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 |
|---|---|---|---|---|
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $566.11 – $1,585.11 | 14 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $258.42 – $258.42 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,408.96 – $2,408.96 | 1 |
| Comprehensive hearing test CPT 92557 | not published | not published | $109.54 – $405.16 | 14 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $119.18 – $333.70 | 14 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $119.18 – $333.70 | 14 |
| Concentration infection agents any type CPT 87015 | not published | not published | $6.06 – $27.01 | 17 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $118.40 – $405.16 | 14 |
| Condylomata destruction 56420 CPT 56420 | not published | not published | $186.05 – $520.94 | 14 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $898.93 – $898.93 | 1 |
| Conization of cervix CPT 57520 | not published | not published | $1,008.35 – $1,008.35 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,929.38 – $1,929.38 | 1 |
| Construction of vagina CPT 57291 | not published | not published | $2,013.14 – $2,013.14 | 1 |
| Construct thumb replacement CPT 26550 | not published | not published | $5,643.63 – $5,643.63 | 1 |
| Construct vagina with graft CPT 57292 | not published | not published | $3,092.84 – $3,092.84 | 1 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $51.70 – $153.80 | 17 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $40.28 – $2,115.37 | 17 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | not published | not published | $23.54 – $65.56 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | not published | not published | $52.78 – $443.74 | 17 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $40.28 – $138.35 | 17 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $36.30 – $261.09 | 17 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $158.48 – $449.21 | 17 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $160.12 – $1,033.31 | 14 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $119.21 – $333.79 | 14 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $100.81 – $100.81 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $2,593.21 – $2,593.21 | 1 |
| Contour of face bone lesion CPT 21029 | not published | not published | $2,360.76 – $2,360.76 | 1 |
| Contrast baths charges CPT 97034 | not published | not published | $12.83 – $45.62 | 16 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $171.36 – $5,826.42 | 4 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $77.07 – $5,826.42 | 4 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $174.22 – $9,663.17 | 4 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $47.72 – $460.99 | 17 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $81.08 – $924.78 | 17 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $181.65 – $924.78 | 17 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $177.61 – $2,045.85 | 17 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $79.43 – $924.78 | 17 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $82.09 – $924.78 | 17 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $83.74 – $924.78 | 17 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $81.08 – $924.78 | 17 |
| Control nosebleed pack+caut 30905 CPT 30905 | not published | not published | $119.21 – $389.74 | 14 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $1,693.59 – $1,693.59 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,901.33 – $1,901.33 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $214.76 – $1,449.28 | 14 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $119.21 – $333.79 | 14 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $119.21 – $333.79 | 14 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $470.96 – $1,318.69 | 14 |
| Control throat bleeding CPT 42961 | not published | not published | $1,551.62 – $1,551.62 | 1 |
| Control throat bleeding CPT 42962 | not published | not published | $1,921.28 – $1,921.28 | 1 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $931.60 – $931.60 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $836.60 – $836.60 | 1 |
| Conv gtube to jtube CPT 44373 | not published | not published | $779.77 – $779.77 | 1 |
| Coombs direct CPT 86880 | not published | not published | $4.88 – $153.80 | 17 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.19 – $443.74 | 17 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $4.69 – $443.74 | 17 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,583.40 – $3,297.00 | 3 |
| Core ndl bx lng/med perq CPT 32408 | not published | not published | $577.80 – $577.80 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,648.09 – $2,648.09 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,030.14 – $2,030.14 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,954.62 – $1,954.62 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $18.43 – $153.80 | 14 |
| Corneal smear CPT 65430 | not published | not published | $364.20 – $1,033.31 | 14 |
| Corneal transplant CPT 65710 | not published | not published | $3,819.05 – $3,819.05 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $4,245.37 – $4,245.37 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $4,284.26 – $4,284.26 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $4,268.74 – $4,268.74 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,052.95 – $4,052.95 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $1,371.50 – $12,534.00 | 4 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $1,218.19 – $12,534.00 | 4 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $1,528.10 – $12,534.00 | 4 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $1,152.58 – $12,534.00 | 4 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $998.27 – $12,534.00 | 4 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $306.75 – $858.90 | 14 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,283.84 – $2,283.84 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $1,168.43 – $1,168.43 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $2,447.28 – $2,447.28 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $1,912.50 – $1,912.50 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $2,977.61 – $2,977.61 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,720.94 – $1,720.94 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $2,183.25 – $2,183.25 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $895.73 – $2,508.04 | 14 |
| Correction of astigmatism CPT 65775 | not published | not published | $1,867.76 – $1,867.76 | 1 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $276.46 – $774.09 | 14 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $119.21 – $333.79 | 14 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $481.77 – $2,508.04 | 14 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $5,370.28 – $5,370.28 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,435.82 – $2,435.82 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $3,296.20 – $3,296.20 | 1 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $3,822.79 – $3,822.79 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $388.85 – $1,585.11 | 14 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $1,959.37 – $1,959.37 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,095.50 – $2,095.50 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $29.58 – $131.91 | 17 |
| Cortisol total am CPT 82533 | not published | not published | $14.79 – $65.95 | 17 |
| Costotransversectomy CPT 21610 | not published | not published | $4,100.28 – $4,100.28 | 1 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $22.28 – $72.38 | 16 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $27.55 – $77.14 | 14 |
| Cover eye w/membrane CPT 65778 | not published | not published | $306.66 – $2,508.04 | 14 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $1,184.19 – $1,184.19 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $38.40 – $107.52 | 13 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $70.20 – $220.43 | 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.