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 |
|---|---|---|---|---|
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $4.69 – $24.43 | 18 |
| Albumin ischemia modified CPT 82045 | not published | not published | $30.80 – $137.28 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.25 – $23.41 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $1.08 – $20.03 | 18 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $48.36 | 16 |
| Alkaline phosphatase CPT 84075 | not published | not published | $1.08 – $20.94 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $56.30 | 17 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.73 – $21.11 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $1.14 – $32.24 | 18 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $42.67 – $119.48 | 16 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $42.67 – $119.48 | 16 |
| Allergy Skin Testing CPT 95004 | not published | not published | $940.90 – $2,634.52 | 16 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $940.90 – $2,634.52 | 16 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $36.30 – $101.64 | 16 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $22.65 – $63.42 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $58.44 – $260.49 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $15.22 – $67.84 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $15.22 – $67.84 | 18 |
| Alt/sgpt CPT 84460 | not published | not published | $1.08 – $21.41 | 18 |
| Aluminum - quest CPT 82108 | not published | not published | $14.26 – $103.04 | 18 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $84.89 – $237.69 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $25.42 – $25.42 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $119.21 – $333.79 | 16 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.58 – $56.06 | 18 |
| Amino acid single qual CPT 82127 | not published | not published | $12.58 – $56.06 | 18 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $15.30 – $68.23 | 18 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $14.93 – $65.87 | 18 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $24.80 – $24.80 | 1 |
| Ammonia CPT 82140 | not published | not published | $13.22 – $58.95 | 18 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $505.00 – $2,254.78 | 17 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $281.32 – $787.70 | 17 |
| Amniotic fluid scan CPT 82143 | not published | not published | $6.23 – $29.36 | 18 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $23.72 – $23.72 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $28.47 – $28.47 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $736.37 | 16 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | not published | 0 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25909 | not published | not published | not published | 0 |
| Amputation follow-up surgery CPT 25931 | not published | not published | not published | 0 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | not published | 0 |
| Amputation of lower leg CPT 27882 | not published | not published | not published | 0 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | not published | 0 |
| Amylase CPT 82150 | not published | not published | $5.88 – $26.20 | 18 |
| Ana ds-dna CPT 86226 | not published | not published | $10.99 – $48.97 | 18 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $19.41 – $19.41 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $287.99 – $806.37 | 16 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $144.70 – $405.16 | 16 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $224.93 – $629.80 | 16 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $84.89 – $237.69 | 16 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $64.45 – $206.27 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $56.01 – $230.38 | 17 |
| Analysis nerve CPT 88356 | not published | not published | $49.41 – $359.88 | 18 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $34.49 – $96.57 | 16 |
| Analysis tumor CPT 88358 | not published | not published | $73.72 – $443.74 | 18 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $84.89 – $237.69 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $98.25 | 16 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | not published | 0 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | not published | 0 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $13.66 – $47.26 | 18 |
| Androstanediol CPT 82154 | not published | not published | $26.16 – $116.62 | 18 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $229.57 – $252.25 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $18.62 – $65.87 | 18 |
| Ankle X-ray CPT 73610 | not published | not published | $58.81 – $228.00 | 18 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $277.36 – $776.61 | 16 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $12.71 – $18.62 | 2 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $186.05 – $520.94 | 16 |
| Anora (draw only) CPT 99001 | not published | not published | $8.71 – $13.00 | 3 |
| Anoscopy CPT 46611 | not published | not published | $843.17 – $2,360.88 | 16 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $843.17 – $2,360.88 | 16 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $287.99 – $806.37 | 16 |
| Antibody CPT 86744 | not published | not published | $11.97 – $53.32 | 18 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $11.69 – $52.10 | 18 |
| Antibody elution rbc reference CPT 86860 | not published | not published | $9.19 – $443.74 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $17.56 – $78.28 | 18 |
| Antibody htlv-i CPT 86687 | not published | not published | $7.62 – $33.93 | 18 |
| Antibody htlv-ii CPT 86688 | not published | not published | $12.71 – $48.53 | 18 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $16.67 – $59.64 | 18 |
| Antibody id rbc panel CPT 86870 | not published | not published | $13.72 – $931.50 | 16 |
| Antibody influenza virus CPT 86710 | not published | not published | $12.30 – $54.85 | 18 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $11.68 – $40.41 | 18 |
| Antibody screen rbc CPT 86850 | not published | not published | $6.96 – $138.35 | 17 |
| Antibody tetanus CPT 86774 | not published | not published | $13.42 – $59.86 | 18 |
| Antidepressant not specified CPT 80338 | not published | not published | $32.35 – $32.35 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $42.67 – $119.48 | 16 |
| Antigen therapy services CPT 95146 | not published | not published | $42.67 – $119.48 | 16 |
| Antigen therapy services CPT 95147 | not published | not published | $65.82 – $184.30 | 16 |
| Antigen therapy services CPT 95148 | not published | not published | $65.82 – $184.30 | 16 |
| Antigen therapy services CPT 95149 | not published | not published | $65.82 – $184.30 | 16 |
| Antigen therapy services CPT 95165 | not published | not published | $42.67 – $119.48 | 16 |
| Antigen therapy services CPT 95170 | not published | not published | $42.67 – $119.48 | 16 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $33.74 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $33.74 | 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.