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 |
|---|---|---|---|---|
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $98.25 | 16 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $277.36 – $776.61 | 16 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $277.36 – $776.61 | 16 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $277.36 – $776.61 | 16 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $76.19 – $213.33 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $34.40 – $43.33 | 2 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $144.70 – $405.16 | 16 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $337.30 – $1,373.99 | 17 |
| Electrode stimulation brain CPT 95961 | not published | not published | $940.90 – $2,634.52 | 16 |
| Electroejaculation CPT 55870 | not published | not published | $805.28 – $2,254.78 | 16 |
| Electrogastrography CPT 91132 | not published | not published | $287.99 – $806.37 | 16 |
| Electrogastrography w/test CPT 91133 | not published | not published | $119.21 – $333.79 | 16 |
| Electrolyte panel CPT 80051 | not published | not published | $4.34 – $28.36 | 18 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $84.89 – $237.69 | 16 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $652.13 – $2,115.37 | 18 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $119.21 – $333.79 | 16 |
| Electrophysiologic study CPT 93624 | not published | not published | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | not published | 0 |
| Embolization s&i CPT 75894 | not published | not published | $238.03 – $238.03 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $158.48 – $443.74 | 16 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $805.28 – $2,254.78 | 16 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | not published | 0 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $186.05 – $520.94 | 16 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $119.21 – $333.79 | 16 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $144.70 – $405.16 | 16 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $287.99 – $806.37 | 16 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $119.21 – $333.79 | 16 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $144.70 – $405.16 | 16 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $287.99 – $806.37 | 16 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $11.97 – $53.32 | 18 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $11.97 – $53.32 | 18 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $11.97 – $53.32 | 18 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $122.07 – $122.07 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $122.07 – $122.07 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $281.32 – $787.70 | 16 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $805.28 – $2,254.78 | 16 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | not published | 0 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $843.17 – $2,360.88 | 16 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $843.17 – $2,360.88 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $178.52 – $499.86 | 16 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | not published | 0 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | not published | 0 |
| Endovas iliac a device addon CPT 34808 | not published | not published | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $10.88 – $48.53 | 18 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | not published | 0 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | not published | 0 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $16.38 – $138.25 | 18 |
| Enzyme histochemistry CPT 88319 | not published | not published | $78.61 – $2,115.37 | 18 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $15,462.00 – $22,190.00 | 4 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $15,462.00 – $22,190.00 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $823.36 – $2,305.41 | 16 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $823.36 – $2,305.41 | 16 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $11.90 – $53.07 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $13.88 – $61.88 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $16.46 – $73.35 | 18 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $156.59 – $156.59 | 1 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $81.43 – $1,573.00 | 22 |
| ER Visit (level 2) CPT 99282 | not published | not published | $146.45 – $1,573.00 | 22 |
| ER Visit (level 3) CPT 99283 | not published | not published | $256.07 – $2,112.00 | 22 |
| ER Visit (level 4) CPT 99284 | not published | not published | $393.81 – $2,534.00 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $567.01 – $3,197.00 | 22 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $95.31 – $95.31 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | not published | 0 |
| Esophageal motility CPT 78258 | not published | not published | $371.62 – $1,040.54 | 18 |
| Esophageal recording CPT 93615 | not published | not published | not published | 0 |
| Esophageal recording CPT 93616 | not published | not published | not published | 0 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | not published | 0 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | not published | 0 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $867.07 – $2,427.80 | 16 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $867.07 – $2,427.80 | 16 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $867.07 – $2,427.80 | 16 |
| Esophagus motility study CPT 91010 | not published | not published | $490.71 – $1,373.99 | 16 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $490.71 – $1,373.99 | 16 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | not published | 0 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | not published | 0 |
| Esoph imped function test CPT 91037 | not published | not published | $287.99 – $806.37 | 16 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $490.71 – $1,373.99 | 16 |
| Establish brain cavity shunt CPT 62223 | not published | not published | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $19.06 – $19.06 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $41.26 – $41.26 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $69.62 – $69.62 | 1 |
| Estradiol total CPT 82670 | not published | not published | $25.35 – $113.02 | 18 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.68 – $87.70 | 18 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $13.52 – $60.25 | 18 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.62 – $33.96 | 18 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $144.70 – $405.16 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $114.76 – $321.33 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $58.44 – $308.07 | 17 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $124.61 – $348.91 | 17 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $148.59 – $416.05 | 17 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | not published | 0 |
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.