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
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.