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 |
|---|---|---|---|---|
| Remove mastoid structures CPT 69505 | not published | not published | $1,295.94 – $2,580.31 | 7 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $1,200.36 – $2,414.16 | 7 |
| Remove middle ear nerve CPT 69676 | not published | not published | $899.42 – $1,792.48 | 7 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $821.07 – $1,542.10 | 7 |
| Remove nasal foreign body CPT 30310 | $2,232.95 | $6,035.00 | $215.11 – $383.65 | 7 |
| Remove nasal foreign body CPT 30320 | not published | not published | $475.95 – $962.55 | 7 |
| Remove nerve lesion CPT 64784 | not published | not published | $791.86 – $1,563.94 | 7 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $864.70 – $1,699.67 | 7 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $889.31 – $1,936.79 | 7 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,107.47 – $2,253.48 | 7 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $909.10 – $1,703.56 | 7 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $582.36 – $1,217.61 | 7 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $448.80 – $915.75 | 7 |
| Remove prostate regrowth CPT 52630 | not published | not published | $446.97 – $843.20 | 7 |
| Remove renal tube w/fluoro CPT 50389 | not published | not published | $61.77 – $102.72 | 7 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $937.41 – $1,859.56 | 7 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $965.91 – $1,815.89 | 7 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $908.34 – $1,708.25 | 7 |
| Remove/revise male sling CPT 53442 | not published | not published | $877.53 – $1,652.08 | 7 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $969.11 – $1,904.81 | 7 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,131.60 – $2,212.92 | 7 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,192.42 – $2,287.81 | 7 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $591.66 – $1,114.65 | 7 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $590.06 – $1,193.44 | 7 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $494.87 – $914.18 | 6 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,234.14 | $3,335.50 | $160.09 – $350.23 | 7 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $447.63 – $890.79 | 7 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $419.08 – $849.44 | 7 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $937.11 – $1,862.69 | 7 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $405.52 – $728.54 | 7 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $294.96 – $560.84 | 7 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $939.02 – $1,991.40 | 7 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $239.84 – $448.51 | 7 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $358.02 – $691.87 | 6 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $929.67 – $1,654.42 | 6 |
| Remove spine fixation device CPT 22850 | not published | not published | $783.56 – $1,524.93 | 7 |
| Remove spine fixation device CPT 22852 | not published | not published | $748.89 – $1,460.19 | 7 |
| Remove spine infusion device CPT 62365 | not published | not published | $328.55 – $624.79 | 7 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $1,592.71 – $3,117.74 | 7 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,327.16 – $2,602.93 | 7 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,264.32 – $2,482.80 | 7 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $1,197.92 – $2,310.42 | 7 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $1,335.27 – $2,604.49 | 7 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $1,333.77 – $2,635.69 | 7 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $1,641.19 – $3,188.73 | 7 |
| Remove stent via transureth CPT 50386 | not published | not published | $185.56 – $374.41 | 7 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,008.23 – $1,858.79 | 7 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $743.53 – $1,471.89 | 7 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $735.33 – $1,471.89 | 7 |
| Remove tear gland lesion CPT 68540 | not published | not published | $933.33 – $2,001.53 | 7 |
| Remove tear gland lesion CPT 68550 | not published | not published | $1,149.08 – $2,453.17 | 7 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $482.47 – $951.62 | 7 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $648.24 – $1,267.54 | 7 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $723.50 – $1,413.39 | 7 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $319.64 – $628.69 | 7 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $333.27 – $652.88 | 7 |
| Remove/transplant tendon CPT 23440 | not published | not published | $831.55 – $1,598.26 | 7 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,720.29 – $3,289.35 | 7 |
| Remove ureter calculus CPT 51065 | not published | not published | $648.98 – $1,221.51 | 7 |
| Remove ureter stent percut CPT 50384 | not published | not published | $265.66 – $535.09 | 7 |
| Remove uro sphincter CPT 53446 | not published | not published | $719.59 – $1,355.67 | 7 |
| Remove vaginal foreign body 57415 CPT 57415 | $1,159.40 | $3,133.50 | $176.02 – $342.43 | 7 |
| Remove vagina tissue part CPT 57107 | not published | not published | $1,615.97 – $3,049.10 | 7 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $729.49 – $1,437.58 | 6 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $618.31 – $1,193.44 | 7 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $406.38 – $785.47 | 7 |
| Remove ventilating tube CPT 69424 | not published | not published | $68.12 – $134.16 | 7 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,282.52 – $2,451.60 | 7 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $1,941.84 – $3,728.50 | 7 |
| Remove windpipe lesion CPT 31785 | not published | not published | $1,206.94 – $2,326.02 | 7 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $831.98 – $1,595.15 | 7 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $654.91 – $1,262.86 | 7 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $657.74 – $1,292.49 | 7 |
| Remove wrist joint implant CPT 25449 | not published | not published | $1,140.07 – $2,194.20 | 7 |
| Remove wrist joint lining CPT 25105 | not published | not published | $525.52 – $1,015.59 | 7 |
| Remove wrist joint lining CPT 26130 | not published | not published | $484.64 – $960.98 | 7 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $370.99 – $713.71 | 7 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $333.10 – $671.59 | 7 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $1,154.57 – $2,169.23 | 7 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $932.47 – $1,819.79 | 7 |
| Remv/replc penis pros compl CPT 54417 | not published | not published | $1,011.35 – $1,900.91 | 7 |
| Remv/repl penis contain pros CPT 54416 | not published | not published | $795.91 – $1,500.75 | 7 |
| Renal abscess open drng 50020 CPT 50020 | not published | not published | $1,141.79 – $2,259.72 | 7 |
| Renal cyst study s&i CPT 74470 | not published | not published | $34.28 – $542.92 | 6 |
| Renal endoscopy 50572 CPT 50572 | not published | not published | $604.13 – $1,130.25 | 7 |
| Renal function panel CPT 80069 | $26.55 | $71.75 | $9.12 – $21.14 | 7 |
| Renal scope w/tumor resect CPT 50562 | not published | not published | $657.20 – $1,232.43 | 7 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $93.23 – $542.92 | 7 |
| Reopen fallopian tube CPT 58350 | not published | not published | $85.67 – $169.27 | 7 |
| Reopening of recent laparotomy 49002 CPT 49002 | not published | not published | $1,112.62 – $2,225.40 | 7 |
| Reoperation bypass graft 35700 CPT 35700 | not published | not published | $176.27 – $340.10 | 7 |
| Reoperation carotid add-on 35390 CPT 35390 | not published | not published | $183.99 – $353.36 | 7 |
| Repair achilles tendon CPT 27650 | not published | not published | $724.32 – $1,414.96 | 7 |
| Repair anal fistula CPT 46288 | not published | not published | $563.45 – $1,169.26 | 7 |
| Repair anorectal fist w/plug CPT 46707 | not published | not published | $519.90 – $989.84 | 6 |
| Repair aortic valve supraval stenosis 33417 CPT 33417 | not published | not published | $1,891.41 – $3,606.81 | 7 |
| Repair arm/leg nerve CPT 64857 | not published | not published | $1,171.06 – $2,234.76 | 7 |
| Repair artery rupture thigh 35142 CPT 35142 | not published | not published | $1,518.77 – $2,941.46 | 7 |
| Repair art rupture aorta 35082 CPT 35082 | not published | not published | $2,520.97 – $4,850.95 | 7 |
| Repair art rupture arm 35013 CPT 35013 | not published | not published | $1,434.45 – $2,762.04 | 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.