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 |
|---|---|---|---|---|
| Ghs excision ingrown nail CPT 11765 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs eye exam CPT 92002 | not published | not published | $119.18 – $333.70 | 16 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $276.46 – $774.09 | 16 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.35 – $15.23 | 18 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.07 – $28.23 | 18 |
| Ghs fish cytogen CPT 88271 | not published | not published | $19.43 – $86.62 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $36.43 – $162.43 | 18 |
| Ghs flow volume loop CPT 94375 | not published | not published | $287.99 – $806.37 | 16 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $287.99 – $806.37 | 16 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $31.84 – $141.96 | 18 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $15.62 – $72.13 | 18 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $14.06 – $62.63 | 18 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $7.68 – $34.26 | 18 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $10.88 – $48.53 | 18 |
| Ghs HIV antibody CPT 86703 | not published | not published | $12.44 – $48.53 | 18 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $58.41 – $333.28 | 18 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $650.69 – $1,821.93 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $650.69 – $1,821.93 | 16 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $93.95 | 18 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $224.93 – $629.80 | 16 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $179.54 – $502.71 | 16 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $11.68 – $40.41 | 18 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $183.76 – $514.53 | 16 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $273.00 – $764.40 | 16 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $369.04 – $1,033.31 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $566.11 – $1,585.11 | 16 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $224.93 – $629.80 | 16 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $42.67 – $119.48 | 16 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $306.75 – $858.90 | 16 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $369.04 – $1,033.31 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $566.11 – $1,585.11 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $566.11 – $1,585.11 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $566.11 – $1,585.11 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $369.49 – $1,034.57 | 16 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $7.81 – $34.79 | 18 |
| Ghs low level laser therapy CPT 97039 | not published | not published | not published | 0 |
| Ghs mbp CPT 83873 | not published | not published | $15.61 – $69.58 | 18 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $566.11 – $1,585.11 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $640.46 – $1,793.29 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $823.36 – $2,305.41 | 16 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $640.46 – $1,793.29 | 16 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $640.46 – $1,793.29 | 16 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $369.04 – $1,033.31 | 16 |
| Ghs o2 saturation CPT 82810 | not published | not published | $7.92 – $35.29 | 18 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $144.70 – $405.16 | 16 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $54.93 – $153.80 | 16 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $42.67 – $119.48 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $571.78 – $1,600.98 | 16 |
| Ghs optokenetic CPT 92544 | not published | not published | $144.70 – $405.16 | 16 |
| Ghs oscillating trac CPT 92545 | not published | not published | $287.99 – $806.37 | 16 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $23.40 – $65.52 | 16 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $23.40 – $65.52 | 16 |
| Ghs ot dds rom CPT 95851 | not published | not published | $21.76 – $60.93 | 16 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.51 – $57.43 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $38.03 – $106.48 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $56.14 – $157.19 | 18 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $605.18 – $1,694.50 | 16 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $47.41 – $76.96 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $214.76 – $601.33 | 16 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.99 – $22.27 | 18 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $221.85 – $621.18 | 16 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.90 – $17.40 | 18 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $940.90 – $2,634.52 | 16 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $119.21 – $333.79 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $7.34 – $63.42 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.76 – $39.06 | 18 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.04 – $20.94 | 18 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $13.02 – $47.06 | 18 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $54.93 – $153.80 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.11 – $49.53 | 18 |
| Ghs quinidine CPT 80194 | not published | not published | $13.25 – $59.03 | 18 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $306.75 – $858.90 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $119.21 – $333.79 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $369.04 – $1,033.31 | 16 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $11.70 – $52.13 | 18 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.90 – $17.40 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $10.88 – $48.53 | 18 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.22 – $14.35 | 18 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.94 – $48.75 | 18 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.09 – $36.07 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.26 – $27.89 | 18 |
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.