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 |
|---|---|---|---|---|
| Treat thigh fracture CPT 27248 | not published | not published | not published | 0 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $221.85 – $621.18 | 16 |
| Treat toe dislocation CPT 28665 | not published | not published | $245.61 – $687.71 | 16 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $186.05 – $520.94 | 16 |
| Treat wrist dislocation CPT 25675 | not published | not published | $221.85 – $621.18 | 16 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $12.01 – $41.57 | 17 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $180.98 – $632.71 | 17 |
| Trichinella antibody CPT 86784 | not published | not published | $11.40 – $39.44 | 18 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $10.88 – $48.53 | 18 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $29.76 – $29.76 | 1 |
| Triglycerides CPT 84478 | not published | not published | $1.08 – $23.27 | 18 |
| Trim nondyst nails CPT 11719 | not published | not published | $54.93 – $153.80 | 16 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $221.85 – $621.18 | 16 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $9,273.13 – $9,273.13 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $9,273.13 – $9,273.13 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | not published | 0 |
| Troponin quantitative CPT 84484 | not published | not published | $8.93 – $39.80 | 18 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $507.36 – $1,420.61 | 16 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $404.31 – $1,132.07 | 16 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | not published | 0 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $15,462.00 – $22,190.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $221.85 – $621.18 | 16 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $221.85 – $621.18 | 16 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $221.85 – $621.18 | 16 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $566.11 – $1,585.11 | 16 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $566.11 – $1,585.11 | 16 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | not published | 0 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | not published | 0 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $221.85 – $621.18 | 16 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $144.70 – $405.16 | 16 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $470.96 – $1,318.69 | 16 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.61 – $12.83 | 18 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $87.14 – $734.76 | 17 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $98.35 – $281.24 | 17 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $13.45 – $275.38 | 18 |
| Ultrasound breast complete CPT 76641 | not published | not published | $65.33 – $275.38 | 18 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $50.03 – $228.00 | 18 |
| Ultrasound chest CPT 76604 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $70.25 – $275.38 | 18 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $69.08 – $275.38 | 18 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $111.30 – $111.30 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $98.35 – $383.92 | 18 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $53.91 – $71.87 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $82.99 – $408.22 | 2 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $209.68 – $209.68 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $347.07 – $347.07 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $81.43 – $255.71 | 18 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $81.43 – $241.81 | 18 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $98.35 – $275.38 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $137.49 – $137.84 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $70.71 – $85.92 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $223.55 – $625.94 | 18 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $98.35 – $360.06 | 18 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $96.90 – $275.38 | 18 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $98.35 – $275.38 | 18 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $98.35 – $275.45 | 18 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $163.64 – $358.44 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $98.35 – $288.19 | 18 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $164.64 – $801.77 | 17 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.45 – $23.96 | 18 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | not published | 0 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $281.32 – $787.70 | 16 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $22.65 – $63.42 | 16 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $22.65 – $63.42 | 16 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $42.67 – $119.48 | 16 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted CT procedure CPT 76497 | not published | not published | $81.43 – $228.00 | 16 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.41 – $138.35 | 16 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $41.57 – $138.35 | 16 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $144.70 – $405.16 | 16 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $186.05 – $520.94 | 16 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $81.43 – $228.00 | 16 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $186.05 – $520.94 | 16 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.41 – $138.35 | 16 |
| Unlisted mr procedure CPT 76498 | not published | not published | $81.43 – $228.00 | 17 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $144.70 – $405.16 | 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.