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
Assay of corticosterone CPT 82528 not published not published $23.71 – $111.67 7
Assay of digoxin free CPT 80163 not published not published $20.67 – $31.17 6
Assay of endocrine hormone CPT 84235 not published not published $55.24 – $111.67 7
Assay of estrogen CPT 84233 not published not published $68.01 – $111.67 7
Assay of etiocholanolone CPT 82696 not published not published $24.76 – $111.67 7
Assay of feces for trypsin CPT 84490 not published not published $8.08 – $108.04 7
Assay of feces porphyrins CPT 84126 not published not published $26.84 – $108.04 7
Assay of feces/urobilinogen CPT 84577 not published not published $13.29 – $108.04 7
Assay of fluoride CPT 82735 not published not published $19.54 – $112.27 7
Assay of galactose CPT 82760 $49.21 $133.00 $11.73 – $108.04 7
Assay of gdh enzyme CPT 82965 not published not published $8.08 – $108.04 7
Assay of glucosidase CPT 82963 not published not published $22.67 – $108.04 7
Assay of glutathione CPT 82978 not published not published $15.11 – $108.04 7
Assay of haptoglobins CPT 83012 not published not published $18.24 – $108.04 7
Assay of idh enzyme CPT 83570 not published not published $9.38 – $108.04 7
Assay of intrinsic factor CPT 83528 not published not published $16.68 – $108.04 7
Assay of lap enzyme CPT 83670 not published not published $9.64 – $108.04 7
Assay of leflunomide CPT 80193 not published not published $43.78 – $43.78 1
Assay of lrh hormone CPT 83727 not published not published $18.24 – $111.67 7
Assay of methemalbumin CPT 83857 not published not published $11.20 – $108.04 7
Assay of neonatal thyroxine CPT 84437 $19.06 $51.50 $5.09 – $10.01 7
Assay of osteocalcin CPT 83937 $54.58 $147.50 $31.53 – $111.67 7
Assay of phenylketones CPT 84035 not published not published $3.91 – $60.18 7
Assay of pregnanediol CPT 84135 not published not published $20.06 – $111.67 7
Assay of pregnanetriol CPT 84138 not published not published $20.06 – $111.67 7
Assay of procainamide w/metab CPT 80192 $42.64 $115.25 $17.72 – $40.77 7
Assay of progesterone CPT 84234 not published not published $68.53 – $111.67 7
Assay of prostaglandin CPT 84150 $462.96 $1,251.25 $26.32 – $111.67 7
Assay of PSA complexed CPT 84152 not published not published $19.28 – $60.18 7
Assay of quinine CPT 84228 not published not published $12.25 – $129.19 7
Assay of rbc pg6d enzyme CPT 84085 not published not published $7.04 – $108.04 7
Assay of salicylate CPT 80179 not published not published $21.16 – $21.16 1
Assay of semen fructose CPT 82757 not published not published $18.24 – $108.04 7
Assay of sialic acid CPT 84275 not published not published $14.07 – $60.18 7
Assay of silica CPT 84285 not published not published $24.76 – $112.27 7
Assay of somatostatin CPT 84307 $131.91 $356.50 $19.28 – $111.67 7
Assay of thiocyanate CPT 84430 $62.72 $169.50 $12.25 – $112.27 7
Assay of troponin qual CPT 84512 not published not published $8.08 – $108.04 7
Assay of tyrosine CPT 84510 $67.53 $182.50 $10.94 – $108.04 7
Assay of urine sulfate CPT 84392 $19.52 $52.75 $4.95 – $11.56 7
Assay of urine urobilinogen CPT 84580 not published not published $7.56 – $108.04 7
Assay of urine urobilinogen CPT 84583 not published not published $5.21 – $60.18 7
Assay phosphatidylglycerol CPT 84081 not published not published $17.46 – $108.04 7
Assay phosphohexose enzymes CPT 84087 not published not published $10.94 – $108.04 7
Assay rbc glutathione CPT 82979 not published not published $7.30 – $108.04 7
Assay toxin or antitoxin CPT 87230 $57.54 $155.50 $20.85 – $113.14 7
Assess aphasia/interp/rpt/per hr 96105 CPT 96105 not published not published $79.42 – $117.68 2
Assess cyst contrast inject CPT 49424 not published not published $43.58 – $83.45 7
Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 $22.94 $62.00 $4.43 – $51.91 7
Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 not published not published $69.52 – $132.61 7
Assist-bilat spinal disk surgery add-on 63035 CPT 63035 not published not published $217.38 – $404.84 7
Assistive tech assessment, ot CPT 97755 not published not published $39.28 – $76.44 7
