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 |
|---|---|---|---|---|
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $369.49 – $1,034.57 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $183.76 – $514.53 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $281.32 – $787.70 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $369.49 – $1,034.57 | 16 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $119.18 – $333.70 | 16 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $119.18 – $333.70 | 16 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $276.46 – $774.09 | 16 |
| Procalcitonin CPT 84145 | not published | not published | $27.22 – $85.47 | 17 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | not published | 0 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $843.17 – $2,360.88 | 16 |
| Progesterone CPT 84144 | not published | not published | $18.93 – $84.37 | 18 |
| Prolactin CPT 84146 | not published | not published | $17.58 – $78.39 | 18 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $276.46 – $774.09 | 16 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $507.36 – $1,420.61 | 16 |
| _propoxygc/msur CPT 80367 | not published | not published | $65.95 – $65.95 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $23,817.00 – $26,332.69 | 2 |
| Protein c activity CPT 85303 | not published | not published | $12.55 – $55.93 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | not published | not published | $10.74 – $43.43 | 18 |
| Protein s total CPT 85305 | not published | not published | $10.53 – $46.90 | 18 |
| Protein total 24 hour urine CPT 84156 | not published | not published | $3.33 – $14.82 | 18 |
| Protein total body fluid CPT 84157 | not published | not published | $3.33 – $14.82 | 18 |
| Protein total serum plasma whole blood CPT 84155 | not published | not published | $1.08 – $14.82 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.58 – $15.93 | 18 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $534.98 – $1,497.94 | 16 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.81 – $34.82 | 18 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $85.55 – $239.54 | 16 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $369.04 – $1,033.31 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $119.21 – $333.79 | 16 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $281.32 – $787.70 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $369.49 – $1,034.57 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $183.76 – $514.53 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $183.76 – $514.53 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $183.76 – $514.53 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $183.76 – $514.53 | 16 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $404.31 – $1,132.07 | 16 |
| PSA (Prostate) Test CPT 84153 | not published | not published | $16.69 – $74.37 | 18 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $22.65 – $63.42 | 16 |
| Psychoanalysis CPT 90845 | not published | not published | $148.59 – $416.05 | 17 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $76.15 – $239.54 | 17 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $148.59 – $416.05 | 17 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $148.59 – $416.05 | 17 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $148.59 – $416.05 | 17 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $287.99 – $806.37 | 16 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $369.04 – $1,033.31 | 16 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $119.21 – $333.79 | 16 |
| Psytx complex interactive CPT 90785 | not published | not published | $42.48 – $42.48 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $199.45 – $199.45 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $252.39 – $252.39 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $332.15 – $332.15 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $13.54 – $44.93 | 18 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $11.83 – $18.62 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | not published | not published | $17.67 – $62.55 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $13.12 – $43.58 | 18 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $13.54 – $45.97 | 18 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $57.67 – $942.00 | 17 |
| Pten gene full sequence CPT 81321 | not published | not published | $395.47 – $1,884.00 | 17 |
| Pten gene known fam variant CPT 81322 | not published | not published | $38.45 – $146.32 | 17 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | not published | not published | $93.01 – $260.43 | 17 |
| Pt evaluation low complexity patient/family CPT 97161 | not published | not published | $93.01 – $260.43 | 17 |
| Pt evaluation moderate complexity patient/family CPT 97162 | not published | not published | $93.01 – $260.43 | 17 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $22.44 – $62.83 | 16 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $63.93 – $179.00 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $39.14 – $109.59 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $27.33 – $91.50 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $27.91 – $88.01 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $29.18 – $100.01 | 18 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $7,726.00 – $9,273.13 | 2 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $9,273.13 – $9,273.13 | 1 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | not published | 0 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | not published | 0 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $371.62 – $1,040.54 | 17 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $144.70 – $405.16 | 16 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $640.46 – $1,793.29 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | not published | not published | $119.21 – $333.79 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $369.49 – $1,034.57 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $640.46 – $1,793.29 | 16 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $640.46 – $1,793.29 | 16 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $640.46 – $1,793.29 | 16 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | not published | 0 |
| Pyruvate CPT 84210 | not published | not published | $9.85 – $45.47 | 18 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.56 – $29.64 | 18 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $119.21 – $333.79 | 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.