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 |
|---|---|---|---|---|
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $56.68 | 17 |
| Mayo myoglobin CPT 83874 | not published | not published | $11.72 – $52.24 | 18 |
| Mayo nickel CPT 83885 | not published | not published | $22.23 – $76.96 | 18 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $23.72 – $23.72 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $23.72 – $23.72 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $65.95 – $65.95 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $14.93 – $66.60 | 18 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $14.93 – $66.59 | 18 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $11.68 – $52.08 | 18 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $10.47 – $46.67 | 18 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $13.64 – $60.80 | 18 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $12.05 – $48.75 | 18 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $31.84 – $141.96 | 18 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $16.31 – $56.46 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $12.49 – $55.68 | 18 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $7.66 – $34.18 | 18 |
| Mayo pregnenolone CPT 84140 | not published | not published | $18.76 – $83.63 | 18 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $15.05 – $67.12 | 18 |
| Mayo proinsulin CPT 84206 | not published | not published | $16.16 – $83.81 | 18 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $16.69 – $74.37 | 18 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $12.26 – $57.78 | 18 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $12.12 – $41.95 | 18 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $33.18 – $147.89 | 18 |
| Mayo renin CPT 84244 | not published | not published | $19.96 – $88.97 | 18 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $17.83 – $72.13 | 18 |
| Mayo selenium CPT 84255 | not published | not published | $23.17 – $80.16 | 18 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $14.06 – $62.69 | 18 |
| Mayo serotonin CPT 84260 | not published | not published | $28.10 – $125.29 | 18 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $17.56 – $78.28 | 18 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $12.45 – $43.11 | 18 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $3.87 – $17.26 | 18 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $187.84 – $656.01 | 17 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $23.10 – $102.99 | 18 |
| Mayo tgrp testosterone total CPT 84403 | not published | not published | $23.42 – $104.43 | 18 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $62.08 | 16 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $14.57 – $64.96 | 18 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $9.23 – $31.97 | 18 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $11.24 – $50.11 | 18 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $183.78 – $183.78 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $161.02 | 17 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $9.44 – $44.46 | 18 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $12.30 – $42.52 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $30.36 – $142.90 | 18 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $17.30 – $81.85 | 18 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $17.06 – $53.57 | 18 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.72 – $55.43 | 18 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $13.25 – $41.61 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | not published | 0 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $123.43 | 17 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $490.71 – $1,373.99 | 16 |
| Measure kidney pressure CPT 50396 | not published | not published | $617.29 – $1,728.41 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $54.93 – $153.80 | 16 |
| Measure ureter pressure CPT 50686 | not published | not published | $144.70 – $405.16 | 16 |
| #mec-opiates CPT 80356 | not published | not published | $65.95 – $65.95 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $471.00 | 17 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,657.51 | 17 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $61.38 – $376.80 | 17 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $490.71 – $1,373.99 | 16 |
| Meg evoked single CPT 95966 | not published | not published | $940.90 – $2,634.52 | 16 |
| Meg spontaneous CPT 95965 | not published | not published | $940.90 – $2,634.52 | 16 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $8.46 – $34.24 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $10.56 – $42.77 | 18 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.68 – $43.11 | 18 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $108.00 | 16 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $391.37 | 17 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.15 – $19.56 | 18 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $9.41 – $126.13 | 18 |
| Microdissection laser CPT 88380 | not published | not published | $141.93 – $284.98 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $137.65 – $447.32 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $70.59 | 17 |
| Microsatellite instability CPT 81301 | not published | not published | $335.40 – $1,094.48 | 17 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | not published | 0 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $144.70 – $405.16 | 16 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $98.35 – $275.38 | 18 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | not published | 0 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $603.88 | 17 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $635.54 | 17 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,120.76 | 17 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $1,039.34 | 17 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $81.43 – $228.00 | 18 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | not published | 0 |
| Modification of contact lens CPT 92325 | not published | not published | $119.21 – $333.79 | 16 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | not published | 0 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $105.64 | 16 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $200.83 | 17 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $472.04 | 17 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $862.97 | 17 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $946.24 | 17 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $122.22 – $888.24 | 17 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,657.29 | 17 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $6,280.00 – $6,280.00 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $158.48 – $862.72 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $140.71 – $931.50 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $114.40 – $443.74 | 18 |
| Motion analysis video/3d CPT 96000 | not published | not published | $490.71 – $1,373.99 | 16 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $940.90 – $2,634.52 | 16 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $369.04 – $1,033.31 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $135.08 – $135.08 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $158.48 – $982.95 | 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.