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 |
|---|---|---|---|---|
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $221.85 – $731.38 | 14 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $2,781.65 – $2,781.65 | 1 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $214.76 – $601.33 | 14 |
| Close mastoid fistula CPT 69700 | not published | not published | $2,509.08 – $2,509.08 | 1 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,695.99 – $2,695.99 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $276.46 – $774.09 | 14 |
| Close tear duct opening CPT 68761 | not published | not published | $276.46 – $774.09 | 14 |
| Close tear system fistula CPT 68770 | not published | not published | $2,120.13 – $2,120.13 | 1 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $10.88 – $50.24 | 17 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $554.75 – $554.75 | 1 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $3,105.04 – $3,105.04 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $5,805.48 – $5,805.48 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $3,667.64 – $3,667.64 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $5,065.68 – $5,065.68 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $470.96 – $1,318.69 | 14 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $342.95 – $2,508.04 | 14 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,301.19 – $1,301.19 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,204.66 – $1,204.66 | 1 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $571.78 – $1,600.98 | 13 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.18 – $76.59 | 17 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $18.52 – $82.57 | 17 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.18 – $76.59 | 17 |
| Clot factor xii hageman CPT 85280 | not published | not published | $17.56 – $78.25 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.07 – $35.95 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $14.83 – $66.09 | 17 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.05 – $61.98 | 5 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $221.85 – $979.89 | 14 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $221.85 – $1,039.74 | 14 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $221.85 – $1,061.91 | 14 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $790.52 – $790.52 | 1 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $221.85 – $770.60 | 14 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,168.11 – $1,168.11 | 1 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $221.85 – $754.33 | 14 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $221.85 – $638.59 | 14 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $221.85 – $1,389.75 | 14 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $221.85 – $1,062.45 | 14 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $2,906.19 – $2,906.19 | 1 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,767.58 – $1,767.58 | 1 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $221.85 – $843.39 | 14 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $221.85 – $918.15 | 14 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $2,098.21 – $2,098.21 | 1 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $221.85 – $842.16 | 14 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $1,702.17 – $1,702.17 | 1 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $221.85 – $877.85 | 14 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $221.85 – $1,439.49 | 14 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $221.85 – $1,196.15 | 14 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $221.85 – $1,117.11 | 14 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $245.61 – $1,207.88 | 14 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $470.96 – $1,696.61 | 14 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $221.85 – $734.29 | 14 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $221.85 – $918.27 | 14 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $221.85 – $1,017.23 | 14 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,593.61 – $1,593.61 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $221.85 – $859.75 | 14 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $221.85 – $675.91 | 14 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $510.70 – $510.70 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,086.39 – $1,086.39 | 1 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $221.85 – $1,211.40 | 14 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $221.85 – $1,016.18 | 14 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $221.85 – $1,195.73 | 14 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,400.85 – $1,400.85 | 1 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $221.85 – $813.79 | 14 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $1,412.95 – $1,412.95 | 1 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $221.85 – $816.47 | 14 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,407.96 – $1,407.96 | 1 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,796.22 – $1,796.22 | 1 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,394.75 – $1,394.75 | 1 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,127.39 – $1,127.39 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $123.89 – $621.18 | 14 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $221.85 – $621.18 | 14 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $221.85 – $990.00 | 14 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $1,591.82 – $1,591.82 | 1 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $221.85 – $802.50 | 14 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $221.85 – $1,011.38 | 14 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $221.85 – $966.53 | 14 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $221.85 – $943.61 | 14 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $221.85 – $1,681.36 | 14 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $221.85 – $1,029.93 | 14 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $221.85 – $903.85 | 14 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $221.85 – $1,307.17 | 14 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,493.42 – $1,493.42 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,258.29 – $1,258.29 | 1 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $221.85 – $984.39 | 14 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,760.72 – $1,760.72 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $221.85 – $1,047.30 | 14 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,690.86 – $1,690.86 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $2,738.15 – $2,738.15 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $2,257.32 – $2,257.32 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $1,621.85 – $1,621.85 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,310.06 – $2,310.06 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $221.85 – $954.11 | 14 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,506.41 – $1,506.41 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,305.05 – $1,305.05 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $221.85 – $1,172.76 | 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.