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 |
|---|---|---|---|---|
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $75.01 – $75.01 | 1 |
| Ph body fluid CPT 83986 | not published | not published | $3.25 – $14.46 | 18 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $13.33 – $59.44 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $10.39 – $48.04 | 18 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $12.03 – $53.63 | 18 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $119.21 – $333.79 | 16 |
| Phosphorus CPT 84100 | not published | not published | $1.08 – $19.20 | 18 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $4.69 – $20.94 | 18 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $54.93 – $153.80 | 16 |
| Photochemotherapy puva CPT 96912 | not published | not published | $54.93 – $153.80 | 16 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $369.49 – $1,034.57 | 16 |
| Photo patch test CPT 95052 | not published | not published | $54.93 – $153.80 | 16 |
| Photosensitivity tests CPT 95056 | not published | not published | $119.21 – $333.79 | 16 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $48.02 – $155.08 | 18 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $48.33 – $443.74 | 18 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $22.65 – $156.12 | 18 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | not published | 0 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $862.97 | 17 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $566.11 – $1,585.11 | 16 |
| Pinworm exam CPT 87172 | not published | not published | $3.87 – $17.26 | 18 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | not published | 0 |
| Placement bile duct support CPT 47801 | not published | not published | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $100.32 – $100.32 | 1 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | not published | $50.32 – $50.32 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $85.74 – $1,821.93 | 17 |
| Placental lactogen CPT 83632 | not published | not published | $18.34 – $81.74 | 18 |
| Plasma volume multiple CPT 78111 | not published | not published | $211.87 – $231.10 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $179.43 – $202.62 | 2 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $24.47 – $86.89 | 18 |
| Platelet automated CPT 85049 | not published | not published | $4.06 – $18.09 | 18 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $404.31 – $1,132.07 | 16 |
| Platelet survival CPT 78191 | not published | not published | $329.17 – $1,040.54 | 18 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $650.69 – $1,821.93 | 16 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $50.68 – $50.68 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $42.99 – $42.99 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $287.99 – $806.37 | 16 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | not published | 0 |
| Pm device progr eval dual CPT 93280 | not published | not published | $34.49 – $96.57 | 16 |
| Pm device progr eval multi CPT 93281 | not published | not published | $34.49 – $96.57 | 16 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $650.95 | 17 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $2,381.25 | 17 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $2,416.48 | 17 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $146.32 | 17 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $34.49 – $96.57 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $638.99 | 17 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $2,124.21 | 17 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $1,039.34 | 17 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $571.78 – $1,600.98 | 16 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $61.79 – $172.54 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $17.56 – $81.86 | 18 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $940.90 – $2,634.52 | 16 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $940.90 – $2,634.52 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $940.90 – $2,634.52 | 16 |
| Positional nystagmus test CPT 92532 | not published | not published | not published | 0 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | not published | 0 |
| Postpartum Care Only CPT 59430 | not published | not published | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | not published | 0 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $3.90 – $17.40 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $1.08 – $18.56 | 18 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $149.46 – $149.46 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $207.39 – $208.20 | 2 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $571.78 – $1,600.98 | 16 |
| Pr application of long arm splint CPT 29105 | not published | not published | $145.93 – $408.60 | 16 |
| Pr application splint static short arm CPT 29125 | not published | not published | $119.21 – $333.79 | 16 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $36.30 – $101.64 | 16 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $369.49 – $1,034.57 | 16 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $27.55 – $77.14 | 16 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $10,792.00 – $16,108.00 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $10,792.00 – $16,108.00 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $183.76 – $514.53 | 16 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | not published | 0 |
| Prealbumin CPT 84134 | not published | not published | $13.23 – $59.00 | 18 |
| Pregabalin - sendout CPT 80366 | not published | not published | $91.65 – $91.65 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $13.66 – $60.88 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $98.35 – $293.98 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $98.35 – $275.38 | 18 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | not published | 0 |
| Preparation palate mold CPT 42280 | not published | not published | $470.96 – $1,318.69 | 16 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.41 – $138.35 | 16 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $566.11 – $1,585.11 | 16 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $144.70 – $405.16 | 16 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $11.45 – $443.74 | 16 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $9.19 – $153.80 | 16 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $11.45 – $443.74 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $9.19 – $153.80 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $9.19 – $443.74 | 16 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $148.59 – $416.05 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $369.49 – $1,034.57 | 16 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $34.49 – $96.57 | 16 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $34.49 – $96.57 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $34.49 – $96.57 | 16 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $34.49 – $96.57 | 16 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $34.49 – $96.57 | 16 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $34.49 – $96.57 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | 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.