healthcosts.net

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
Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 not published not published $985.51 – $1,960.97 7
Tx l/r atrial fib addl CPT 93657 not published not published $482.10 – $11,285.00 7
Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 $1,679.52 $4,539.25 $752.58 – $1,359.13 7
Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 $2,930.49 $7,920.25 $495.49 – $919.02 7
Tx open iphlngl jt disl internal fixation sngl CPT 26785 $3,238.80 $8,753.50 $541.93 – $1,002.01 7
Tx open nsl fx uncomp CPT 21325 not published not published $490.47 – $992.97 7
Tx open nsl sptl fx CPT 21336 not published not published $678.04 – $1,375.95 7
Tx phalangeal shaft fx open prox/middle ea CPT 26735 $1,391.29 $3,760.25 $611.43 – $1,094.52 7
Tx septic abortion surgical 59830 CPT 59830 not published not published $486.31 – $936.02 7
Tx tarsal bone fx without manip 28450 CPT 28450 $376.11 $1,016.50 $195.31 – $408.72 7
Tympanic membrane repair CPT 69610 not published not published $321.59 – $627.13 7
Tympanolysis transcanal 69450 CPT 69450 not published not published $574.77 – $1,173.93 7
Tympanometry & reflex thresh CPT 92550 not published not published $23.26 – $44.46 6
Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 not published not published $140.19 – $286.26 7
Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 not published not published $1,484.50 – $2,963.30 7
Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 not published not published $1,315.55 – $2,634.13 7
Ua w/micro/comp poc CPT 81000 not published not published $3.39 – $40.83 7
Ugt1a1 gene analy common variants CPT 81350 not published not published $79.86 – $265.59 6
Ultrasound abdomen aorta screening study aaa CPT 76706 not published not published $67.19 – $169.37 6
Ultrasound bone density measure CPT 76977 not published not published $3.44 – $12.24 7
Ultrasound breast complete CPT 76641 $695.23 $1,879.00 $72.22 – $185.72 6
Ultrasound breast unilateral limited (both sides) CPT 76642 $695.23 $1,879.00 $55.33 – $153.06 6
Ultrasound chest CPT 76604 $263.90 $713.25 $34.35 – $181.75 7
Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 $340.03 $919.00 $23.00 – $420.03 7
Ultrasound dx ophth b-scan CPT 76512 $256.50 $693.25 $40.25 – $198.13 7
Ultrasound elastography ea l target les CPT 76983 $114.33 $309.00 $38.73 – $38.73 1
Ultrasound elastography parenchyma CPT 76981 $114.33 $309.00 $80.21 – $80.21 1
Ultrasound encephalogram CPT 76506 $226.26 $611.50 $40.47 – $258.19 7
Ultrasound exam k transpl w/doppler CPT 76776 $398.49 $1,077.00 $47.67 – $315.12 7
Ultrasound fetal biophysical profile without non-stress testing CPT 76819 $294.06 $794.75 $47.35 – $420.03 7
Ultrasound guidance for vascular access CPT 76937 $155.49 $420.25 $17.24 – $64.62 7
Ultrasound guided needle placement supervision & interpretation CPT 76942 $289.99 $783.75 $28.39 – $426.10 7
Ultrasound guide intraoperative CPT 76998 $193.42 $522.75 $75.63 – $426.10 6
Ultrasound guide tissue ablation CPT 76940 not published not published $72.39 – $426.10 6
Ultrasound hips infant dynamic CPT 76885 $175.75 $475.00 $46.34 – $306.56 7
Ultrasound infant hips ltd without stress CPT 76886 $93.80 $253.50 $38.32 – $217.63 7
Ultrasound joint complete left CPT 76881 $205.63 $555.75 $88.38 – $251.17 6
Ultrasound joint/nonvascular extremity limited left CPT 76882 $154.75 $418.25 $11.51 – $74.10 6
Ultrasound ob >=14wks ea addl gest CPT 76810 $192.22 $519.50 $44.19 – $420.03 7
Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 $125.34 $338.75 $22.63 – $122.44 7
Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 $479.89 $1,297.00 $87.32 – $420.03 7
Ultrasound pregnant uterus follow up per fetus CPT 76816 $446.22 $1,206.00 $52.19 – $420.03 7
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 $350.02 $946.00 $40.13 – $420.03 7
Ultrasound pregnant uterus transvaginal CPT 76817 $272.04 $735.25 $46.01 – $420.03 7
Ultrasound prostate/transrectal CPT 76872 $295.45 $798.50 $44.69 – $151.33 7
Ultrasound retroperitoneal limited CPT 76775 $277.13 $749.00 $30.19 – $223.86 7
Ultrasound scrotum and contents CPT 76870 $299.15 $808.50 $36.65 – $255.85 7
Ultrasound spinal canal and contents CPT 76800 $175.01 $473.00 $60.01 – $273.79 7
Ultrasound transabd ea addl gest CPT 76812 $137.55 $371.75 $108.53 – $420.03 7
Ultrasound transvaginal non obstetric CPT 76830 $378.88 $1,024.00 $42.80 – $156.78 7
