Ascension Via Christi Hospital St. Teresa, Inc.
14800 St Teresa St, Wichita, KS · Ascension · · NPI 1023334950
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $26.56 – $109.50 | 18 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $20.70 – $92.30 | 18 |
| 17-ketosteroids CPT 83586 | not published | not published | $11.62 – $51.77 | 18 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $119.18 – $333.70 | 16 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $119.21 – $333.79 | 16 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $850.38 – $1,219.23 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $50.48 – $50.48 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.12 – $44.76 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $46.07 – $59.03 | 3 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $10.89 – $48.56 | 18 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $236.02 – $588.12 | 2 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | not published | not published | $164.64 – $1,158.88 | 19 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $164.64 – $962.96 | 19 |
| Abdominal CT scan (without contrast) CPT 74150 | not published | not published | $98.35 – $345.66 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $330.28 – $1,458.29 | 19 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $330.28 – $1,162.20 | 19 |
| Abdominal MRI (without contrast) CPT 74181 | not published | not published | $223.55 – $944.58 | 19 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $867.07 – $2,427.80 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | not published | not published | $98.35 – $275.38 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $98.35 – $275.38 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $867.07 – $2,427.80 | 16 |
| Abl1 gene CPT 81170 | not published | not published | $217.48 – $942.00 | 17 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $15,462.00 – $22,190.00 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | not published | 0 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | not published | 0 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | not published | 0 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $13,740.00 – $22,190.00 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $144.70 – $405.16 | 16 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $867.07 – $2,427.80 | 16 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $221.85 – $621.18 | 16 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $404.31 – $1,132.07 | 16 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $221.85 – $621.18 | 16 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $273.00 – $764.40 | 16 |
| Abortion CPT 59850 | not published | not published | not published | 0 |
| Abortion (mpr) CPT 59866 | not published | not published | $281.32 – $787.70 | 16 |
| Abrasion lesions add-on CPT 15787 | not published | not published | not published | 0 |
| Abrasion lesion single CPT 15786 | not published | not published | $183.76 – $514.53 | 16 |
| Access thoracic lymph duct CPT 38794 | not published | not published | not published | 0 |
| Acetaminophen level CPT 80143 | not published | not published | $18.64 – $52.19 | 16 |
| Acetone qualitative CPT 82009 | not published | not published | $4.10 – $18.25 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $33.74 | 16 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.14 – $45.18 | 18 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $490.71 – $1,373.99 | 16 |
| Acne surgery 10040 CPT 10040 | not published | not published | $183.76 – $514.53 | 16 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $85.55 – $239.54 | 16 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $148.59 – $416.05 | 16 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $119.18 – $333.70 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $15.59 – $43.65 | 16 |
| Acoustic immitance testing CPT 92570 | not published | not published | $144.70 – $405.16 | 16 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $36.30 – $101.64 | 16 |
| Actigraphy testing CPT 95803 | not published | not published | $54.93 – $153.80 | 16 |
| Actinotherapy uv light CPT 96900 | not published | not published | $36.30 – $101.64 | 16 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $22.65 – $63.42 | 16 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $22.65 – $63.42 | 16 |
| Acute hepatitis panel CPT 80074 | not published | not published | $43.21 – $192.63 | 18 |
| Acute venous thrombus image CPT 78456 | not published | not published | $507.16 – $861.28 | 2 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $15.30 – $68.23 | 18 |
| Acylcarnitines qual CPT 82016 | not published | not published | $12.58 – $56.06 | 18 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $148.59 – $416.05 | 16 |
| Adding walker to prev cast CPT 29440 | not published | not published | $145.93 – $408.60 | 16 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.88 – $48.53 | 18 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $11.68 – $40.41 | 18 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.88 – $68.33 | 18 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | not published | 0 |
| Adh-sendout CPT 84588 | not published | not published | $30.80 – $137.28 | 18 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $867.07 – $2,427.80 | 16 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $65.82 – $184.30 | 16 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $65.82 – $184.30 | 16 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $306.75 – $858.90 | 16 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $306.75 – $858.90 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $65.82 – $184.30 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $65.82 – $184.30 | 16 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $65.82 – $184.30 | 16 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $65.82 – $184.30 | 16 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $987.85 – $1,361.66 | 2 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $287.99 – $806.37 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $287.99 – $806.37 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $287.99 – $806.37 | 16 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $18.20 – $81.08 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $5.13 – $22.95 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $104.66 – $362.23 | 17 |
| After cataract laser surgery CPT 66821 | not published | not published | $507.36 – $1,420.61 | 16 |
| Air conduction bilat CPT 92552 | not published | not published | $119.21 – $333.79 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $144.70 – $405.16 | 16 |
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.