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 |
|---|---|---|---|---|
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $11.82 – $40.91 | 17 |
| C-peptide CPT 84681 | not published | not published | $18.88 – $65.34 | 17 |
| Cptrized corneal topography CPT 92025 | not published | not published | $39.53 – $153.80 | 14 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $45.78 – $153.80 | 14 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $287.99 – $806.37 | 13 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $9,097.42 – $9,097.42 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $6,263.70 – $6,263.70 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $7,600.86 – $7,600.86 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $10,552.00 – $10,552.00 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $11,320.82 – $11,320.82 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $7,291.42 – $7,291.42 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $7,905.36 – $7,905.36 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $7,545.34 – $7,545.34 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $8,411.80 – $8,411.80 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $100.84 – $1,393.84 | 17 |
| C-reactive protein CPT 86140 | not published | not published | $4.69 – $20.94 | 17 |
| C-reactive protein high sensitivity CPT 86141 | not published | not published | $11.75 – $52.38 | 17 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $9.65 – $43.02 | 17 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $3,106.49 – $3,106.49 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $592.49 – $592.49 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $1,035.09 – $1,035.09 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $2,664.08 – $2,664.08 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $2,749.35 – $2,749.35 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $2,638.05 – $2,638.05 | 1 |
| Creatine isoforms CPT 82554 | not published | not published | $10.77 – $48.00 | 17 |
| Creatine kinase CPT 82550 | not published | not published | $1.08 – $26.34 | 17 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $12.16 – $54.18 | 17 |
| Creatine kinase mb CPT 82553 | not published | not published | $10.47 – $46.70 | 17 |
| Creatine - sendout CPT 82540 | not published | not published | $4.20 – $18.73 | 17 |
| Creatinine CPT 82565 | not published | not published | $1.08 – $20.72 | 17 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $4.69 – $20.94 | 17 |
| Creatinine clearance urine CPT 82575 | not published | not published | $8.57 – $38.20 | 17 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $29.21 – $91.72 | 17 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $1,936.56 – $1,936.56 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,564.71 – $6,564.71 | 1 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $148.59 – $416.05 | 15 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $168.34 – $192.23 | 2 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $658.32 – $3,171.00 | 15 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $329.49 – $3,171.00 | 2 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $5,151.58 – $5,151.58 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $4,374.52 – $4,374.52 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $4,064.24 – $4,064.24 | 1 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $3,055.57 – $3,055.57 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $3,438.05 – $3,438.05 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $281.32 – $787.70 | 14 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $7.79 – $44.40 | 17 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $254.71 – $2,115.37 | 14 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $158.48 – $443.74 | 14 |
| Cryopreservation sperm CPT 89259 | not published | not published | $158.48 – $443.74 | 14 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $193.85 – $1,132.07 | 14 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.41 – $138.35 | 14 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $693.06 – $693.06 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $183.76 – $514.53 | 14 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $54.93 – $161.30 | 14 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $13.07 – $58.31 | 17 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $10.88 – $48.53 | 17 |
| Crystal identification light microscopy CPT 89060 | not published | not published | $7.33 – $28.92 | 17 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $6,252.56 – $6,252.56 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $3,349.76 – $3,349.76 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $89.74 – $2,674.69 | 4 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $181.20 – $776.61 | 14 |
| Csf ventriculography CPT 78635 | not published | not published | $90.58 – $1,393.84 | 17 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $116.48 – $123.56 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | not published | not published | $164.64 – $695.44 | 16 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | not published | not published | $164.64 – $695.44 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $164.64 – $955.97 | 17 |
| Cta neck without &/or w/contrast CPT 70498 | not published | not published | $164.64 – $695.44 | 16 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $327.99 – $1,143.16 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $164.64 – $1,140.55 | 17 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $164.64 – $695.44 | 16 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $330.28 – $924.78 | 16 |
| CT angio pelvis CPT 72191 | not published | not published | $164.64 – $695.44 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $164.64 – $695.44 | 16 |
| CT bone density axial CPT 77078 | not published | not published | $37.05 – $304.25 | 16 |
| CT colonography dx CPT 74261 | not published | not published | $98.35 – $428.40 | 16 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $164.64 – $695.98 | 16 |
| CT colonography screening CPT 74263 | not published | not published | $223.55 – $2,467.88 | 16 |
| CT guidance for needle placement CPT 77012 | not published | not published | $171.09 – $297.36 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $175.99 – $204.70 | 2 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $221.85 – $621.18 | 13 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $540.61 – $779.23 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $81.43 – $293.24 | 16 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $330.28 – $924.78 | 16 |
| CT hrt w/3d image CPT 75572 | not published | not published | $250.28 – $924.78 | 16 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $81.43 – $304.25 | 16 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $164.64 – $524.96 | 17 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $98.35 – $626.08 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $164.64 – $667.04 | 17 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $164.64 – $515.30 | 17 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $98.35 – $387.03 | 17 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $164.64 – $631.18 | 17 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $164.64 – $695.44 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $164.64 – $646.34 | 17 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $98.35 – $428.40 | 17 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $214.76 – $601.33 | 14 |
| CT scan for therapy guide CPT 77014 | not published | not published | $126.08 – $298.75 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $306.22 – $1,034.75 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $276.75 – $924.78 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $223.55 – $625.94 | 16 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $164.64 – $524.96 | 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.