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 |
|---|---|---|---|---|
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $617.29 – $1,728.41 | 16 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | not published | 0 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $617.29 – $1,728.41 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $617.29 – $1,728.41 | 16 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $617.29 – $1,728.41 | 16 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | not published | 0 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | not published | 0 |
| Cystourethro w/implant CPT 52441 | not published | not published | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $31.58 – $140.77 | 18 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $24.29 – $127.80 | 18 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $3,642.40 – $3,642.40 | 1 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $215.61 – $2,826.00 | 17 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $13.06 – $58.23 | 18 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $15.28 – $68.14 | 18 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.88 – $48.53 | 18 |
| Cyto/molecular report CPT 88291 | not published | not published | $45.88 – $101.96 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.03 – $79.66 | 18 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.66 – $46.00 | 18 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.65 – $130.53 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $49.41 – $138.35 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $88.50 | 18 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $63.62 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $36.30 – $113.01 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $36.30 – $115.08 | 18 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $20.63 – $26.61 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $18.13 – $443.74 | 19 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $49.41 – $237.35 | 19 |
| Cytopath smear other source CPT 88160 | not published | not published | $22.65 – $129.53 | 18 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.41 – $173.42 | 18 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $22.65 – $123.31 | 18 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $10.90 – $50.93 | 18 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $30.55 – $246.96 | 18 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.93 – $93.20 | 18 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $158.48 – $1,141.14 | 17 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $183.76 – $514.53 | 16 |
| Dch glucoscan CPT 82948 | not published | not published | $2.87 – $15.83 | 18 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $287.99 – $806.37 | 16 |
| Dch validity tests CPT 81002 | not published | not published | $2.11 – $10.93 | 18 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $33.74 | 16 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $566.11 – $1,585.11 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $369.49 – $1,034.57 | 16 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $54.93 – $153.80 | 16 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $54.93 – $153.80 | 16 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $650.69 – $1,821.93 | 16 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $183.76 – $514.53 | 16 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $650.69 – $1,821.93 | 16 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $566.11 – $1,585.11 | 16 |
| Decalcification CPT 88311 | not published | not published | $14.65 – $25.37 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $306.75 – $858.90 | 16 |
| Decompressive craniotomy CPT 61322 | not published | not published | not published | 0 |
| Decompress small bowel CPT 44021 | not published | not published | not published | 0 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | not published | 0 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | not published | 0 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | not published | 0 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | not published | 0 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $188.10 – $526.68 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $119.21 – $333.79 | 16 |
| Dermabrasion other than face CPT 15782 | not published | not published | not published | 0 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $650.69 – $1,821.93 | 16 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $369.49 – $1,034.57 | 16 |
| Dermabrasion total face CPT 15780 | not published | not published | not published | 0 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | not published | 0 |
| Design custom breast implant CPT 19396 | not published | not published | not published | 0 |
| Design mlc device for imrt CPT 77338 | not published | not published | $338.55 – $947.94 | 17 |
| Desoxycorticosterone CPT 82633 | not published | not published | $28.10 – $109.50 | 18 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | not published | 0 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $183.76 – $514.53 | 16 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $183.76 – $514.53 | 16 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $183.76 – $514.53 | 16 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $183.76 – $514.53 | 16 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $566.11 – $1,585.11 | 16 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $183.76 – $514.53 | 16 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $823.36 – $2,305.41 | 16 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $183.76 – $514.53 | 16 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $369.49 – $1,034.57 | 16 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $369.49 – $1,034.57 | 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.