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 |
|---|---|---|---|---|
| Intro long gi tube CPT 44500 | not published | not published | $867.07 – $2,427.80 | 16 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $92.80 – $92.80 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $214.76 – $601.33 | 16 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $54.93 – $153.80 | 16 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.49 – $96.57 | 16 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | not published | 0 |
| Iron CPT 83540 | not published | not published | $5.87 – $26.20 | 18 |
| Iron binding capacity CPT 83550 | not published | not published | $7.93 – $35.37 | 18 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.87 – $26.18 | 18 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.96 – $101.64 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $54.93 – $153.80 | 16 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $54.93 – $153.80 | 16 |
| Ivc venogram s&i CPT 75825 | not published | not published | $229.06 – $541.94 | 2 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $65.82 – $184.30 | 16 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $42.67 – $119.48 | 16 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $194.85 – $545.58 | 16 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $122.99 – $1,040.54 | 18 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $369.04 – $1,033.31 | 16 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $164.64 – $460.99 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $164.64 – $460.99 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $518.56 | 16 |
| John cunningham antibody CPT 86711 | not published | not published | $13.06 – $53.03 | 17 |
| J-tube placement CPT 44015 | not published | not published | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $91.65 – $91.65 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.86 – $57.31 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $7.41 – $33.02 | 18 |
| Kidney endoscopy CPT 50575 | not published | not published | not published | 0 |
| Kidney function study CPT 78725 | not published | not published | $214.31 – $1,040.54 | 18 |
| Kidney imaging morphology CPT 78700 | not published | not published | $371.62 – $1,040.54 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $497.80 – $1,393.84 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $497.80 – $1,393.84 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $98.35 – $275.38 | 18 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $82.41 – $392.09 | 17 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $330.28 – $1,458.38 | 19 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $730.66 – $2,045.85 | 19 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $223.55 – $947.14 | 19 |
| Knee X-ray CPT 73564 | not published | not published | $74.97 – $275.38 | 18 |
| Kras gene addl variants CPT 81276 | not published | not published | $130.15 – $606.81 | 17 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $606.81 | 17 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $26.61 – $26.61 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $24.16 – $24.16 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $1.08 – $24.40 | 18 |
| Lactic acid CPT 83605 | not published | not published | $9.69 – $43.18 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $17.81 – $79.39 | 18 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $17.81 – $79.39 | 18 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | not published | 0 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | not published | 0 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | not published | 0 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | not published | 0 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | not published | 0 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | not published | 0 |
| Laparoscopic proc CPT 45400 | not published | not published | not published | 0 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | not published | 0 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | not published | 0 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | not published | 0 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | not published | 0 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | not published | 0 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | not published | 0 |
| Lap colostomy 44188 CPT 44188 | not published | not published | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | not published | 0 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | not published | 0 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | not published | 0 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | not published | 0 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | not published | 0 |
| Lap myotomy heller CPT 43279 | not published | not published | not published | 0 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | not published | 0 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | not published | 0 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | not published | 0 |
| Lap radical hyst CPT 58548 | not published | not published | not published | 0 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | not published | 0 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | not published | 0 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | not published | 0 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | not published | 0 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $359.12 – $1,005.54 | 16 |
| Laryngeal function studies CPT 92520 | not published | not published | $119.21 – $333.79 | 17 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | not published | 0 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | not published | 0 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $135.32 – $378.90 | 16 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $359.12 – $1,005.54 | 16 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $359.12 – $1,005.54 | 16 |
| Laser surgery eye strands CPT 67031 | not published | not published | $507.36 – $1,420.61 | 16 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $214.76 – $601.33 | 16 |
| Lead capillary CPT 83655 | not published | not published | $10.98 – $45.90 | 18 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | not published | 0 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | not published | 0 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | not published | 0 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | not published | 0 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | not published | 0 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $223.55 – $625.94 | 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.