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 |
|---|---|---|---|---|
| Thyroxine binding globulin (tbg) CPT 84442 | $61.42 | $166.00 | $15.63 – $85.28 | 7 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $861.62 – $1,663.79 | 7 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,097.18 – $2,106.83 | 7 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $873.63 – $1,667.68 | 6 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $455.06 – $847.87 | 6 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $378.93 – $723.86 | 6 |
| Tigecycline injection HCPCS J3243 | $178.71 | $483.00 | $2.80 – $3.00 | 5 |
| Tilt table study CPT 93660 | $487.29 | $1,317.00 | $64.68 – $285.03 | 7 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $696.08 | $1,881.30 | $7.98 – $15.26 | 6 |
| Tissue culture placenta CPT 88235 | not published | not published | $155.31 – $229.28 | 7 |
| Tissue culture skin/biopsy CPT 88233 | $560.27 | $1,514.25 | $148.53 – $219.10 | 7 |
| Tissue culture tumor CPT 88239 | $320.05 | $865.00 | $155.57 – $229.68 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | $21.09 | $57.00 | $4.43 – $56.64 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $862.33 – $2,010.89 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,131.30 – $2,504.65 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $995.13 – $2,243.34 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,351.30 – $2,875.15 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,698.79 – $5,180.11 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,773.32 – $5,312.72 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $511.81 – $1,006.23 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $141.75 | $383.11 | $4.14 – $4.44 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $65.95 | $178.25 | $16.94 – $129.19 | 7 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $25.62 | $69.25 | $5.87 – $6.29 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $34.97 | $94.50 | $25.50 – $92.06 | 4 |
| Tomosynthesis breast screen bilateral CPT 77063 | $34.97 | $94.50 | $25.50 – $98.64 | 6 |
| Tone decay hearing test CPT 92563 | not published | not published | $21.90 – $64.74 | 7 |
| Tongue base vol reduction CPT 41530 | not published | not published | $408.08 – $879.07 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $121.16 – $241.81 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $666.87 – $1,350.22 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $429.48 – $938.36 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $277.42 – $544.45 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $288.49 – $567.86 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $28.64 | $77.40 | $3.75 – $4.02 | 5 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,510.05 – $2,861.89 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,863.15 – $3,559.23 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,507.65 – $3,058.45 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $1,127.40 – $2,162.21 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,506.93 – $3,265.16 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $390.50 – $776.91 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,375.04 – $2,616.82 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,829.01 – $3,507.75 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,915.70 – $3,074.84 | 7 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $567.72 – $1,174.11 | 6 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,884.69 – $5,453.90 | 7 |
| Toxoplasma antibody igg CPT 86777 | $49.77 | $134.50 | $15.11 – $79.86 | 7 |
| Toxoplasma antibody igm CPT 86778 | $48.93 | $132.25 | $15.11 – $79.86 | 7 |
| Tp53 gene full gene sequence CPT 81351 | $535.76 | $1,448.00 | $728.50 – $728.50 | 1 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $373.99 – $373.99 | 1 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $198.41 – $283.19 | 6 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $226.55 – $648.20 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $381.54 – $741.03 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $127.95 – $276.90 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $472.94 – $971.13 | 7 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $40.89 | $110.50 | $58.61 – $97.28 | 6 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $338.01 – $669.25 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,306.99 – $2,475.79 | 6 |
| Transcath biopsy CPT 37200 | not published | not published | $251.02 – $482.84 | 7 |
| Transcath closure of asd CPT 93580 | not published | not published | $1,112.12 – $2,094.36 | 7 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,525.79 – $2,826.01 | 7 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $52.84 – $542.92 | 6 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $484.53 – $1,005.40 | 6 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $2,043.49 – $3,216.90 | 6 |
| Transcath occlusion cns CPT 61624 | not published | not published | $1,301.65 – $2,347.08 | 7 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $980.96 – $1,824.47 | 7 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $2,194.43 – $3,966.41 | 6 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $7.81 – $60.18 | 6 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $900.08 – $1,741.00 | 7 |
| Transfer of embryo CPT 58976 | not published | not published | $242.21 – $447.73 | 7 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $1,056.55 – $2,044.43 | 7 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $944.42 – $1,896.23 | 7 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $943.18 – $1,826.02 | 7 |
| Transferrin CPT 84466 | $53.47 | $144.50 | $13.55 – $60.18 | 7 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $414.42 – $816.67 | 7 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $684.86 – $1,462.53 | 7 |
| Transfusion blood/blood component(s) CPT 36430 | $393.40 | $1,063.25 | $35.58 – $67.85 | 7 |
| Transperi needle place pros CPT 55875 | not published | not published | $857.20 – $9,028.00 | 8 |
| Transplant forearm tendon CPT 25310 | not published | not published | $677.61 – $1,300.29 | 7 |
| Transplant forearm tendon CPT 25312 | not published | not published | $787.91 – $1,514.01 | 7 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $892.91 – $1,746.47 | 7 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $932.11 – $1,945.37 | 7 |
| Transplant hand tendon CPT 26480 | not published | not published | $786.13 – $1,558.47 | 7 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $667.44 – $1,296.40 | 7 |
| Transplant palm tendon CPT 26485 | not published | not published | $853.64 – $1,671.58 | 7 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $987.52 – $1,932.88 | 7 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $133.20 – $251.17 | 6 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $148.51 – $356.47 | 7 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $113.22 – $248.04 | 7 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $149.31 – $354.13 | 7 |
| Transposition of vein valve CPT 34510 | not published | not published | $1,307.31 – $2,552.22 | 7 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,414.61 – $2,677.82 | 6 |
| Transurethral rf treatment CPT 53860 | not published | not published | $252.93 – $432.64 | 6 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $194.29 | $525.10 | $127.74 – $136.86 | 5 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $77.20 – $79.86 | 6 |
| Treat ankle dislocation CPT 27842 | $2,132.50 | $5,763.50 | $525.53 – $1,049.13 | 7 |
| Treat ankle dislocation CPT 27846 | not published | not published | $802.74 – $1,552.25 | 7 |
| Treat ankle dislocation CPT 27848 | not published | not published | $890.49 – $1,716.04 | 7 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,177.11 – $2,266.74 | 7 |
| Treat big toe fracture CPT 28505 | not published | not published | $541.12 – $1,068.64 | 7 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $574.95 – $1,137.26 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | $759.61 | $2,053.00 | $297.47 – $666.14 | 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.