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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44376 | not published | not published | $325.60 – $653.65 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $441.08 – $887.66 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $82.98 – $175.51 | 7 |
| Small bowel endoscopy CPT 44384 | not published | not published | $174.89 – $304.06 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $219.26 – $444.62 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $206.10 – $422.78 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $181.35 – $372.07 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $343.09 – $691.87 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $63.54 – $145.86 | 7 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $96.23 – $96.23 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $304.68 – $617.77 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $23.13 | $62.50 | $5.73 – $56.64 | 7 |
| Smear gram stain CPT 87205 | $42.37 | $114.50 | $4.43 – $56.64 | 7 |
| Smear nasal eosinophil CPT 89190 | $21.65 | $58.50 | $4.95 – $11.56 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.08 | $140.75 | $6.25 – $14.58 | 7 |
| Smear wet mount CPT 87210 | $21.74 | $58.75 | $4.43 – $56.64 | 7 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $316.41 – $342.03 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $53.34 – $79.86 | 6 |
| Snrpn/ube3a gene CPT 81331 | $479.34 | $1,295.50 | $57.96 – $79.86 | 6 |
| Sodium 24 hour urine CPT 84300 | $47.18 | $127.50 | $5.21 – $11.84 | 7 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $48.58 | $131.31 | $1.88 – $2.01 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $48.71 | $131.64 | $0.94 – $1.00 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $24.18 | $65.34 | $0.48 – $0.51 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $17.39 | $47.00 | $0.03 – $0.03 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.45 | $25.55 | $4.09 – $4.38 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $24.88 | $67.25 | $4.95 – $33.65 | 7 |
| Somatosensory testing CPT 95927 | not published | not published | $34.07 – $344.77 | 7 |
| Somatropin injection HCPCS J2941 | $339.59 | $917.80 | $58.84 – $139.84 | 6 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $138.18 – $988.50 | 6 |
| Special physics consult CPT 77370 | not published | not published | $124.40 – $445.27 | 7 |
| Special radiation dosimetry CPT 77331 | not published | not published | $19.41 – $359.39 | 7 |
| Special radiation treatment CPT 77470 | not published | not published | $39.53 – $319.82 | 7 |
| Special teletx port plan CPT 77321 | not published | not published | $44.56 – $857.53 | 7 |
| Specific gravity body fluid CPT 84315 | $14.99 | $40.50 | $2.61 – $6.11 | 7 |
| Specimen fat stain CPT 89125 | not published | not published | $4.43 – $113.79 | 7 |
| Speech audiometry complete CPT 92556 | not published | not published | $26.47 – $75.66 | 7 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.51 – $192.66 | 7 |
| Speech recep thresh CPT 92555 | not published | not published | $17.12 – $48.37 | 7 |
| Sperm antibody test CPT 89325 | not published | not published | $11.20 – $113.79 | 7 |
| Sperm identification CPT 89257 | not published | not published | $113.79 – $113.79 | 5 |
| Sperm isolation complex CPT 89261 | not published | not published | $113.79 – $113.79 | 5 |
| Sperm isolation simple CPT 89260 | not published | not published | $113.79 – $113.79 | 5 |
| Sperm washing 58323 CPT 58323 | not published | not published | $13.34 – $26.52 | 7 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $686.71 – $1,373.61 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $825.47 – $1,634.93 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $127.35 – $235.57 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $147.29 – $1,156.50 | 6 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $164.72 – $244.04 | 6 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $159.01 | $429.75 | $18.02 – $244.04 | 7 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $102.26 – $244.04 | 6 |
| Spleen imaging CPT 78185 | not published | not published | $25.32 – $432.91 | 7 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,245.51 – $2,451.60 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $770.73 – $1,489.06 | 7 |
| Split blood or products CPT 86985 | $65.12 | $176.00 | $10.94 – $49.47 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $10.55 – $56.64 | 7 |
| Srs linear based CPT 77372 | not published | not published | $892.56 – $1,539.76 | 7 |
| Srs multisource CPT 77371 | not published | not published | $1,491.30 – $15,442.16 | 6 |
| Staggered spondaic word test CPT 92572 | not published | not published | $18.63 – $108.43 | 7 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,055.11 – $2,019.47 | 7 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $64.57 | $174.50 | $97.44 – $168.01 | 6 |
| Staph a dna amp probe CPT 87640 | not published | not published | $37.00 – $113.14 | 7 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $106.28 | $287.25 | $99.56 – $126.06 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $38.03 – $79.86 | 7 |
| Stenger test pure tone CPT 92565 | not published | not published | $13.53 – $34.31 | 7 |
| Stenger test speech CPT 92577 | not published | not published | $15.46 – $38.22 | 7 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $840.66 – $1,631.02 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $571.46 – $1,107.63 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $246.72 – $468.79 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,255.23 – $2,314.31 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $804.85 – $1,533.52 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,507.00 – $2,945.36 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $594.56 – $1,161.45 | 7 |
| St evaluate speech sound production CPT 92522 | $68.64 | $185.50 | $100.67 – $161.90 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $142.36 | $384.75 | $213.90 – $383.77 | 6 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $134.59 | $363.75 | $92.82 – $259.34 | 7 |
| St evaluation swallow function CPT 92610 | $88.43 | $239.00 | $80.66 – $145.08 | 7 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $507.07 – $957.87 | 7 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $113.79 – $113.79 | 5 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $113.79 – $113.79 | 5 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $113.79 – $113.79 | 5 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $113.79 – $113.79 | 5 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $549.17 – $1,049.13 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $89.36 | $241.50 | $20.58 – $55.38 | 7 |
| Strapping of chest CPT 29200 | $111.37 | $301.00 | $20.57 – $85.81 | 7 |
| Strapping of elbow or wrist 29260 CPT 29260 | $176.31 | $476.50 | $22.02 – $80.34 | 7 |
| Strapping of hand or finger CPT 29280 | $153.74 | $415.50 | $22.02 – $77.23 | 7 |
| Strapping of hip CPT 29520 | $114.33 | $309.00 | $20.93 – $75.66 | 7 |
| Strapping of knee CPT 29530 | $93.52 | $252.75 | $20.57 – $81.12 | 7 |
| Strapping of toes 29550 CPT 29550 | $78.90 | $213.25 | $13.08 – $41.35 | 7 |
| Strep a ag ia CPT 87430 | not published | not published | $12.77 – $62.53 | 7 |
| Strep a dna dir probe CPT 87650 | not published | not published | $21.11 – $62.53 | 7 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.77 – $56.64 | 7 |
| Strep b dna amp probe CPT 87653 | not published | not published | $37.00 – $113.14 | 7 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.73 – $62.53 | 7 |
| Streptomycin injection HCPCS J3000 | $26.21 | $70.85 | $16.52 – $17.70 | 5 |
| Streptozocin injection HCPCS J9320 | $459.11 | $1,240.85 | $441.31 – $472.83 | 5 |
| Stress test pulmonary CPT 94618 | $135.61 | $366.50 | $19.03 – $20.39 | 5 |
| Stress tte complete CPT 93351 | not published | not published | $120.48 – $478.93 | 7 |
| Str markers spec anal addl CPT 81266 | not published | not published | $79.86 – $345.96 | 6 |
| Str markers specimen anal CPT 81265 | not published | not published | $79.86 – $334.81 | 6 |
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.