How many shoppable procedure prices are published for Ascension St John Nowata?

Ascension St John Nowata in Nowata, OK currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ascension St John Nowata's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ascension St John Nowata's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 01/01/2026

Ascension St John Nowata

237 South Locust Street, Nowata, OK 74048 · 121 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness56

Price Logic70

Peer Alignment70

Clean Billing77

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Ascension St John Nowata maintains elevated commercial insurance contracts (1.49× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 41% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#56 of 81 in OK · 67th State Percentile#2,625 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (26.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 1.47× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.92×) jump +31% above the median procedure ratio (Q50 1.47×)
Unnegotiated chargemaster list prices average 9.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+31% Upper Tail

Q25 0.78× · Q50 1.47× · Q75 1.92×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Ascension St John Nowata

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,493	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,493	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,493	$19,432	0.8×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$16,493	$30,775	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$16,493	$8,223	unverified
C-section delivery (full package) CPT Code: `59510`	—	$4,044	$2,975	1.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,660	$2,680	1.4×
Total knee replacement CPT Code: `27447`	—	$3,265	$13,523	0.2×
Total hip replacement CPT Code: `27130`	—	$3,058	$13,413	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,394	$2,540	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,398	$6,109	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,293	$1,021	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,279	$1,147	$511	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,148	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	—	$1,118	$3,446	0.3×
Inguinal hernia repair CPT Code: `49505`	—	$1,105	$3,629	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$871	$874	$343	2.5×
Breast lump removal CPT Code: `19120`	—	$873	$3,875	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$925	$765	$338	2.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,188	$706	$448	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,465	$568	$369	1.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$559	$1,256	0.4×
CT scan, sinuses CPT Code: `70486`	$447	$466	$166	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$921	$474	$303	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$826	$439	$169	2.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$844	$428	$168	2.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,065	$449	$258	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$469	$981	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$953	$429	$167	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$883	$443	$242	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$407	$387	$272	1.4×
Blood transfusion CPT Code: `36430`	$393	$393	$498	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$856	$386	$583	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$408	$408	$855	unverified
CT scan, pelvis CPT Code: `72192`	$944	$357	$163	2.2×
Rabies immune globulin HCPCS Code: `90375`	$2,612	$347	$322	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$371	$987	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$892	$338	$160	2.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$527	$289	$134	2.2×
X-ray, shoulder CPT Code: `73030`	$198	$259	$92	2.8×
X-ray, foot CPT Code: `73630`	$205	$259	$92	2.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$148	$259	$93	2.8×
X-ray, hand CPT Code: `73130`	$197	$259	$93	2.8×
X-ray, ankle CPT Code: `73610`	$202	$259	$93	2.8×
X-ray, pelvis CPT Code: `72170`	$116	$259	$110	2.4×
X-ray, lower back CPT Code: `72110`	$227	$259	$112	2.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$209	$284	$148	1.9×
Ultrasound, pelvis CPT Code: `76856`	$485	$257	$130	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$408	$251	$132	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$121	$260	$185	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$141	$229	$123	1.9×
Review of medical records for care CPT Code: `90889`	—	$204	$114	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$363	$222	$126	1.8×
Family therapy session CPT Code: `90847`	—	$205	$173	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$66	$154	$86	1.8×
Care planning with family CPT Code: `90887`	—	$161	$107	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$179	$151	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$124	$120	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$148	$123	$123	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$142	$181	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$35	$92	$35	2.6×
Orthotic fitting and training CPT Code: `97760`	$35	$80	$51	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$111	$80	$87	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$94	$166	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$104	$231	0.5×
Typhoid vaccine HCPCS Code: `90675`	$545	$353	$347	1.0×
Blood test, vitamin D CPT Code: `82306`	$131	$131	$31	4.2×
Drug screening test HCPCS Code: `G0480`	$79	$125	$116	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$150	$203	0.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$85	$85	$10	8.5×
Occupational therapy (self-care training) CPT Code: `97535`	$43	$73	$38	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$34	$63	$34	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$70	$38	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$115	$89	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$151	$109	$140	0.8×
Culture, blood CPT Code: `87040`	$62	$62	$11	5.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$77	$77	$19	4.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$44	$70	$38	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$73	$40	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$45	$45	$8	5.6×
Prosthetic fitting and training CPT Code: `97761`	$29	$70	$45	1.6×
X-ray, hip CPT Code: `73502`	$122	$68	$93	0.7×
Blood test, calcium CPT Code: `82310`	$36	$36	$5	7.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$25	$4	6.3×
Blood test, magnesium CPT Code: `83735`	$36	$36	$7	5.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$61	$59	$56	1.1×
Blood test, potassium CPT Code: `84132`	$25	$25	$5	5.0×
Blood test, sodium CPT Code: `84295`	$25	$25	$5	5.0×
Culture, bacterial CPT Code: `87070`	$43	$43	$9	4.8×
Hepatitis C antibody test CPT Code: `86803`	$49	$49	$15	3.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$33	$68	$35	1.9×
Physical therapy (gait training) CPT Code: `97116`	$30	$60	$33	1.8×
Blood antibody screen CPT Code: `86850`	$34	$63	$46	1.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$19	$4	4.8×
Blood test, lipase CPT Code: `83690`	$33	$33	$7	4.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$20	$20	$5	4.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$41	$41	$11	3.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$22	$6	3.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$44	$44	$14	3.1×
Blood test, vitamin B12 CPT Code: `82607`	$46	$46	$16	2.9×
Blood test, basic metabolic panel CPT Code: `80048`	$32	$21	$9	2.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$47	$25	$14	1.8×
Speech therapy (group session) CPT Code: `92508`	—	$44	$27	1.6×
X-ray, chest (two views) CPT Code: `71046`	$118	$32	$93	0.3×
Blood test, liver function panel CPT Code: `80076`	$44	$44	$9	unverified
Blood test, hemoglobin CPT Code: `85018`	$15	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$10	$5	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$41	$31	$18	1.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$30	$25	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$34	$34	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$46	$33	$39	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$35	$49	0.7×
Group therapy session CPT Code: `90853`	—	$55	$100	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$15	$25	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$22	$22	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$22	$22	$49	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$69	$17	$64	0.3×
X-ray, chest (single view) CPT Code: `71045`	$86	$18	$92	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$30	$38	$201	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$33	$33	$3	unverified
Blood test, amylase CPT Code: `82150`	$30	$30	$7	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 26.3%

Audit a Bill or Quote at Ascension St John Nowata (Zero PHI Required)

CMS CCN: 371305

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $16,493

1. Amount on Your Bill or Quote ($) Pre-filled with Ascension St John Nowata’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $10,402 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $10,402

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (26.3% of gross = $10,402).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ascension St John Nowata's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$21,647 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($39,583) is $21,647 above the denoised Fair BaseRate ($17,936) and 3.1× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (26.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100

Median ER Wait91 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Ascension St John Nowata. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-11·administrative_or_closure
Met Requirements
Recorded
2024-03-19·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ascension St John Nowata.

Price Index: 0.42× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+75.8%

Median Household Income$52,679U.S. Census ACS

Local Uninsured Share15.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 371305

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 371305) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows832 (CMS v3.0.0)

File Integrity DigestVerified · CCN 371305

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy