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 |
|---|---|---|---|---|
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $383.77 | 17 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $383.77 | 17 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $110.18 | 17 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $127.33 | 17 |
| H pylori ag ia CPT 87339 | not published | not published | $10.88 – $50.24 | 18 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $61.11 – $234.12 | 18 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $61.11 – $234.12 | 18 |
| H pylori drug admin CPT 83014 | not published | not published | $7.13 – $31.80 | 18 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,836.59 | 17 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,836.59 | 17 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $430.18 | 17 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $18.88 – $65.34 | 17 |
| Hydration IV infusion each additional hour CPT 96361 | not published | not published | $42.67 – $119.48 | 16 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | not published | not published | $194.85 – $545.58 | 16 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $15.89 – $65.87 | 18 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $9.23 – $31.97 | 18 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $641.65 – $2,439.12 | 18 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $243.21 – $1,289.09 | 18 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $534.98 – $1,721.51 | 18 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $534.98 – $2,005.53 | 18 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $534.98 – $3,171.25 | 18 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | not published | 0 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | not published | 0 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | not published | 0 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $156.25 – $625.94 | 18 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $10.88 – $48.53 | 18 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $31.84 – $141.96 | 18 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $10.68 – $56.80 | 18 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $126.78 | 16 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $287.99 – $806.37 | 16 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $36.30 – $101.64 | 16 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $54.93 – $153.80 | 16 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $22.65 – $63.42 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | not published | 0 |
| Identify sperm tissue CPT 89264 | not published | not published | $18.22 – $138.35 | 16 |
| Idet 1 or more levels CPT 22527 | not published | not published | not published | 0 |
| Idet single level CPT 22526 | not published | not published | not published | 0 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $606.81 | 17 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $928.78 | 17 |
| I&d lacrimal gland CPT 68400 | not published | not published | $895.73 – $2,508.04 | 16 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $230.38 | 17 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $580.47 | 16 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $39.20 – $215.25 | 17 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $155.71 – $621.69 | 17 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $264.52 – $924.79 | 17 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $134.12 – $542.37 | 17 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | not published | $59.03 – $184.60 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $86.00 – $931.50 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | not published | not published | $103.69 – $443.74 | 18 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $123.43 | 17 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | not published | 0 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | not published | 0 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $54.93 – $153.80 | 16 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $36.30 – $101.64 | 16 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $54.93 – $153.80 | 16 |
| Immune complex assay CPT 86332 | not published | not published | $22.11 – $98.58 | 18 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $18.88 – $84.15 | 18 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $18.88 – $84.15 | 18 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $17.80 – $80.29 | 18 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $10.87 – $48.48 | 18 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.74 – $56.81 | 18 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $22.34 – $90.36 | 18 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $63.34 – $182.09 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $98.19 – $443.74 | 18 |
| Immunoglobulin assay CPT 86023 | not published | not published | $11.30 – $50.39 | 18 |
| Immunology procedure CPT 86849 | not published | not published | $21.50 – $21.50 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $119.21 – $333.79 | 16 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $369.04 – $1,033.31 | 16 |
| Implant neuroelectrode CPT 61863 | not published | not published | not published | 0 |
| Implant neuroelectrode CPT 61867 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 63655 | not published | not published | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | not published | 0 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | not published | 0 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $214.76 – $601.33 | 16 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | not published | 0 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $895.73 – $2,508.04 | 16 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | not published | 0 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | not published | 0 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $507.36 – $1,420.61 | 16 |
| Incise skull/brain surgery CPT 61720 | not published | not published | not published | 0 |
| Incise skull for treatment CPT 61770 | not published | not published | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $276.46 – $774.09 | 16 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | not published | 0 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | not published | 0 |
| Incision of burn scab initi CPT 16035 | not published | not published | $369.49 – $1,034.57 | 16 |
| Incision of eardrum CPT 69420 | not published | not published | $214.76 – $601.33 | 16 |
| Incision of esophagus CPT 43020 | not published | not published | not published | 0 |
| Incision of eyelid CPT 67710 | not published | not published | $895.73 – $2,508.04 | 16 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | not published | 0 |
| Incision of hip bones CPT 27151 | not published | not published | not published | 0 |
| Incision of hip tendons CPT 27006 | not published | not published | not published | 0 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | not published | 0 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | not published | 0 |
| Incision of windpipe CPT 31601 | not published | not published | not published | 0 |
| Incision of windpipe CPT 31610 | 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.