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Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) prices. From its own published file.

Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

11,287prices published
Jan 2026file last updated
$1,188cash price for ct abdomen and pelvis with contrast (list $3,210)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$69.93$199$69.41–$1,061
Emergency visit, high (level 4)
99284
$128$363$132–$1,591
Emergency visit, highest (level 5)
99285
$191$543$195–$3,183
Comprehensive metabolic panel
80053
$40.79$110$11.20–$110
Basic metabolic panel
80048
$31.73$85.75$8.86–$109
Complete blood count (CBC)
85025
$45.33$123$8.08–$61.25
Blood draw (venipuncture)
36415
$2.59$24.25$3.40–$24.25
Urinalysis
81001
$33.02$89.25$3.39–$44.63
Troponin (heart test)
84484
$69.38$188$10.42–$322
EKG tracing
93005
$68.82$186$8.63–$125
Chest X-ray, 2 views
71046
$118$320$23.34–$34.44
CT head without contrast
70450
$892$2,410$53.78–$338
CT abdomen and pelvis with contrast
74177
$1,188$3,210$222–$706
MRI lower back without contrast
72148
$925$2,500$92.97–$1,591
Ultrasound, abdomen
76700
$527$1,424$50.71–$289
IV push, single drug
96374
$41.81$229$59.10–$99.99
IV fluids, first hour
96360
$42.55$391$59.41–$116
Ketorolac injection, 15 mg
J1885
$4.85$26.25$0.62–$0.66
Ondansetron injection
J2405
$2.35$15.68$0.15–$0.17
Colonoscopy, diagnostic
45378
——$71.28–$469
Upper GI endoscopy with biopsy
43239
——$158–$371
Knee arthroscopy
29881
——$594–$1,148
Vaginal delivery, routine care
59400
——$2,005–$3,922
Cesarean delivery, routine care
59510
——$2,270–$4,333

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) price transparency page.

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