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 |
|---|---|---|---|---|
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,272.75 – $1,272.75 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,170.44 – $1,170.44 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $31.58 – $140.77 | 17 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $24.29 – $127.80 | 17 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,749.28 – $3,642.40 | 3 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $215.61 – $2,826.00 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | not published | not published | $13.06 – $58.23 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $15.28 – $68.14 | 17 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.88 – $48.53 | 17 |
| Cyto/molecular report CPT 88291 | not published | not published | $45.88 – $101.96 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.03 – $79.66 | 17 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.66 – $46.00 | 17 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.65 – $130.53 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $49.41 – $138.35 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $88.50 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $63.62 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $36.30 – $113.01 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $36.30 – $115.08 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $10.88 – $26.61 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $18.13 – $443.74 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | not published | not published | $49.41 – $237.35 | 18 |
| Cytopath smear other source CPT 88160 | not published | not published | $22.65 – $129.53 | 17 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.41 – $173.42 | 17 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $22.65 – $123.31 | 17 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $10.90 – $50.93 | 17 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $30.55 – $246.96 | 17 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.93 – $93.20 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $121.70 – $1,141.14 | 16 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $183.76 – $674.29 | 14 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $547.40 – $547.40 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $807.32 – $807.32 | 1 |
| Dch glucoscan CPT 82948 | not published | not published | $2.87 – $15.83 | 17 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $205.14 – $806.37 | 14 |
| Dch validity tests CPT 81002 | not published | not published | $2.11 – $10.93 | 17 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,221.38 – $2,221.38 | 1 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $6,614.25 – $6,614.25 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,126.19 – $1,126.19 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $420.91 – $420.91 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $33.74 | 14 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,492.74 – $2,492.74 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $107.72 – $1,585.11 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $100.69 – $100.69 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,114.75 – $1,114.75 | 1 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $145.76 – $145.76 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $253.33 – $253.33 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $152.59 – $1,034.57 | 14 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $54.93 – $153.80 | 14 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $54.93 – $153.80 | 14 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $650.69 – $1,821.93 | 14 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $1,468.40 – $1,468.40 | 1 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,048.54 – $2,048.54 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,708.31 – $2,708.31 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $68.61 – $68.61 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $183.76 – $514.53 | 14 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $650.69 – $1,821.93 | 14 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $53.87 – $53.87 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $566.11 – $1,585.11 | 14 |
| Decalcification CPT 88311 | not published | not published | $13.60 – $25.37 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $97.76 – $858.90 | 14 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,946.08 – $1,946.08 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $2,073.34 – $2,073.34 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $4,465.07 – $4,465.07 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,080.45 – $2,080.45 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,065.11 – $3,065.11 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $4,044.39 – $4,044.39 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,851.93 – $2,851.93 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,409.55 – $2,409.55 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $2,053.12 – $2,053.12 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $2,066.55 – $2,066.55 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $3,206.09 – $3,206.09 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,578.58 – $1,578.58 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,649.18 – $1,649.18 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,882.32 – $1,882.32 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,038.92 – $2,038.92 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $2,245.93 – $2,245.93 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,459.31 – $2,459.31 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,363.58 – $1,363.58 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,338.26 – $1,338.26 | 1 |
| Decompressive craniotomy CPT 61322 | not published | not published | $8,993.61 – $8,993.61 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,163.45 – $4,163.45 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $6,269.04 – $6,269.04 | 1 |
| Decompress small bowel CPT 44021 | not published | not published | $3,512.56 – $3,512.56 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $5,751.41 – $5,751.41 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,845.86 – $6,845.86 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,281.05 – $1,281.05 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $560.56 – $560.56 | 1 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,094.78 – $3,094.78 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $789.12 – $789.12 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,165.08 – $1,165.08 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,069.26 – $1,069.26 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $671.14 – $671.14 | 1 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $283.05 – $283.05 | 1 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $3,086.71 – $3,086.71 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $3,628.99 – $3,628.99 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $2,558.60 – $2,558.60 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $39.53 – $526.68 | 14 |
| Denervation of hip joint CPT 27035 | not published | not published | $4,187.19 – $4,187.19 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $119.21 – $477.19 | 14 |
| Dermabrasion other than face CPT 15782 | not published | not published | $1,389.26 – $1,389.26 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $650.69 – $1,821.93 | 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.