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 |
|---|---|---|---|---|
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $235.72 – $241.01 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $154.27 – $443.74 | 18 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $420.92 | 16 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $631.25 – $1,157.83 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $623.90 – $1,158.18 | 3 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $1,147.31 – $1,158.80 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $1,148.66 – $1,158.18 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $1,192.80 – $1,511.98 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $1,192.80 – $1,478.07 | 2 |
| Mr elastography CPT 76391 | not published | not published | $223.55 – $625.94 | 17 |
| MRI brain w/dye CPT 70558 | not published | not published | $164.64 – $699.30 | 18 |
| MRI brain without dye CPT 70557 | not published | not published | $507.08 – $1,419.82 | 18 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $164.64 – $664.90 | 18 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $74.34 – $667.04 | 18 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $107.19 – $1,096.83 | 2 |
| MRI breast without cont bi CPT 77047 | not published | not published | $81.92 – $662.89 | 18 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $117.65 – $1,092.67 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $223.55 – $929.60 | 19 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $330.28 – $1,448.77 | 19 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $730.66 – $2,045.85 | 19 |
| MRI chest without contrast CPT 71550 | not published | not published | $223.55 – $947.14 | 19 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $330.28 – $1,465.71 | 19 |
| MRI chest w IV cont CPT 71551 | not published | not published | $730.66 – $2,045.85 | 19 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $290.26 – $527.73 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $223.55 – $889.10 | 18 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $999.18 – $1,520.27 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $880.24 – $880.24 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $330.28 – $1,162.20 | 19 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $223.55 – $947.51 | 19 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $330.28 – $1,460.47 | 19 |
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $223.55 – $947.51 | 19 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $330.28 – $1,460.13 | 19 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $330.28 – $1,162.20 | 19 |
| MRI tmj CPT 70336 | not published | not published | $223.55 – $940.56 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $223.55 – $947.89 | 19 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $330.28 – $1,460.47 | 19 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $330.28 – $1,193.39 | 19 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $81.43 – $228.00 | 16 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $84.89 – $237.69 | 16 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $54.93 – $153.80 | 16 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $22.65 – $63.42 | 16 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $223.55 – $625.94 | 16 |
| Mr spectroscopy CPT 76390 | not published | not published | $81.43 – $1,376.00 | 18 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $669.76 | 17 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $1,198.54 | 17 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $1,060.47 | 17 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $747.32 | 17 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $2,015.41 | 17 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $967.12 | 17 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $205.17 | 17 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $18.20 – $84.40 | 18 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.32 – $23.71 | 18 |
| Mucopolysaccharides CPT 83864 | not published | not published | $18.06 – $89.49 | 18 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $88.52 – $416.05 | 17 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $144.70 – $405.16 | 16 |
| Multiple sleep latency test CPT 95805 | not published | not published | $490.71 – $1,373.99 | 16 |
| Mumps antibody igg CPT 86735 | not published | not published | $11.84 – $52.80 | 18 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $287.99 – $806.37 | 16 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $144.70 – $405.16 | 16 |
| Muscle test larynx CPT 95865 | not published | not published | $119.21 – $333.79 | 16 |
| Muscle test one fiber CPT 95872 | not published | not published | $144.70 – $405.16 | 16 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $31.84 – $151.47 | 18 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $12.01 – $53.57 | 18 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $550.76 | 17 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $241.81 – $2,045.85 | 18 |
| Myelography l-s spine CPT 72265 | not published | not published | $201.25 – $2,045.85 | 18 |
| Myelography neck spine CPT 72240 | not published | not published | $212.82 – $2,045.85 | 18 |
| Myelography thoracic spine CPT 72255 | not published | not published | $212.82 – $2,045.85 | 18 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $730.66 – $2,045.85 | 16 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $730.66 – $2,045.85 | 16 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $730.66 – $2,045.85 | 16 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $730.66 – $2,045.85 | 16 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | not published | not published | $10.47 – $46.67 | 18 |
| Myocardial resection 33542 CPT 33542 | not published | not published | not published | 0 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $254.23 – $254.23 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $298.85 – $298.85 | 1 |
| Myomectomy abdom complex CPT 58146 | not published | not published | not published | 0 |
| Myomectomy abdom method CPT 58140 | not published | not published | not published | 0 |
| Narcosynthesis CPT 90865 | not published | not published | $148.59 – $416.05 | 17 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $179.54 – $502.71 | 16 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $214.76 – $601.33 | 16 |
| Nasal function studies CPT 92512 | not published | not published | $287.99 – $806.37 | 16 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $359.12 – $1,005.54 | 16 |
| Nasal sinus therapy CPT 30210 | not published | not published | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $179.54 – $502.71 | 16 |
| Natriuretic peptide CPT 83880 | not published | not published | $30.80 – $137.28 | 18 |
| Natural killer cells total count CPT 86357 | not published | not published | $34.22 – $152.57 | 18 |
| N block inj common digit CPT 64632 | not published | not published | $273.00 – $764.40 | 16 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $823.36 – $2,305.41 | 16 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $224.93 – $629.80 | 16 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $119.21 – $333.79 | 16 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $22.65 – $63.42 | 16 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $22.65 – $63.42 | 16 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $54.93 – $153.80 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $164.64 – $644.95 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | not published | not published | $330.28 – $924.78 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | not published | not published | $98.35 – $1,198.91 | 19 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | not published | not published | $330.28 – $1,446.96 | 19 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | not published | not published | $330.28 – $1,155.99 | 19 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | not published | not published | $223.55 – $940.56 | 19 |
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.