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 |
|---|---|---|---|---|
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $14.99 – $66.81 | 18 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $41.74 | 18 |
| Assay rbc glutathione CPT 82979 | not published | not published | $6.25 – $29.64 | 18 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $17.91 – $79.86 | 18 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $89.60 – $250.88 | 16 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $85.55 – $239.54 | 16 |
| Assess cyst contrast inject CPT 49424 | not published | not published | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.87 – $17.26 | 18 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $144.70 – $405.16 | 16 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $7,024.00 – $7,024.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $35.64 – $99.79 | 16 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $755.49 – $2,115.37 | 16 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $158.48 – $443.74 | 16 |
| Ast/sgot CPT 84450 | not published | not published | $1.08 – $20.91 | 18 |
| Atomic absorption CPT 82190 | not published | not published | $13.52 – $49.93 | 18 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | not published | 0 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | not published | 0 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $144.70 – $405.16 | 16 |
| Audiometry air + bone CPT 92553 | not published | not published | $144.70 – $405.16 | 16 |
| Auditory function 60 min CPT 92620 | not published | not published | $144.70 – $405.16 | 16 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $2,639.64 | 17 |
| Autologous blood op salvage CPT 86891 | not published | not published | $22.91 – $2,115.37 | 16 |
| Autologous blood process CPT 86890 | not published | not published | $11.63 – $443.74 | 16 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.87 – $26.18 | 18 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $119.21 – $333.79 | 16 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $144.70 – $405.16 | 16 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $119.21 – $333.79 | 16 |
| Avul nail plate addl CPT 11732 | not published | not published | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $183.76 – $514.53 | 16 |
| Baclofen eval charges CPT 97750 | not published | not published | $31.43 – $88.00 | 16 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $9.25 – $41.22 | 18 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $63.68 – $283.90 | 18 |
| Bactericidal level serum CPT 87197 | not published | not published | $10.60 – $60.75 | 18 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $31.84 – $141.96 | 18 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $31.84 – $141.96 | 18 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $144.70 – $405.16 | 16 |
| B cells total count CPT 86355 | not published | not published | $34.22 – $152.57 | 18 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $298.27 | 17 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $183.76 – $514.53 | 16 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $183.76 – $514.53 | 16 |
| #_benzodiazconfur CPT 80346 | not published | not published | $41.94 – $41.94 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $23.08 – $88.34 | 18 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $14.68 – $65.43 | 18 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $72.60 – $203.28 | 16 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $29.59 – $82.85 | 16 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $15.30 – $68.23 | 18 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $823.36 – $2,305.41 | 16 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $273.00 – $764.40 | 16 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $273.00 – $764.40 | 16 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $24.11 – $107.50 | 18 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | not published | 0 |
| Bilicheck CPT 88720 | not published | not published | $4.55 – $20.30 | 18 |
| Bilirubin direct CPT 82248 | not published | not published | $1.08 – $20.30 | 18 |
| Bilirubin total CPT 82247 | not published | not published | $1.08 – $20.30 | 18 |
| Bilobectomy 32482 CPT 32482 | not published | not published | not published | 0 |
| Biofeedback, pt CPT 90901 | not published | not published | $36.76 – $102.93 | 16 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $805.28 – $2,254.78 | 16 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $214.76 – $601.33 | 16 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $276.46 – $774.09 | 16 |
| Biopsy of heart lining CPT 93505 | not published | not published | $9,315.00 – $16,108.00 | 5 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $867.07 – $2,427.80 | 16 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $214.76 – $601.33 | 16 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $650.69 – $1,821.93 | 16 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $650.69 – $1,821.93 | 16 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $158.48 – $443.74 | 16 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $158.48 – $443.74 | 16 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $566.11 – $1,585.11 | 16 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $470.96 – $1,318.69 | 16 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $470.96 – $1,318.69 | 16 |
| Biospy of bladder CPT 53899 | not published | not published | $224.93 – $629.80 | 16 |
| Biotinidase - quest CPT 82261 | not published | not published | $15.30 – $68.23 | 18 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $144.70 – $405.16 | 16 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $224.93 – $629.80 | 16 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $404.31 – $1,132.07 | 16 |
| Bld prd mix CPT 86965 | not published | not published | $9.19 – $443.74 | 16 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $404.31 – $1,132.07 | 16 |
| Blink reflex test CPT 95933 | not published | not published | $54.93 – $153.80 | 16 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $123.43 | 17 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $823.36 – $2,305.41 | 16 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $823.36 – $2,305.41 | 16 |
| Block paracervical nrv CPT 64435 | not published | not published | $640.46 – $1,793.29 | 16 |
| Block plantar digital nerve CPT 64455 | not published | not published | $273.00 – $764.40 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | not published | not published | $3.24 – $15.90 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | not published | not published | $5.45 – $24.27 | 18 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $6.41 – $24.40 | 18 |
| Blood Count (CBC) Test (without differential) CPT 85027 | not published | not published | $5.33 – $26.18 | 18 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $1.96 – $21.98 | 18 |
| Blood Culture Test CPT 87040 | not published | not published | $9.37 – $41.74 | 18 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $2.10 – $2.10 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $25.75 – $247.34 | 18 |
| Blood gases ph venous CPT 82800 | not published | not published | $7.68 – $34.54 | 18 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $13.12 – $64.32 | 18 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $2.69 – $13.28 | 18 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $2.69 – $13.75 | 18 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | not published | not published | $2.96 – $16.70 | 18 |
| Blood smear interpretation CPT 85060 | not published | not published | $21.72 – $74.58 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.12 – $13.91 | 18 |
| Blood typing abo CPT 86900 | not published | not published | $2.71 – $333.79 | 18 |
| Blood typing ag donor ea ag CPT 86902 | not published | not published | $3.47 – $931.50 | 17 |
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.