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 |
|---|---|---|---|---|
| Urethrlys transvag with scope CPT 53500 | not published | not published | $404.15 – $2,373.22 | 7 |
| Urethrocystography void s&i CPT 74455 | $526.00 | $1,315.00 | $12.78 – $625.94 | 21 |
| Uric acid blood CPT 84550 | $40.80 | $102.00 | $1.08 – $91.80 | 20 |
| Uric acid urine CPT 84560 | $34.00 | $85.00 | $4.31 – $38.70 | 20 |
| Urinalysis microscopic only CPT 81015 | $26.80 | $67.00 | $2.51 – $60.30 | 20 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.84 – $10.08 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $56.80 | $142.00 | $2.61 – $49.50 | 20 |
| Urinalysis (without microscopy) CPT 81003 | $22.80 | $57.00 | $1.85 – $36.00 | 20 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $5.89 – $114.03 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $54.93 – $153.80 | 14 |
| Urine Culture Test CPT 87086 | not published | not published | $7.33 – $34.63 | 20 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $5.98 – $333.79 | 19 |
| Urine pregnancy test CPT 81025 | $59.60 | $149.00 | $5.22 – $134.10 | 20 |
| Urography, antegrade CPT 74425 | $422.00 | $1,055.00 | $19.68 – $924.78 | 19 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $18.84 – $460.99 | 19 |
| Use 1st target lesion CPT 76982 | not published | not published | $23.32 – $275.38 | 18 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $208.37 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $208.37 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $187.21 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $125.35 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $93.61 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $23.56 – $46.26 | 8 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $0.01 – $158.46 | 8 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $0.01 – $95.86 | 8 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $0.01 – $238.25 | 7 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $0.01 – $180.17 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $26.12 – $46.79 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $15.83 – $25.56 | 8 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $72.16 – $124.61 | 8 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $101.00 – $197.22 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $31.89 – $61.22 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $0.01 – $51.81 | 7 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $67.34 – $127.12 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $67.82 – $108.58 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $100.36 – $240.33 | 8 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $31.67 – $43.94 | 8 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $204.87 – $467.88 | 8 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $247.51 – $260.54 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $73.10 | $182.76 | $67.08 – $104.82 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $65.48 – $87.66 | 8 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $26.05 | 7 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $18.96 | $47.40 | $22.35 – $28.23 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.81 – $29.82 | 8 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.10 – $110.47 | 8 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $20.15 – $30.18 | 8 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $20.28 | $50.70 | $19.70 – $31.92 | 8 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $18.81 | 8 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $26.07 – $39.68 | 8 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $46.31 – $99.88 | 8 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $40.17 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $26.05 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $165.75 – $364.05 | 8 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $133.62 – $309.52 | 8 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $166.98 – $271.63 | 7 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $120.07 – $255.95 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $92.56 | $231.40 | $70.92 – $149.96 | 8 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $133.38 – $438.97 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $99.77 | $249.41 | $115.71 – $190.61 | 8 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $222.20 – $368.41 | 8 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $261.15 – $351.56 | 7 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $254.98 | $637.44 | $312.90 – $425.66 | 7 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $36.00 | $90.00 | $25.47 – $69.21 | 8 |
| Vaccine rabies im CPT 90675 | $378.00 | $944.99 | $203.43 – $889.48 | 21 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $295.00 – $309.75 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $803.80 – $846.11 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $803.80 – $846.11 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $280.00 – $294.00 | 5 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $0.01 – $219.12 | 9 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $0.01 – $151.51 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $39.43 | $98.57 | $39.07 – $76.54 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $36.69 | $91.73 | $33.96 – $44.22 | 8 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $136.05 – $149.59 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $88.00 | $220.00 | $122.02 – $283.59 | 8 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $217.53 – $228.98 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.14 | 14 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $538.31 – $5,533.63 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,000.00 – $6,422.51 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $497.74 – $6,894.58 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,000.00 – $5,533.63 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $671.04 – $5,533.63 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $479.33 – $5,533.63 | 9 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,710.11 – $1,710.11 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $8.25 – $520.94 | 17 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $450.00 – $1,454.55 | 7 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,751.03 – $2,857.09 | 6 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $441.33 – $5,462.24 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $865.06 – $2,639.44 | 7 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $63.36 – $134.72 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $552.02 – $1,422.33 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $64.00 | $160.00 | $12.30 – $77.40 | 20 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,222.32 – $4,023.05 | 7 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $825.00 – $4,023.05 | 7 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $825.00 – $4,023.05 | 7 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,442.53 – $3,690.66 | 6 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,178.97 – $2,914.24 | 6 |
| Vancomycin peak therapeutic drug level CPT 80202 | $64.80 | $162.00 | $12.30 – $140.40 | 20 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $31.84 – $98.25 | 18 |
| Varicella zoster antibody igg CPT 86787 | $52.80 | $132.00 | $10.95 – $90.90 | 20 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $79.88 – $3,020.09 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $891.61 – $3,437.59 | 4 |
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.