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 |
|---|---|---|---|---|
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | not published | 0 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $10,792.00 – $16,108.00 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $10,792.00 – $16,108.00 | 3 |
| Event monitor CPT 93270 | not published | not published | $34.49 – $96.57 | 16 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $287.99 – $806.37 | 16 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $287.99 – $806.37 | 16 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $287.99 – $806.37 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $287.99 – $806.37 | 16 |
| Evok oa screening qual CPT 92558 | not published | not published | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $281.32 – $787.70 | 16 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | not published | 0 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | not published | 0 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $369.49 – $1,034.57 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | not published | 0 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | not published | 0 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | not published | 0 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | not published | 0 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | not published | 0 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | not published | 0 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $404.31 – $1,132.07 | 16 |
| Exchange drainage catheter CPT 49423 | not published | not published | not published | 0 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | not published | 0 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $183.76 – $514.53 | 16 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $183.76 – $514.53 | 16 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $369.49 – $1,034.57 | 16 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | not published | 0 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | not published | 0 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | not published | 0 |
| Excise epiphyseal bar CPT 20150 | not published | not published | not published | 0 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | not published | 0 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | not published | 0 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | not published | 0 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $470.96 – $1,318.69 | 16 |
| Excise sacral spine tumor CPT 49215 | not published | not published | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | not published | 0 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $155.48 – $155.48 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $650.69 – $1,821.93 | 16 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $650.69 – $1,821.93 | 16 |
| Excision breast lesion CPT 19125 | not published | not published | $436.29 – $436.29 | 1 |
| Excision graft extremity CPT 35903 | not published | not published | not published | 0 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | not published | 0 |
| Excision gum each quadrant CPT 41820 | not published | not published | not published | 0 |
| Excision of gum flap CPT 41821 | not published | not published | not published | 0 |
| Excision of gum lesion CPT 41822 | not published | not published | not published | 0 |
| Excision of gum lesion CPT 41823 | not published | not published | not published | 0 |
| Excision of gum lesion CPT 41826 | not published | not published | not published | 0 |
| Excision of gum lesion CPT 41828 | not published | not published | not published | 0 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | not published | 0 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | not published | 0 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | not published | 0 |
| Excision of skull tumor CPT 61563 | not published | not published | not published | 0 |
| Excision of stomach lesion CPT 43610 | not published | not published | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | not published | 0 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $369.49 – $1,034.57 | 16 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | not published | 0 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | not published | 0 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | not published | 0 |
| Exc rect tum transanal full CPT 45172 | not published | not published | not published | 0 |
| Exc rect tum transanal part CPT 45171 | not published | not published | not published | 0 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $650.69 – $1,821.93 | 16 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | not published | 0 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | not published | 0 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | not published | 0 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | not published | 0 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $119.21 – $333.79 | 16 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $54.93 – $153.80 | 16 |
| Exome sequence analysis CPT 81415 | not published | not published | $15,009.20 – $15,009.20 | 1 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | not published | 0 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | not published | 0 |
| Exploration of chest 39000 CPT 39000 | not published | not published | not published | 0 |
| Exploration of chest 39010 CPT 39010 | not published | not published | not published | 0 |
| Exploration of spinal fusion CPT 22830 | not published | not published | not published | 0 |
| Exploration/repair of rectum 45563 CPT 45563 | 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.