| Reconstruction of mouth CPT 40843 | not published | not published | $896.80 – $1,868.14 | 7 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,175.08 – $2,350.98 | 7 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,370.96 – $2,642.71 | 7 |
| Reconstruction of nail bed CPT 11762 | $1,694.60 | $4,580.00 | $202.22 – $399.37 | 7 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,266.92 – $2,524.15 | 7 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,479.19 – $2,922.73 | 7 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,292.48 – $2,621.64 | 7 |
| Reconstruction of throat CPT 42950 | not published | not published | $853.31 – $1,709.03 | 7 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,101.00 – $2,072.51 | 7 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,274.20 – $2,392.31 | 7 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,088.32 – $2,055.35 | 7 |
| Reconstruction of urethra CPT 54308 | not published | not published | $803.57 – $1,510.90 | 7 |
| Reconstruction of urethra CPT 54312 | not published | not published | $959.30 – $1,728.53 | 7 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,171.40 – $2,109.96 | 7 |
| Reconstruction of urethra CPT 54318 | not published | not published | $798.34 – $1,482.04 | 7 |
| Reconstruction of urethra CPT 54322 | not published | not published | $870.27 – $1,650.53 | 7 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,089.54 – $2,047.56 | 7 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,064.71 – $1,999.96 | 7 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $270.92 – $549.92 | 7 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $692.84 – $1,336.18 | 7 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $610.32 – $1,191.87 | 7 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,526.88 – $2,840.05 | 7 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,991.47 – $3,992.93 | 7 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,331.60 – $2,553.79 | 7 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,617.69 – $3,101.37 | 7 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $959.93 – $1,870.48 | 7 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,238.72 – $2,664.56 | 7 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,301.32 – $2,441.47 | 7 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $947.18 – $1,778.45 | 7 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,055.62 – $1,980.48 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,752.08 – $3,347.07 | 7 |
| Rectal sensation test CPT 91120 | not published | not published | $60.29 – $740.79 | 7 |
| Red cell mass multiple CPT 78121 | not published | not published | $20.08 – $159.12 | 7 |
| Red cell mass single CPT 78120 | not published | not published | $14.66 – $185.64 | 7 |
| Red cell sequestration CPT 78140 | not published | not published | $38.65 – $277.69 | 7 |
| Red cell survival study CPT 78130 | not published | not published | $38.65 – $329.95 | 7 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $414.40 – $799.52 | 6 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,019.32 – $1,990.61 | 7 |
| Reduce testis torsion CPT 54600 | not published | not published | $509.44 – $954.74 | 7 |
| Reduction of facial bones CPT 21209 | not published | not published | $679.34 – $1,359.57 | 7 |
| Reduction of procidentia 45900 CPT 45900 | $657.12 | $1,776.00 | $212.96 – $379.57 | 7 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $977.67 – $1,877.50 | 7 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,418.04 – $2,748.78 | 7 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $44.34 – $74.83 | 7 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $116.76 – $197.28 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $82.61 | $223.28 | $84.21 – $90.22 | 5 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $170.48 – $329.17 | 7 |
| Reinforce clavicle CPT 23490 | not published | not published | $924.57 – $1,819.00 | 7 |
| Reinforce eye wall CPT 67250 | not published | not published | $786.55 – $1,700.44 | 7 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $736.64 – $1,847.09 | 7 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,117.12 – $2,141.93 | 7 |
| Reinforce thigh CPT 27495 | not published | not published | $1,246.30 – $2,389.97 | 7 |
| Reinforce tibia CPT 27745 | not published | not published | $832.60 – $1,603.73 | 7 |
| Reinnervate larynx CPT 31590 | not published | not published | $935.07 – $1,890.76 | 7 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,444.45 – $2,744.11 | 7 |
| Reinsert ocular implant CPT 65155 | not published | not published | $847.71 – $1,851.77 | 7 |
| Release encircling material CPT 67115 | not published | not published | $489.04 – $1,072.52 | 7 |
| Release eye tissue CPT 67343 | not published | not published | $652.24 – $1,436.80 | 7 |
| Release facial nerve CPT 69720 | not published | not published | $1,280.37 – $2,564.71 | 7 |
| Release facial nerve CPT 69725 | not published | not published | $2,070.43 – $4,054.54 | 7 |
| Release facial nerve CPT 69955 | not published | not published | $2,174.24 – $4,266.72 | 7 |
| Release finger contracture CPT 26525 | not published | not published | $680.25 – $1,347.09 | 7 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $757.01 – $1,459.42 | 7 |
| Release inner ear canal CPT 69960 | not published | not published | $2,126.60 – $4,151.27 | 7 |
| Release knuckle contracture CPT 26520 | not published | not published | $677.35 – $1,344.75 | 7 |
| Release middle ear bone CPT 69650 | not published | not published | $862.79 – $1,732.42 | 7 |
| Release muscles of hand CPT 26593 | not published | not published | $620.31 – $1,236.34 | 7 |
| Release of eye fluid CPT 67015 | not published | not published | $578.92 – $1,251.15 | 7 |
| Release of foot tendon CPT 28220 | not published | not published | $336.02 – $645.86 | 7 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $288.61 – $556.94 | 7 |
| Release of foot tendons CPT 28222 | not published | not published | $389.44 – $756.63 | 7 |
| Release of foot tendons CPT 28226 | not published | not published | $350.34 – $797.96 | 7 |
| Release of lower leg tendon CPT 27680 | not published | not published | $471.94 – $920.42 | 7 |
| Release of lower leg tendons CPT 27681 | not published | not published | $569.63 – $1,151.32 | 7 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,778.01 – $3,421.94 | 7 |
| Release of midfoot joint CPT 28260 | not published | not published | $572.49 – $1,082.67 | 7 |
| Release of midfoot joint CPT 28264 | not published | not published | $748.14 – $1,549.89 | 7 |
| Release of shoulder ligament CPT 23415 | not published | not published | $760.57 – $1,468.78 | 7 |
| Release palm contracture CPT 26040 | not published | not published | $322.71 – $649.76 | 7 |
| Release palm contracture CPT 26121 | not published | not published | $642.28 – $1,254.28 | 7 |
| Release palm contracture CPT 26123 | not published | not published | $880.00 – $1,751.15 | 7 |
| Release palm contracture CPT 26125 | not published | not published | $307.27 – $579.55 | 7 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $495.69 – $983.60 | 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.