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 |
|---|---|---|---|---|
| CT thoracic spine without contrast CPT 72128 | not published | not published | $98.35 – $407.74 | 17 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $98.35 – $275.38 | 14 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $164.64 – $646.34 | 17 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $172.30 – $924.78 | 17 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $98.35 – $428.40 | 17 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $164.64 – $695.44 | 17 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $158.48 – $1,490.65 | 14 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $158.48 – $1,550.53 | 14 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $2,171.10 – $2,171.10 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,147.51 – $2,147.51 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $7.33 – $32.69 | 17 |
| Culture afb any source CPT 87116 | not published | not published | $8.95 – $43.71 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $7.33 – $32.69 | 17 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $8.59 – $38.25 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $8.56 – $38.14 | 17 |
| Culture body fluid CPT 87070 | not published | not published | $7.81 – $34.82 | 17 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $9.37 – $41.74 | 17 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $9.37 – $41.74 | 17 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $7.62 – $33.96 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.00 – $31.19 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $9.93 – $45.88 | 17 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $13.96 – $62.24 | 17 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $8.56 – $38.14 | 17 |
| Culture screening strep group a CPT 87081 | not published | not published | $6.02 – $26.84 | 17 |
| Culture typing added method CPT 87158 | not published | not published | $4.75 – $24.30 | 17 |
| Culture typing immunologic CPT 87147 | not published | not published | $4.69 – $20.94 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $610.57 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $31.84 – $123.66 | 16 |
| Culture urine each isolate CPT 87088 | not published | not published | $6.93 – $32.74 | 17 |
| Culture virus isolation CPT 87250 | not published | not published | $17.74 – $79.08 | 17 |
| Curette/treat cornea CPT 65435 | not published | not published | $244.28 – $2,508.04 | 14 |
| Curette/treat cornea CPT 65436 | not published | not published | $1,287.74 – $1,287.74 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $246.27 – $246.27 | 1 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $58.23 – $58.23 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $87.60 – $87.60 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.99 – $57.92 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $11.75 – $52.38 | 17 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $16.37 – $56.68 | 17 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $130.50 – $914.87 | 16 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $548.90 | 16 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $244.69 – $1,415.86 | 16 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $548.90 | 16 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $548.90 | 16 |
| Cystatin c CPT 82610 | not published | not published | $12.34 – $58.15 | 17 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $368.32 – $1,566.86 | 15 |
| Cystine urine quantitative CPT 82131 | not published | not published | $15.30 – $72.16 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,895.82 – $1,895.82 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $47.72 – $924.78 | 17 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $421.59 – $1,728.41 | 14 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,518.73 – $3,518.73 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,860.44 – $2,860.44 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $666.41 – $666.41 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $977.38 – $977.38 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $854.36 – $854.36 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $681.86 – $681.86 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $992.73 – $992.73 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,165.20 – $1,165.20 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,039.39 – $2,039.39 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $843.56 – $843.56 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $642.99 – $642.99 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,072.88 – $1,072.88 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,321.56 – $1,321.56 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $809.00 – $809.00 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $617.29 – $1,728.41 | 14 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $985.57 – $985.57 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,138.29 – $1,138.29 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,183.48 – $1,183.48 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,126.34 – $1,126.34 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $610.52 – $610.52 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,109.63 – $1,109.63 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $996.87 – $996.87 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,066.39 – $1,066.39 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $501.25 – $1,728.41 | 14 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $685.41 – $685.41 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $617.29 – $1,728.41 | 14 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,356.79 – $1,356.79 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,062.47 – $1,062.47 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $1,158.36 – $1,158.36 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $732.37 – $732.37 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,003.68 – $1,003.68 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,296.86 – $1,296.86 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $533.33 – $533.33 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,148.67 – $1,148.67 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,858.65 – $1,858.65 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,082.60 – $3,082.60 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,265.94 – $1,265.94 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,536.15 – $1,536.15 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,581.14 – $1,581.14 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,885.39 – $1,885.39 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,651.20 – $1,651.20 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,709.92 – $1,709.92 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,851.74 – $1,851.74 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,487.34 – $1,487.34 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,639.81 – $1,639.81 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,084.29 – $1,084.29 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $621.37 – $621.37 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $567.42 – $567.42 | 1 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $241.35 – $241.35 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $902.25 – $902.25 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,417.43 – $1,417.43 | 1 |
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.