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 |
|---|---|---|---|---|
| Compl oph exam general anes CPT 92018 | not published | not published | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $566.11 – $1,585.11 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | not published | not published | $566.11 – $1,585.11 | 16 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $369.49 – $1,034.57 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | $566.11 – $1,585.11 | 16 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $566.11 – $1,585.11 | 16 |
| Comprehensive hearing test CPT 92557 | not published | not published | $144.70 – $405.16 | 16 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $119.18 – $333.70 | 16 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $119.18 – $333.70 | 16 |
| Concentration infection agents any type CPT 87015 | not published | not published | $6.06 – $27.01 | 18 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $144.70 – $405.16 | 16 |
| Condylomata destruction 56420 CPT 56420 | not published | not published | $186.05 – $520.94 | 16 |
| Construct vagina with graft CPT 57292 | not published | not published | not published | 0 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $51.70 – $153.80 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $75.37 – $2,115.37 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | not published | not published | $24.90 – $65.56 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | not published | not published | $70.08 – $443.74 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $49.41 – $138.35 | 18 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $36.30 – $261.09 | 18 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $158.48 – $449.21 | 18 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $369.04 – $1,033.31 | 16 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $119.21 – $333.79 | 16 |
| Contrast baths charges CPT 97034 | not published | not published | $12.83 – $45.62 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $223.27 – $566.75 | 2 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $572.21 – $791.08 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $244.13 – $572.71 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $129.17 – $460.99 | 18 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $190.13 – $924.78 | 18 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $206.01 – $924.78 | 18 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $217.40 – $2,045.85 | 18 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $184.17 – $924.78 | 18 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $182.21 – $924.78 | 18 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $245.98 – $924.78 | 18 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $198.81 – $924.78 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | not published | not published | $119.21 – $333.79 | 16 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $214.76 – $601.33 | 16 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $119.21 – $333.79 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $119.21 – $333.79 | 16 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $470.96 – $1,318.69 | 16 |
| Control throat bleeding CPT 42961 | not published | not published | not published | 0 |
| Coombs direct CPT 86880 | not published | not published | $4.88 – $153.80 | 18 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.19 – $443.74 | 18 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $4.69 – $443.74 | 18 |
| Cor artery disease mrna CPT 81493 | not published | not published | $3,297.00 – $3,297.00 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $54.93 – $153.80 | 16 |
| Corneal smear CPT 65430 | not published | not published | $369.04 – $1,033.31 | 16 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $306.75 – $858.90 | 16 |
| Correction of astigmatism CPT 65772 | not published | not published | $895.73 – $2,508.04 | 16 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $276.46 – $774.09 | 16 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $119.21 – $333.79 | 16 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $895.73 – $2,508.04 | 16 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | not published | 0 |
| Correct rectal prolapse CPT 45541 | not published | not published | not published | 0 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | not published | 0 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $566.11 – $1,585.11 | 16 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $29.58 – $131.91 | 18 |
| Cortisol total am CPT 82533 | not published | not published | $14.79 – $65.95 | 18 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $22.28 – $72.38 | 18 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $27.55 – $77.14 | 16 |
| Cover eye w/membrane CPT 65778 | not published | not published | $895.73 – $2,508.04 | 16 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $38.40 – $107.52 | 16 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $70.20 – $220.43 | 17 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $11.82 – $40.91 | 18 |
| C-peptide CPT 84681 | not published | not published | $18.88 – $65.34 | 18 |
| Cptrized corneal topography CPT 92025 | not published | not published | $54.93 – $153.80 | 16 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $54.93 – $153.80 | 16 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $287.99 – $806.37 | 16 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | not published | 0 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | not published | 0 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | not published | 0 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | not published | 0 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | not published | 0 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | not published | 0 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | not published | 0 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | not published | 0 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $497.80 – $1,393.84 | 18 |
| C-reactive protein CPT 86140 | not published | not published | $4.69 – $20.94 | 18 |
| C-reactive protein high sensitivity CPT 86141 | not published | not published | $11.75 – $52.38 | 18 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $9.65 – $43.02 | 18 |
| Creatine isoforms CPT 82554 | not published | not published | $10.77 – $48.00 | 18 |
| Creatine kinase CPT 82550 | not published | not published | $1.08 – $26.34 | 18 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $12.16 – $54.18 | 18 |
| Creatine kinase mb CPT 82553 | not published | not published | $10.47 – $46.70 | 18 |
| Creatine - sendout CPT 82540 | not published | not published | $4.20 – $18.73 | 18 |
| Creatinine CPT 82565 | not published | not published | $1.08 – $20.72 | 18 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $4.69 – $20.94 | 18 |
| Creatinine clearance urine CPT 82575 | not published | not published | $8.57 – $38.20 | 18 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $29.21 – $91.72 | 18 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $148.59 – $416.05 | 17 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $192.23 – $192.23 | 1 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $779.26 – $3,171.00 | 17 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $3,171.00 – $3,171.00 | 1 |
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.