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 |
|---|---|---|---|---|
| Treatment of thigh fracture CPT 27509 | not published | not published | $695.20 – $1,361.91 | 7 |
| Treatment of thigh fracture CPT 27510 | $2,628.48 | $7,104.00 | $752.28 – $1,453.95 | 7 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $1,107.36 – $2,113.86 | 7 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $616.80 – $1,222.28 | 7 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $980.92 – $1,886.08 | 7 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $1,104.46 – $2,114.64 | 7 |
| Treatment of toe fracture 28510 CPT 28510 | $376.11 | $1,016.50 | $118.80 – $255.85 | 7 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $511.95 – $958.64 | 7 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $200.92 – $382.99 | 7 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $208.07 – $393.91 | 7 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $233.08 – $443.05 | 6 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $334.62 – $2,067.06 | 7 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $501.65 – $1,001.54 | 7 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $585.60 – $1,210.59 | 7 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $358.64 – $731.65 | 7 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $585.33 – $1,124.00 | 7 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $281.71 – $503.89 | 7 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $680.15 – $1,295.61 | 7 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $1,032.83 – $1,914.94 | 7 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $968.62 – $1,797.16 | 7 |
| Treat penis lesion graft CPT 54111 | not published | not published | $907.95 – $1,692.65 | 7 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,056.25 – $1,982.02 | 7 |
| Treat radius fracture CPT 24665 | not published | not published | $701.05 – $1,373.61 | 7 |
| Treat radius fracture CPT 24666 | not published | not published | $799.22 – $1,546.78 | 7 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $200.75 – $407.95 | 7 |
| Treat skull fracture CPT 62000 | not published | not published | $949.01 – $2,159.10 | 7 |
| Treat skull fracture CPT 62005 | not published | not published | $1,330.64 – $2,660.65 | 7 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $1,008.70 – $1,938.35 | 7 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $175.97 – $373.64 | 7 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $170.16 – $344.77 | 7 |
| Treat sternum fracture CPT 21820 | not published | not published | $137.86 – $308.10 | 7 |
| Treat tail bone fracture CPT 27202 | not published | not published | $608.88 – $1,124.79 | 7 |
| Treat thigh fracture CPT 27230 | $728.90 | $1,970.00 | $494.38 – $869.36 | 7 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,005.35 – $1,921.96 | 7 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,323.63 – $2,536.62 | 7 |
| Treat thigh fracture CPT 27238 | $2,289.56 | $6,188.00 | $484.69 – $973.47 | 7 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,365.09 – $2,608.38 | 7 |
| Treat thigh fracture CPT 27246 | $720.76 | $1,948.00 | $411.12 – $815.13 | 7 |
| Treat thigh fracture CPT 27248 | not published | not published | $821.13 – $1,572.53 | 7 |
| Treat thigh fx growth plate CPT 27516 | $1,114.44 | $3,012.00 | $485.79 – $1,003.10 | 7 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $705.65 – $1,444.59 | 7 |
| Treat thumb fracture CPT 26650 | not published | not published | $500.53 – $1,000.76 | 7 |
| Treat thumb fracture CPT 26665 | not published | not published | $650.68 – $1,323.69 | 7 |
| Treat toe dislocation CPT 28636 | not published | not published | $226.61 – $415.76 | 7 |
| Treat toe dislocation CPT 28665 | not published | not published | $145.79 – $283.92 | 7 |
| Treat toe dislocation CPT 28666 | not published | not published | $204.55 – $411.85 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $428.23 – $856.46 | 7 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $909.44 – $1,829.15 | 7 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,179.66 – $2,336.16 | 7 |
| Treat ulnar fracture CPT 24675 | $2,628.48 | $7,104.00 | $436.11 – $877.53 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $704.21 – $1,380.64 | 7 |
| Treat vaginal bleeding CPT 57180 | $142.27 | $384.50 | $115.76 – $197.96 | 7 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $402.71 – $847.87 | 7 |
| Treat wrist dislocation CPT 25675 | $534.93 | $1,445.75 | $410.32 – $855.68 | 7 |
| Treponema pallidum antibody CPT 86780 | $59.02 | $159.50 | $20.61 – $32.22 | 6 |
| Treprostinil injection HCPCS J3285 | $4,774.98 | $12,905.36 | $55.89 – $103.98 | 6 |
| Trg gene rearrangement anal CPT 81342 | $214.32 | $579.25 | $79.86 – $313.71 | 6 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $27.12 | $73.30 | $2.88 – $3.09 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $10.38 | $28.05 | $3.59 – $6.29 | 6 |
| Trichinella antibody CPT 86784 | $41.07 | $111.00 | $13.29 – $79.86 | 7 |
| Trichomonas assay w/optic CPT 87808 | $23.31 | $63.00 | $12.77 – $56.64 | 7 |
| Triglycerides CPT 84478 | $19.80 | $53.50 | $5.99 – $33.65 | 7 |
| Trimethobenzamide hcl inj HCPCS J3250 | $77.98 | $210.75 | $14.90 – $15.96 | 5 |
| Trim nail(s) HCPCS G0127 | $132.92 | $359.25 | $8.73 – $16.37 | 6 |
| Trim nondyst nails CPT 11719 | $120.25 | $325.00 | $8.73 – $16.37 | 7 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,027.81 – $2,078.76 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,077.08 – $2,319.78 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $754.80 | $2,040.00 | $512.05 – $1,009.35 | 7 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $1,238.00 – $2,201.22 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $1,133.45 – $2,336.95 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $928.36 – $1,506.75 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $245.60 – $450.07 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $173.52 – $314.35 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $344.42 – $674.72 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $346.62 – $667.70 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $442.76 – $874.40 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $268.70 – $539.77 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $141.22 – $315.12 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $386.33 – $772.23 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $976.30 – $1,886.87 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $248.35 – $468.79 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,456.14 | $3,935.50 | $740.17 – $1,440.69 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $919.78 – $1,775.33 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $791.89 – $1,535.08 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $714.14 – $1,394.68 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $536.33 – $1,072.52 | 7 |
| Troponin quantitative CPT 84484 | $119.05 | $321.75 | $10.42 – $108.04 | 7 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $1,169.59 – $2,464.09 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $400.77 – $789.38 | 7 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $84.57 – $155.23 | 7 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,273.33 – $2,483.58 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,160.06 – $2,283.90 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $1,273.90 – $11,285.00 | 7 |
| Tx closed distal humerus fx CPT 24999 | $135.14 | $365.25 | $182.63 – $2,247.03 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | $526.79 | $1,423.75 | $205.25 – $395.46 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $622.14 – $1,217.61 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $417.27 | $1,127.75 | $319.27 – $670.82 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $128.04 – $245.70 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $79.75 – $160.68 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,041.03 – $1,811.21 | 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.