Assist oocyte fertilization CPT 89280 not published not published $195.81 – $195.81 5
Assist oocyte fertilization CPT 89281 not published not published $195.81 – $195.81 5
Ast/sgot CPT 84450 $37.93 $102.50 $5.47 – $33.65 7
Athrectomy fem/pop/unilateral 37225 CPT 37225 not published not published $697.13 – $1,351.78 6
Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 not published not published $815.41 – $1,577.98 6
Atomic absorption CPT 82190 $45.42 $122.75 $15.63 – $108.04 7
Atropine 0.1 mg/ml injection syringe HCPCS J0461 $9.25 $25.00 $0.07 – $0.07 5
Attach bladder/urethra comp 51841 CPT 51841 not published not published $878.25 – $1,677.83 7
Attach bladder/urethra simple 51840 CPT 51840 not published not published $735.67 – $1,410.28 7
Attach ocular implant CPT 65140 not published not published $802.41 – $1,730.87 7
Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 not published not published $85.60 – $88.04 2
Aud brainstem implt programg CPT 92640 not published not published $94.35 – $221.52 7
Audiometry air + bone CPT 92553 not published not published $30.86 – $76.44 7
Auditory function 60 min CPT 92620 not published not published $89.04 – $177.85 7
Augmentation cheek bone CPT 21270 not published not published $771.47 – $1,580.32 7
Augmentation lower jaw bone CPT 21125 not published not published $815.80 – $1,660.66 7
Augmentation lower jaw bone CPT 21127 not published not published $958.53 – $1,901.68 7
Augmentation of facial bones CPT 21208 not published not published $901.56 – $1,830.70 7
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 not published not published $254.80 – $7,441.26 6
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 not published not published $585.64 – $12,328.17 6
Autgrft implnt knee w/scope CPT 29866 not published not published $1,144.98 – $2,219.16 7
Autochondrocyte implant knee CPT 27412 not published not published $1,835.94 – $3,500.73 7
Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 not published not published $670.34 – $670.34 1
Autologous blood op salvage CPT 86891 not published not published $49.47 – $68.01 6
Autologous blood process CPT 86890 not published not published $43.52 – $49.47 6
Automated diff wbc count CPT 85004 $32.65 $88.25 $6.78 – $51.91 7
Autonomic nrv adrenrg inervj CPT 95922 not published not published $43.23 – $195.22 7
Autonomic nrv parasym inervj CPT 95921 not published not published $30.88 – $163.26 7
Autonomic nrv syst funj test CPT 95923 not published not published $55.62 – $458.49 7
Av fistula revision CPT 36833 not published not published $790.13 – $1,439.92 7
Av fuse uppr arm basilic CPT 36819 not published not published $837.13 – $1,620.88 7
Av fuse uppr arm cephalic CPT 36818 not published not published $791.69 – $1,473.46 7
Av fusion direct any site CPT 36821 not published not published $757.99 – $1,522.60 7
Av fusion/forearm vein 36820 CPT 36820 not published not published $835.31 – $1,772.99 7
Avul nail plate addl CPT 11732 $63.64 $172.00 $20.17 – $43.69 7
Avulsion nail plate partial/complete simple single nail plate CPT 11730 $105.45 $285.00 $62.23 – $109.98 7
Axillary lymphadenect/superficial 38740 CPT 38740 not published not published $738.45 – $1,469.55 7
Azacitidine injection HCPCS J9025 $201.43 $544.40 $4.81 – $9.22 6
Azathioprine 50 mg tablet HCPCS J7500 $1.36 $3.68 $0.27 – $0.28 5
Azathioprine parenteral HCPCS J7501 $160.88 $434.80 $344.40 – $369.00 5
Azithromycin 500 mg intravenous solution HCPCS J0456 $9.71 $26.25 $4.73 – $5.07 5
Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 $1,062.64 $2,872.00 $263.90 – $282.75 5
Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 $162.80 $440.00 $120.20 – $128.79 5
Baclofen eval charges CPT 97750 $44.49 $120.25 $34.84 – $70.21 7
Bacterial meningitis antigen CPT 86403 $52.17 $141.00 $10.68 – $62.53 7
Bacterial vaginosis pcr CPT 87801 $298.04 $805.50 $49.47 – $109.29 7
Bactericidal level serum CPT 87197 $51.06 $138.00 $15.90 – $56.64 7
#bac vag cand-c. albicans naa CPT 87481 $171.87 $464.50 $23.44 – $62.53 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.