Ultrasound trgt dyn mbubb 1st les CPT 76978 not published not published $243.84 – $402.07 4
Ultraviolet therapy CPT 97028 not published not published $7.23 – $15.60 7
Umbilical artery cath newborn 36660 CPT 36660 not published not published $82.11 – $158.34 7
Umbilical cord occlud w/us CPT 59072 not published not published $529.06 – $1,123.23 7
Umbilicoplasty 15847 CPT 15847 not published not published $518.35 – $1,785.36 6
Unlistd noninvas vasc dx std CPT 93998 not published not published $319.48 – $319.48 5
Unlisted all/immlg svc/px CPT 95199 not published not published $485.04 – $485.04 5
Unlisted chemotherapy px CPT 96549 not published not published $159.67 – $159.67 5
Unlisted cranfcl&maxlfcl px CPT 21299 not published not published $428.50 – $4,162.07 6
Unlisted CT procedure CPT 76497 not published not published $194.22 – $194.22 5
Unlisted cv px dx nuc med CPT 78499 not published not published $49.14 – $49.14 5
Unlisted cytogenetic study CPT 88299 not published not published $195.81 – $195.81 5
Unlisted cytopathology px CPT 88199 not published not published $113.79 – $113.79 5
Unlisted dx gi procedure CPT 91299 not published not published $1,595.15 – $1,595.15 5
Unlisted endocrine px dx nuc CPT 78099 not published not published $1,279.16 – $1,279.16 5
Unlisted fetal invas px w/us CPT 59897 not published not published $353.59 – $353.59 5
Unlisted fluoroscopic px CPT 76496 not published not published $259.34 – $259.34 5
Unlisted gi px dx nuc med CPT 78299 not published not published $1,279.16 – $1,279.16 5
Unlisted gu px dx nuc med CPT 78799 not published not published $1,279.16 – $1,279.16 5
Unlisted hystsc px uterus CPT 58579 not published not published $8,183.00 – $8,183.00 5
Unlisted laparoscopic liver biopy 47379 CPT 47379 not published not published $8,183.00 – $8,183.00 5
Unlisted laparoscopic procedure 49659 CPT 49659 not published not published $8,183.00 – $8,183.00 5
Unlisted laparoscopic reduction intestine 44238 CPT 44238 not published not published $11,888.86 – $11,888.86 5
Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 not published not published $569.42 – $569.42 5
Unlisted laps px appendix CPT 44979 not published not published $1,276.89 – $1,276.89 5
Unlisted laps px bladder CPT 51999 not published not published $1,619.33 – $1,619.33 5
Unlisted laps px endoc sys CPT 60659 not published not published $8,183.00 – $8,183.00 5
Unlisted laps px esoph CPT 43289 not published not published $8,183.00 – $8,183.00 5
Unlisted laps px lymphtc sys CPT 38589 not published not published $1,132.59 – $1,132.59 5
Unlisted laps px ovidct ovry CPT 58679 not published not published $10,413.84 – $10,413.84 5
Unlisted laps px renal CPT 50549 not published not published $8,183.00 – $8,183.00 5
Unlisted laps px spleen CPT 38129 not published not published $10,413.84 – $10,413.84 5
Unlisted laps px testis CPT 54699 not published not published $8,183.00 – $8,183.00 5
Unlisted laps px ureter CPT 50949 not published not published $2,060.03 – $2,060.03 5
Unlisted laps px uterus CPT 58578 not published not published $8,183.00 – $8,183.00 5
Unlisted maxlfcl prosth px CPT 21089 not published not published $4,162.07 – $4,162.07 5
Unlisted misc path test CPT 89240 not published not published $113.79 – $113.79 5
Unlisted mr procedure CPT 76498 not published not published $664.57 – $664.57 5
Unlisted muscskel px dx nuc CPT 78399 not published not published $1,279.16 – $1,279.16 5
Unlisted muscskel px head CPT 21499 not published not published $4,162.07 – $4,162.07 5
Unlisted neurological dx px CPT 95999 not published not published $663.92 – $663.92 5
Unlisted nrvs sys px dx nuc CPT 78699 not published not published $1,279.16 – $1,279.16 5
Unlisted oph svc/procedure CPT 92499 not published not published $591.56 – $591.56 5
Unlisted orl service/px CPT 92700 not published not published $157.42 – $157.42 5
Unlisted procedure colon CPT 45399 not published not published $360.63 – $386.38 5
Unlisted procedure esophagus CPT 43499 not published not published $3,476.35 – $3,476.35 5
Unlisted procedure eyelids CPT 67999 not published not published $2,240.50 – $2,240.50 5
Unlisted procedure larynx CPT 31599 not published not published $4,162.07 – $4,162.07 5
Unlisted procedure liver CPT 47399 not published not published $738.50 – $3,476.35 6
Unlisted procedure microbiology CPT 87999 $234.58 $634.00 $56.64 – $317.00 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.