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 |
|---|---|---|---|---|
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $497.80 – $1,393.84 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $371.62 – $1,040.54 | 17 |
| Quest t3 uptake CPT 84479 | not published | not published | $5.87 – $26.18 | 18 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $972.50 | 18 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $675.22 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $289.91 – $811.75 | 18 |
| Rabies vaccine id CPT 90676 | not published | not published | $264.47 – $740.52 | 16 |
| Radiation handling CPT 77790 | not published | not published | $49.38 – $94.54 | 2 |
| Radiation physics consult CPT 77336 | not published | not published | $122.79 – $343.81 | 18 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $108.61 – $343.81 | 18 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $76.04 – $343.81 | 18 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $71.42 – $343.81 | 18 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $216.32 – $947.94 | 18 |
| Radiation treatment delivery CPT 77401 | not published | not published | $79.53 – $283.56 | 18 |
| Radiation treatment delivery CPT 77402 | not published | not published | $101.27 – $369.16 | 17 |
| Radiation treatment delivery CPT 77412 | not published | not published | $243.21 – $680.99 | 17 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | not published | 0 |
| Radical resection of elbow CPT 24149 | not published | not published | not published | 0 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | not published | 0 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | not published | 0 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | not published | 0 |
| Radiology port images(s) CPT 77417 | not published | not published | $36.61 – $43.21 | 2 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $4,778.34 – $4,858.06 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $738.35 – $906.50 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $1,364.63 – $2,021.03 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $2,066.25 – $2,066.25 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $793.10 – $1,114.03 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $371.62 – $1,040.54 | 18 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $267.33 – $267.33 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | not published | 0 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | not published | 0 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | not published | 0 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | not published | 0 |
| Rapid desensitization CPT 95180 | not published | not published | $369.04 – $1,033.31 | 16 |
| Rapid Strep Test CPT 87880 | not published | not published | $9.89 – $51.90 | 18 |
| Rbc count only automated CPT 85041 | not published | not published | $2.73 – $12.19 | 18 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $404.31 – $1,132.07 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $9.19 – $1,033.31 | 16 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | not published | 0 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | not published | 0 |
| Realignment of knee CPT 27457 | not published | not published | not published | 0 |
| Rechanneling of artery CPT 35361 | not published | not published | not published | 0 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | not published | 0 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | not published | 0 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | not published | 0 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | not published | 0 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | not published | 0 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | not published | 0 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | not published | 0 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | not published | 0 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | not published | 0 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | not published | 0 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | not published | 0 |
| Reconstruct ankle joint CPT 27702 | not published | not published | not published | 0 |
| Reconstruct cleft foot CPT 28360 | not published | not published | not published | 0 |
| Reconstruction ankle joint CPT 27703 | not published | not published | not published | 0 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | not published | 0 |
| Reconstruction of orbit CPT 21256 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 53415 | not published | not published | not published | 0 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | not published | 0 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | not published | 0 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | not published | 0 |
| Rectal sensation test CPT 91120 | not published | not published | $287.99 – $806.37 | 16 |
| Red cell mass multiple CPT 78121 | not published | not published | $211.87 – $1,393.84 | 18 |
| Red cell mass single CPT 78120 | not published | not published | $201.43 – $1,040.54 | 18 |
| Red cell sequestration CPT 78140 | not published | not published | $282.82 – $1,040.54 | 18 |
| Red cell survival study CPT 78130 | not published | not published | $325.38 – $1,040.54 | 18 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | not published | 0 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $843.17 – $2,360.88 | 16 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | not published | 0 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $273.00 – $764.40 | 16 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $194.85 – $545.58 | 16 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | not published | 0 |
| Reinforce thigh CPT 27495 | not published | not published | not published | 0 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | not published | 0 |
| Release facial nerve CPT 69955 | not published | not published | not published | 0 |
| Release inner ear canal CPT 69960 | not published | not published | not published | 0 |
| Release of lung 32220 CPT 32220 | not published | not published | not published | 0 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $245.61 – $687.71 | 16 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $245.61 – $687.71 | 16 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $34.49 – $96.57 | 16 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $34.49 – $96.57 | 16 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $34.49 – $96.57 | 16 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $34.49 – $96.57 | 16 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $119.18 – $333.70 | 16 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $34.49 – $96.57 | 16 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $287.99 – $806.37 | 16 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | not published | 0 |
| Removal biliary drg cath CPT 47537 | not published | not published | $867.07 – $2,427.80 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | not published | not published | $571.78 – $1,600.98 | 16 |
| Removal cerclage without anes CPT 59899 | not published | not published | $186.05 – $520.94 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | not published | not published | $54.93 – $153.80 | 16 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $183.76 – $514.53 | 16 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | not published | not published | $867.07 – $2,427.80 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | not published | not published | $650.69 – $1,821.93 | 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.