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 |
|---|---|---|---|---|
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $641.65 – $1,796.62 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $641.65 – $1,796.62 | 17 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $641.65 – $2,022.58 | 17 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $243.21 – $680.99 | 17 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $243.21 – $930.37 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $164.64 – $493.25 | 18 |
| Head CT scan (with contrast) CPT 70460 | not published | not published | $164.64 – $460.99 | 18 |
| Head CT scan (without contrast) CPT 70450 | not published | not published | $98.35 – $591.78 | 19 |
| Heart first pass add-on CPT 78496 | not published | not published | $62.13 – $241.11 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $497.80 – $1,393.84 | 18 |
| Heart image spect CPT 78494 | not published | not published | $371.62 – $1,040.54 | 18 |
| Heart infarct image CPT 78466 | not published | not published | $371.62 – $1,040.54 | 18 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $490.28 – $1,393.84 | 18 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | not published | 0 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.81 – $17.01 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $13.17 – $58.70 | 18 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.43 – $33.13 | 18 |
| Hematocrit CPT 85014 | not published | not published | $1.96 – $9.58 | 18 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $207.28 – $580.38 | 18 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $647.12 – $1,811.94 | 16 |
| Hemoglobin CPT 85018 | not published | not published | $1.96 – $9.58 | 18 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $1.95 – $12.59 | 18 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $5.41 – $25.12 | 18 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $7.50 – $33.72 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | not published | not published | $6.65 – $25.75 | 18 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $8.45 – $41.89 | 18 |
| Hemoglobin plasma CPT 83051 | not published | not published | $6.63 – $22.95 | 18 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.58 – $15.96 | 18 |
| Hemolysin acid CPT 85475 | not published | not published | $8.05 – $35.87 | 18 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $7.44 – $33.16 | 18 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $10.99 – $48.97 | 18 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $14.37 – $64.07 | 18 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $843.17 – $2,360.88 | 16 |
| Heparin assay CPT 85520 | not published | not published | $10.37 – $52.93 | 18 |
| Heparin neutralization CPT 85525 | not published | not published | $10.59 – $47.92 | 18 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | not published | not published | $10.21 – $45.54 | 18 |
| Hepatitis b core antibody igm CPT 86705 | not published | not published | $10.68 – $47.59 | 18 |
| Hepatitis b core antibody total CPT 86704 | not published | not published | $10.94 – $48.75 | 18 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $143.22 – $401.02 | 18 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $70.90 | 16 |
| Hepatitis b surface antibody CPT 86706 | not published | not published | $9.74 – $43.43 | 18 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $238.84 – $270.82 | 2 |
| Hepatitis c antibody CPT 86803 | not published | not published | $12.95 – $57.73 | 18 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $18.20 – $98.03 | 18 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $119.95 | 16 |
| Hepatobiliary system imaging CPT 78226 | not published | not published | $371.62 – $1,040.54 | 17 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,836.59 – $1,836.59 | 1 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $10.88 – $48.53 | 18 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $10.88 – $48.53 | 18 |
| Herpes simplex type 1 antibody igg CPT 86695 | not published | not published | $11.97 – $53.32 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | not published | not published | $17.56 – $78.28 | 18 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $27.87 – $118.47 | 18 |
| Heterophile antibodies screening CPT 86308 | not published | not published | $4.27 – $20.94 | 18 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $5.87 – $26.18 | 18 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $6.69 – $29.83 | 18 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $161.55 | 17 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $37.88 – $168.83 | 18 |
| Hip X-ray CPT 73502 | not published | not published | $81.43 – $228.00 | 17 |
| Histamine CPT 83088 | not published | not published | $26.80 – $119.44 | 18 |
| Histochemical stains add-on CPT 88314 | not published | not published | $72.80 – $215.09 | 3 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $5.81 – $101.64 | 18 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $13.73 – $75.55 | 18 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $18.20 – $81.08 | 18 |
| Hla class i high defin qual CPT 86832 | not published | not published | $115.10 – $1,016.58 | 17 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $104.64 – $1,023.01 | 17 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $30.55 – $201.56 | 17 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $26.93 – $201.56 | 17 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $62.79 – $257.10 | 17 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $292.99 – $1,014.09 | 17 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $73.25 – $299.93 | 17 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $324.38 – $1,122.74 | 17 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $216.18 – $1,270.19 | 17 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $310.37 – $1,085.09 | 17 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $361.17 – $1,262.66 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $123.68 – $388.36 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $693.12 | 17 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $233.40 | 17 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $556.57 | 17 |
| Hla i typing complete hr CPT 81379 | not published | not published | $301.22 – $1,053.09 | 17 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $1,267.27 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $169.90 – $533.49 | 17 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $400.13 | 17 |
| Hla typing a b or c CPT 86813 | not published | not published | $52.62 – $234.51 | 18 |
| Hla typing dr/dq CPT 86816 | not published | not published | $25.28 – $112.66 | 18 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $16.42 – $114.70 | 17 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $49.26 – $343.80 | 17 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $85.55 – $239.54 | 16 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $27.55 – $77.14 | 16 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $27.55 – $77.14 | 16 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $148.59 – $416.05 | 16 |
| Homocysteine CPT 83090 | not published | not published | $15.31 – $68.23 | 18 |
| Homogenization tissue CPT 87176 | not published | not published | $5.29 – $23.79 | 18 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $13.00 – $78.25 | 18 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $383.77 | 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.