Ascension Via Christi Hospital Manhattan, Inc
1823 College Ave, Manhattan, KS · Ascension · · NPI 1760482517
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 |
|---|---|---|---|---|
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $464.53 – $4,493.48 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $322.87 – $4,322.36 | 9 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $595.15 – $7,105.36 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $225.00 – $3,890.58 | 9 |
| ER Visit (level 1, minor) CPT 99281 | $153.60 | $384.00 | $16.71 – $228.00 | 21 |
| ER Visit (level 2) CPT 99282 | $316.00 | $790.00 | $16.71 – $410.06 | 21 |
| ER Visit (level 3) CPT 99283 | $457.60 | $1,144.00 | $16.71 – $1,029.60 | 22 |
| ER Visit (level 4) CPT 99284 | $855.60 | $2,139.00 | $16.71 – $1,102.67 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $1,585.20 | $3,963.00 | $16.71 – $1,587.63 | 21 |
| Esophageal dilat s&i CPT 74360 | $422.00 | $1,055.00 | $21.62 – $35.28 | 6 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $67.42 – $138.02 | 6 |
| Esophageal motility CPT 78258 | not published | not published | $27.63 – $1,040.54 | 19 |
| Esophageal recording CPT 93615 | not published | not published | $9.99 – $705.36 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $18.63 – $705.36 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $624.72 – $1,611.57 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $680.78 – $1,605.70 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $236.47 – $704.66 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $228.40 – $2,427.80 | 20 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $228.40 – $289.24 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $230.53 – $1,042.02 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $92.67 – $1,042.02 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $225.00 – $1,247.74 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $300.00 – $2,394.14 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $225.00 – $1,042.02 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $606.00 | $1,515.00 | $225.00 – $2,427.80 | 22 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $228.40 – $2,427.80 | 20 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $225.00 – $1,042.02 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $670.66 – $1,042.02 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $225.00 – $1,867.35 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $345.10 – $1,597.77 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $223.56 – $1,042.02 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $96.47 – $1,042.02 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $666.65 – $728.05 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $315.87 – $1,042.02 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $127.92 – $1,691.41 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $238.98 – $1,042.02 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $205.50 – $1,042.02 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $206.34 – $1,042.02 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $234.07 – $1,042.02 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $173.75 – $1,042.02 | 9 |
| Esophagus motility study CPT 91010 | not published | not published | $79.00 – $1,373.99 | 21 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $59.55 – $1,373.99 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $225.00 – $1,785.82 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $225.00 – $1,042.02 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $473.28 – $4,815.15 | 8 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $642.36 – $4,815.15 | 8 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $5.49 – $302.60 | 7 |
| Esoph imped function test CPT 91037 | not published | not published | $42.43 – $806.37 | 19 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $48.40 – $1,373.99 | 19 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $320.61 – $1,042.02 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $166.49 – $1,042.02 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $225.00 – $1,042.02 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,504.93 – $4,266.38 | 6 |
| Essure 58565 CPT 58565 | not published | not published | $1,043.76 – $5,761.61 | 9 |
| Establish access to aorta CPT 36160 | not published | not published | $301.90 – $711.18 | 8 |
| Establish access to artery CPT 36100 | not published | not published | $301.90 – $728.36 | 8 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $473.30 – $1,225.94 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $198.40 | $496.00 | $12.64 – $56.77 | 8 |
| Established Patient Office Visit (level 2) CPT 99212 | $152.80 | $382.00 | $30.65 – $97.33 | 8 |
| Established Patient Office Visit (level 3) CPT 99213 | $3,724.40 | $9,311.00 | $42.07 – $152.18 | 8 |
| Established Patient Office Visit (level 4) CPT 99214 | $263.20 | $658.00 | $66.15 – $214.97 | 8 |
| Established Patient Office Visit (level 5) CPT 99215 | $313.60 | $784.00 | $96.82 – $303.51 | 8 |
| Estradiol total CPT 82670 | $138.00 | $345.00 | $25.35 – $187.20 | 20 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.68 – $96.34 | 20 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $424.72 – $2,459.39 | 9 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $13.52 – $77.96 | 20 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.62 – $70.87 | 20 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $402.00 – $11,003.93 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $17.22 – $405.16 | 19 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $114.80 | $287.00 | $114.76 – $321.33 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $72.00 | $180.00 | $58.44 – $274.71 | 20 |
| Evaluation heart device CPT 93640 | $874.40 | $2,186.00 | $208.04 – $208.04 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $211.20 | $528.00 | $80.95 – $348.91 | 20 |
| Evaluation psychiatric diagnostic CPT 90791 | $86.40 | $216.00 | $110.16 – $416.05 | 21 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $365.58 – $675.05 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $155.64 – $288.76 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $525.93 – $1,460.56 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $516.37 – $1,476.44 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $7.73 – $2,199.21 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $964.31 – $2,731.40 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $188.70 – $523.33 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $579.69 – $1,633.27 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $965.86 – $2,722.56 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $481.52 – $1,387.00 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $775.54 – $2,198.85 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $616.71 – $647.55 | 5 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $490.66 – $515.19 | 5 |
| Event monitor CPT 93270 | $160.00 | $400.00 | $10.10 – $136.71 | 21 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $6.14 – $806.37 | 19 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $4.55 – $806.37 | 21 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $75.23 – $78.99 | 5 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $25.63 – $806.37 | 19 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $22.60 – $806.37 | 21 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $158.91 – $1,753.58 | 21 |
| Exam pelvic add-on CPT 99459 | not published | not published | $17.14 – $17.83 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $129.27 – $1,753.58 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $350.00 – $1,968.89 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $609.00 – $3,499.10 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $149.34 – $2,686.22 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $202.60 – $1,661.08 | 9 |
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.