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 |
|---|---|---|---|---|
| Blood typing patient serum CPT 86904 | not published | not published | $4.35 – $153.80 | 18 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | not published | not published | $3.47 – $931.50 | 18 |
| Blood typing rh (d) CPT 86901 | not published | not published | $2.71 – $101.64 | 18 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $7.04 – $101.64 | 18 |
| Blood volume CPT 78122 | not published | not published | $247.81 – $1,393.84 | 18 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $95.73 – $275.38 | 18 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $371.62 – $1,040.54 | 18 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $365.07 – $1,040.54 | 18 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | not published | 0 |
| Bone marrow imaging body CPT 78104 | not published | not published | $371.62 – $1,040.54 | 18 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $353.90 – $1,040.54 | 18 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $371.62 – $1,040.54 | 18 |
| Bone marrow interpretation CPT 85097 | not published | not published | $77.39 – $2,115.37 | 18 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $98.35 – $275.38 | 18 |
| Borrelia antibody CPT 86619 | not published | not published | $12.14 – $42.01 | 18 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $15.45 – $68.89 | 18 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $98.25 | 16 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.12 – $13.91 | 18 |
| Bowel imaging CPT 78290 | not published | not published | $371.62 – $1,040.54 | 18 |
| Brachytx isodose complex CPT 77318 | not published | not published | $338.55 – $947.94 | 17 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $338.55 – $947.94 | 17 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $338.55 – $947.94 | 17 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $550.76 | 17 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | not published | 0 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | not published | 0 |
| Brain flow imaging only CPT 78610 | not published | not published | $424.10 – $1,393.84 | 18 |
| Brain image < 4 views CPT 78600 | not published | not published | $371.62 – $1,040.54 | 18 |
| Brain image 4+ views CPT 78605 | not published | not published | $440.04 – $1,393.84 | 18 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $371.62 – $1,040.54 | 18 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $497.80 – $1,393.84 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $330.28 – $1,468.27 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $330.28 – $1,158.92 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $223.55 – $943.86 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | not published | not published | $330.28 – $1,446.68 | 19 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $330.28 – $1,155.99 | 19 |
| Brain MRI (without contrast) CPT 70551 | not published | not published | $223.55 – $943.39 | 19 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $2,939.04 | 17 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,834.48 | 17 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $1,178.29 | 17 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $946.24 | 17 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $1,776.49 | 17 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $581.28 | 17 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $1,178.29 | 17 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $888.24 | 17 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $1,381.60 | 17 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,640.67 – $5,730.12 | 2 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $156.81 – $156.81 | 1 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $42.76 – $1,821.93 | 17 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | not published | 0 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | not published | 0 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $144.70 – $405.16 | 16 |
| Breathing response hypoxia CPT 94450 | not published | not published | $144.70 – $405.16 | 16 |
| Breath recording infant CPT 94772 | not published | not published | $490.71 – $1,373.99 | 16 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $333.27 | 18 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $39.04 | 18 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $359.12 – $1,005.54 | 16 |
| Bronchial allergy tests CPT 95070 | not published | not published | $490.71 – $1,373.99 | 16 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $359.12 – $1,005.54 | 16 |
| Bronchial challenge CPT 94070 | not published | not published | $287.99 – $806.37 | 16 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | not published | 0 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $179.54 – $502.71 | 16 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $21.43 – $21.43 | 1 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | not published | not published | $49.41 – $226.46 | 18 |
| Bundled special stain group 2 CPT 88313 | not published | not published | $60.87 – $333.79 | 18 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $62.26 – $62.26 | 1 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | not published | 0 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | not published | 0 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | not published | 0 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $166.60 – $166.60 | 1 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $83.76 – $83.76 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $78.18 – $78.18 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $67.20 – $67.20 | 1 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $281.32 – $787.70 | 16 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | not published | 0 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | not published | 0 |
| Bx liver with other CPT 47001 | not published | not published | not published | 0 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $210.78 – $210.78 | 1 |
| Bx perianal mass CPT 46999 | not published | not published | $843.17 – $2,360.88 | 16 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | not published | not published | $650.69 – $1,821.93 | 16 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $805.28 – $2,254.78 | 16 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $805.28 – $2,254.78 | 16 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $571.78 – $1,600.98 | 16 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $10.89 – $48.56 | 18 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | not published | 0 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | not published | 0 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | not published | 0 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | not published | 0 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | not published | 0 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | not published | 0 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | not published | 0 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | not published | 0 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | not published | 0 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | not published | 0 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | not published | 0 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | not published | 0 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | not published | 0 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | not published | 0 |
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.