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 |
|---|---|---|---|---|
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,165.91 | $8,556.50 | $145.93 – $295.63 | 7 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $965.12 – $1,811.21 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $434.80 – $87,973.00 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $453.39 – $87,973.00 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $417.28 – $87,973.00 | 7 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $238.95 – $471.13 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $567.16 – $930.59 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,660.74 – $5,069.36 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $176.98 – $310.20 | 6 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $254.54 – $499.99 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $418.62 – $31,789.00 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $377.85 – $31,789.00 | 7 |
| Rmvl pq iabp CPT 33968 | not published | not published | $38.39 – $72.55 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $228.46 – $446.96 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $656.04 – $1,402.45 | 7 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $390.53 – $87,973.00 | 7 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $316.14 – $678.63 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $348.36 | $941.50 | $100.02 – $165.30 | 7 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $713.55 – $1,347.09 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $543.61 – $1,032.74 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $311.21 – $585.02 | 7 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $46.58 – $85.02 | 7 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $229.40 | $620.00 | $0.07 – $0.18 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $13.81 – $79.86 | 7 |
| Routine footcare pt w lops HCPCS G0247 | $116.27 | $314.25 | $26.14 – $44.22 | 6 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,241.32 – $2,434.44 | 7 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,063.20 | $2,873.50 | $75.75 – $145.08 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $50.07 – $499.99 | 7 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $434.19 – $434.19 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $847.80 – $847.80 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $877.73 | $2,372.25 | $74.83 – $124.48 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $328.19 – $662.23 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $355.83 – $722.30 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $206.58 – $427.45 | 7 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,123.57 – $2,171.57 | 7 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,067.40 – $2,064.71 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $718.66 – $1,466.44 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $961.65 – $1,814.32 | 7 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,189.85 – $2,327.57 | 7 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,048.11 – $2,007.77 | 7 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $949.08 – $1,815.10 | 7 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $677.56 – $1,340.07 | 7 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $841.09 – $1,684.07 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,142.21 – $2,116.20 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $634.42 – $1,202.00 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $609.02 – $1,216.06 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $423.11 – $837.74 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $642.99 – $1,284.69 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $422.46 – $794.06 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,028.57 – $1,981.25 | 7 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $11.86 – $21.09 | 7 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $618.66 – $1,223.07 | 7 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $396.91 – $773.00 | 7 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $852.61 – $852.61 | 5 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,067.43 – $2,003.87 | 7 |
| Rsv assay w/optic CPT 87807 | $53.00 | $143.25 | $12.77 – $56.64 | 7 |
| Rubella antibody igg CPT 86762 | $60.40 | $163.25 | $15.11 – $62.53 | 7 |
| Rubeola antibody igg CPT 86765 | $50.23 | $135.75 | $13.55 – $31.35 | 7 |
| Russell viper venom diluted CPT 85613 | $60.22 | $162.75 | $10.16 – $100.82 | 7 |
| Salivary gland function exam CPT 78232 | not published | not published | $29.80 – $200.47 | 7 |
| Salivary gland imaging CPT 78230 | not published | not published | $28.06 – $354.13 | 7 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $32.54 – $265.21 | 7 |
| Salmonella antibody CPT 86768 | $22.20 | $60.00 | $11.38 – $22.32 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $964.59 – $1,845.53 | 7 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $93.22 – $131.77 | 2 |
| Sargramostim injection HCPCS J2820 | $451.34 | $1,219.85 | $23.75 – $50.49 | 6 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $469.36 – $945.38 | 7 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $146.81 – $149.38 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $74.69 – $75.69 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $99.15 – $100.22 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $48.87 – $48.95 | 2 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $444.65 | $1,201.75 | $114.12 – $743.37 | 7 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $348.91 | $943.00 | $75.74 – $433.70 | 7 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $188.52 | $509.50 | $41.01 – $471.92 | 7 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $163.45 | $441.75 | $27.49 – $326.04 | 7 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $251.05 | $678.50 | $25.11 – $349.45 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $385.36 | $1,041.50 | $28.36 – $234.01 | 7 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $395.99 | $1,070.25 | $36.34 – $512.47 | 7 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $294.43 | $795.75 | $24.64 – $294.84 | 7 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $280.83 | $759.00 | $19.40 – $325.27 | 7 |
| Scan proc cranial extra CPT 61782 | not published | not published | $197.80 – $352.37 | 6 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $269.15 – $427.88 | 6 |
| Scan proc spinal CPT 61783 | not published | not published | $264.36 – $428.56 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,261.42 | $3,409.25 | $138.64 – $239.64 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $472.26 – $917.31 | 7 |
| Screening Mammogram CPT 77067 | $140.60 | $380.00 | $100.61 – $245.26 | 6 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.69 – $5.45 | 7 |
| Sc ther infusion reset pump CPT 96371 | $49.58 | $134.00 | $69.34 – $198.90 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $877.92 – $1,734.76 | 7 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $283.75 – $549.13 | 7 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $66.51 | $179.75 | $6.24 – $6.24 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $20.81 | $56.25 | $2.87 – $51.91 | 7 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,619.40 – $3,097.46 | 7 |
| Select picture audiometry CPT 92583 | not published | not published | $35.43 – $106.09 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $12.65 – $23.80 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $9.46 – $17.68 | 7 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.77 – $113.79 | 7 |
| Semen analysis w/count CPT 89310 | not published | not published | $9.12 – $113.79 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $20.62 – $120.41 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.65 – $155.23 | 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.