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 |
|---|---|---|---|---|
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $98.35 – $275.38 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $98.35 – $275.38 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $98.35 – $275.38 | 16 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $223.55 – $625.94 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $98.35 – $275.38 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $98.35 – $275.38 | 16 |
| Screening Mammogram CPT 77067 | not published | not published | $81.06 – $320.67 | 17 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $65.82 – $184.30 | 16 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | not published | not published | $2.45 – $10.91 | 18 |
| Segmentectomy 32484 CPT 32484 | not published | not published | not published | 0 |
| Select picture audiometry CPT 92583 | not published | not published | $54.93 – $153.80 | 16 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $22.65 – $63.42 | 16 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | not published | 0 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | not published | 0 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $10.94 – $48.75 | 18 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.81 – $34.82 | 18 |
| Sensorimotor examination CPT 92060 | not published | not published | $54.93 – $153.80 | 16 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $36.30 – $101.64 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $602.88 | 17 |
| Serial casting application 97139app CPT 97139 | not published | not published | not published | 0 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $137.06 | 17 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $22.20 – $22.20 | 1 |
| Set radiation therapy field CPT 77280 | not published | not published | $122.79 – $785.53 | 18 |
| Set radiation therapy field CPT 77285 | not published | not published | $338.55 – $1,332.26 | 18 |
| Set radiation therapy field CPT 77290 | not published | not published | $338.55 – $1,357.74 | 18 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $277.36 – $776.61 | 16 |
| Sex transformation f to m CPT 55980 | not published | not published | not published | 0 |
| Sex transformation m to f CPT 55970 | not published | not published | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $369.49 – $1,034.57 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $369.49 – $1,034.57 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $369.49 – $1,034.57 | 16 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $369.49 – $1,034.57 | 16 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $183.76 – $514.53 | 16 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $183.76 – $514.53 | 16 |
| Shigella antibody CPT 86771 | not published | not published | $11.97 – $76.87 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $330.28 – $1,459.38 | 19 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $730.66 – $2,045.85 | 19 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $223.55 – $947.14 | 19 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | not published | 0 |
| Shoulder X-ray CPT 73030 | not published | not published | $54.13 – $228.00 | 18 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $98.35 – $275.38 | 18 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $11.09 – $49.42 | 18 |
| Sialography s&i CPT 70390 | not published | not published | $213.35 – $625.94 | 18 |
| Sickling rbc CPT 85660 | not published | not published | $5.01 – $22.33 | 18 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $843.17 – $2,360.88 | 16 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $843.17 – $2,360.88 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $843.17 – $2,360.88 | 16 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $843.17 – $2,360.88 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $843.17 – $2,360.88 | 16 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $54.93 – $153.80 | 16 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $224.93 – $629.80 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $164.64 – $541.51 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | not published | not published | $164.64 – $460.99 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | not published | not published | $98.35 – $371.87 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $266.16 – $560.82 | 2 |
| Skin Biopsy CPT 11102 | not published | not published | $183.76 – $514.53 | 16 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $11.69 – $63.42 | 18 |
| Sleep study attended CPT 95807 | not published | not published | $490.71 – $1,373.99 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $940.90 – $2,634.52 | 16 |
| Sleep study unattended CPT 95806 | not published | not published | $144.70 – $405.16 | 16 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | not published | 0 |
| Slp pure tone screening CPT 92551 | not published | not published | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $54.93 – $153.80 | 16 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | not published | 0 |
| Small bowel endoscopy CPT 44382 | not published | not published | $867.07 – $2,427.80 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $867.07 – $2,427.80 | 16 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.03 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $4.88 – $21.72 | 18 |
| Smear gram stain CPT 87205 | not published | not published | $3.87 – $17.26 | 18 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $4.31 – $19.20 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $5.99 – $24.24 | 18 |
| Smear wet mount CPT 87210 | not published | not published | $3.52 – $18.27 | 18 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $946.24 | 17 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $147.58 | 17 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $160.36 | 17 |
| Sodium 24 hour urine CPT 84300 | not published | not published | $4.42 – $19.67 | 18 |
| Sodium serum/plasma/whole blood CPT 84295 | not published | not published | $1.08 – $19.45 | 18 |
| Somatosensory testing CPT 95927 | not published | not published | $287.99 – $806.37 | 16 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,511.24 | 16 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | not published | 0 |
| Special physics consult CPT 77370 | not published | not published | $122.79 – $401.68 | 18 |
| Special radiation dosimetry CPT 77331 | not published | not published | $50.89 – $343.81 | 18 |
| Special radiation treatment CPT 77470 | not published | not published | $82.99 – $1,497.94 | 18 |
| Special teletx port plan CPT 77321 | not published | not published | $142.12 – $947.94 | 18 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.28 – $10.30 | 18 |
| Specimen fat stain CPT 89125 | not published | not published | $3.91 – $18.46 | 18 |
| Speech audiometry complete CPT 92556 | not published | not published | $54.93 – $153.80 | 16 |
| Speech evaluation complex CPT 70371 | not published | not published | $148.45 – $625.94 | 18 |
| Speech recep thresh CPT 92555 | not published | not published | $54.93 – $153.80 | 16 |
| Sperm antibody test CPT 89325 | not published | not published | $9.68 – $43.16 | 18 |
| Sperm identification CPT 89257 | not published | not published | $18.22 – $138.35 | 16 |
| Sperm isolation complex CPT 89261 | not published | not published | $13.46 – $138.35 | 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.