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 |
|---|---|---|---|---|
| Ductogram sgl duct CPT 77053 | not published | not published | $37.01 – $625.94 | 19 |
| Duodenal motility study CPT 91022 | not published | not published | $490.71 – $1,373.99 | 16 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $223.55 – $625.94 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $98.35 – $275.38 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $98.35 – $275.38 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $144.70 – $405.16 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $223.55 – $625.94 | 16 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $98.35 – $275.38 | 17 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $144.70 – $405.16 | 16 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $369.04 – $1,033.31 | 16 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $867.07 – $2,427.80 | 16 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $867.07 – $2,427.80 | 16 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $287.99 – $806.37 | 16 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $144.70 – $405.16 | 16 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $359.12 – $1,005.54 | 16 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $224.93 – $629.80 | 16 |
| Dynamic surface emg CPT 96002 | not published | not published | $287.99 – $806.37 | 16 |
| Ear and throat examination CPT 92502 | not published | not published | $470.96 – $1,318.69 | 16 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | not published | 0 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $54.93 – $153.80 | 16 |
| Ear protector evaluation CPT 92596 | not published | not published | $36.30 – $101.64 | 16 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $54.93 – $153.80 | 16 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $54.93 – $153.80 | 16 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $84.89 – $237.69 | 16 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $119.21 – $333.79 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $54.93 – $153.80 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $36.30 – $101.64 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $36.30 – $101.64 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $223.55 – $625.94 | 16 |
| Echo exam of eye CPT 76516 | not published | not published | $81.83 – $275.38 | 18 |
| Echo exam of eye CPT 76519 | not published | not published | $98.35 – $275.38 | 18 |
| Echo exam of eye CPT 76529 | not published | not published | $81.43 – $228.00 | 18 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $9.55 – $63.42 | 18 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $338.40 – $1,419.82 | 18 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $200.65 – $625.94 | 18 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $98.35 – $275.38 | 18 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $67.55 – $275.38 | 18 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $223.55 – $625.94 | 18 |
| Echograp trans r pros study CPT 76873 | not published | not published | $98.35 – $317.17 | 18 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $81.83 – $207.73 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $43.56 – $68.80 | 2 |
| Echo guide for artery repair CPT 76936 | not published | not published | $254.56 – $806.37 | 18 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $117.37 – $117.37 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $230.19 – $230.19 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $114.16 – $114.16 | 1 |
| Echo stress CPT 93350 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo transesophageal CPT 93313 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo transesophageal CPT 93314 | not published | not published | not published | 0 |
| Echo transesophageal CPT 93315 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo transthoracic CPT 93303 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo transthoracic CPT 93304 | not published | not published | $507.08 – $1,419.82 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $223.55 – $625.94 | 16 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | not published | 0 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | not published | 0 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | not published | 0 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | not published | 0 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | not published | 0 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | not published | 0 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | not published | 0 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | not published | 0 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $34.49 – $96.57 | 16 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $10.88 – $48.53 | 18 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $490.71 – $1,373.99 | 16 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $940.90 – $2,634.52 | 16 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $490.71 – $1,373.99 | 16 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $490.71 – $1,373.99 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $490.71 – $1,373.99 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $287.99 – $806.37 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $490.71 – $1,373.99 | 16 |
| E equine encephalitis igg CPT 86652 | not published | not published | $11.97 – $53.32 | 18 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $867.07 – $2,427.80 | 16 |
| Egd guide wire insertion CPT 43248 | not published | not published | $867.07 – $2,427.80 | 16 |
| Egd remove foreign body CPT 43247 | not published | not published | $867.07 – $2,427.80 | 16 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $1,019.18 | 17 |
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.