Ascension Via Christi Rehabilitation Hospital, Inc.
1151 N Rock Rd, Wichita, KS · Ascension · · NPI 1083604789
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 |
|---|---|---|---|---|
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $458.74 – $1,793.29 | 14 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $825.43 – $825.43 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $273.00 – $764.40 | 14 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $276.46 – $774.09 | 14 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $207.89 – $764.40 | 14 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $161.52 – $764.40 | 14 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $273.00 – $764.40 | 14 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $273.00 – $764.40 | 14 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $273.00 – $764.40 | 14 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $496.55 – $1,793.29 | 14 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $573.60 – $1,793.29 | 14 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $42.67 – $213.90 | 14 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $306.75 – $858.90 | 14 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $292.54 – $858.90 | 14 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $124.75 – $545.58 | 14 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $65.82 – $184.30 | 14 |
| Chemotaxis assay CPT 86155 | not published | not published | $14.50 – $57.95 | 17 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $127.50 – $858.90 | 14 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $65.39 – $858.90 | 14 |
| Chest 2 vws w oblique CPT 71048 | not published | not published | $46.03 – $275.38 | 16 |
| Chest apical lordotic proj CPT 71047 | not published | not published | $40.00 – $228.00 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | not published | not published | $164.64 – $631.18 | 16 |
| Chest CT scan (with contrast) CPT 71260 | not published | not published | $164.64 – $944.50 | 17 |
| Chest CT scan (without contrast) CPT 71250 | not published | not published | $98.35 – $658.05 | 17 |
| Chest X-ray CPT 71046 | not published | not published | $30.97 – $228.00 | 16 |
| Chest X-ray (single view) CPT 71045 | not published | not published | $25.90 – $228.00 | 16 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $54.93 – $153.80 | 14 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $100.12 – $460.99 | 16 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $651.42 | 16 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $234.23 – $818.88 | 16 |
| Chlamydia culture CPT 87110 | not published | not published | $17.77 – $79.22 | 17 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.88 – $48.53 | 17 |
| Chlamydia type CPT 87140 | not published | not published | $5.06 – $22.55 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $32.28 – $36.22 | 2 |
| Chloride CPT 82435 | not published | not published | $1.08 – $18.56 | 17 |
| Chloride 24 hour urine CPT 82436 | not published | not published | $4.56 – $20.33 | 17 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $306.75 – $858.90 | 14 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $866.17 – $866.17 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $53.73 – $61.46 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $4,536.71 – $4,536.71 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $3,497.78 – $3,497.78 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $4,066.60 – $4,066.60 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $1,965.39 – $1,965.39 | 1 |
| Cholesterol CPT 82465 | not published | not published | $1.08 – $17.62 | 17 |
| Cholesterol body fluid CPT 84999 | not published | not published | $16.72 – $53.34 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $12.16 – $54.21 | 17 |
| Cholinesterase CPT 82480 | not published | not published | $7.15 – $31.88 | 17 |
| Cholinesterase challenge CPT 95857 | not published | not published | $81.03 – $806.37 | 14 |
| Chorion biopsy CPT 59015 | not published | not published | $407.94 – $2,254.78 | 14 |
| Chrom analysis CPT 88273 | not published | not published | $29.15 – $129.94 | 17 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $17.79 – $122.46 | 17 |
| Chromatography CPT 83021 | not published | not published | $16.38 – $56.71 | 17 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.79 – $48.11 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $179.11 | 15 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $150.90 – $545.29 | 17 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $157.11 – $700.37 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $113.08 – $504.08 | 17 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $103.73 – $602.06 | 17 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $136.34 – $607.79 | 17 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $160.33 – $830.03 | 17 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $157.11 – $700.37 | 17 |
| Chromosome analys placenta CPT 88267 | not published | not published | $163.09 – $727.04 | 17 |
| Chromosome banding study CPT 88283 | not published | not published | $30.77 – $215.40 | 17 |
| Chromosome count additional CPT 88285 | not published | not published | $17.23 – $84.50 | 17 |
| Chromosome karyotype study CPT 88280 | not published | not published | $22.77 – $105.10 | 17 |
| Chromosome study additional CPT 88289 | not published | not published | $8.61 – $139.28 | 17 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.31 – $39.12 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $31.17 – $193.11 | 17 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,372.02 – $1,372.02 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $55.89 – $291.68 | 17 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $41.87 – $46.07 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $783.39 – $783.39 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $577.02 – $1,728.41 | 14 |
| Circumcision (newborn) CPT 54150 | not published | not published | $390.57 – $390.57 | 1 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $217.48 – $1,034.66 | 16 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,109.25 – $2,109.25 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $2,578.33 – $2,578.33 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $470.96 – $1,318.69 | 14 |
| Clearance of airways CPT 31720 | not published | not published | $188.10 – $526.68 | 14 |
| Clearance of tear duct CPT 68530 | not published | not published | $276.46 – $923.98 | 14 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $119.21 – $333.79 | 14 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $66.15 – $333.79 | 14 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $105.53 – $333.79 | 14 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $36.30 – $101.64 | 14 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $4,290.24 – $4,290.24 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $10,499.43 – $10,499.43 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $221.85 – $1,191.85 | 14 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,359.37 – $1,359.37 | 1 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $2,860.61 – $2,860.61 | 1 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $221.85 – $1,902.47 | 14 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,521.51 – $1,521.51 | 1 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $221.85 – $1,045.77 | 14 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,617.35 – $1,617.35 | 1 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $221.85 – $621.18 | 14 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $2,427.60 – $2,427.60 | 1 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $470.96 – $1,318.69 | 14 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,101.98 – $1,101.98 | 1 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $2,119.68 – $2,119.68 | 1 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,071.40 – $1,071.40 | 1 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $221.85 – $621.18 | 14 |
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.