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 |
|---|---|---|---|---|
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $369.49 – $1,252.02 | 14 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,172.50 – $2,172.50 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $2,233.19 – $2,233.19 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $2,584.82 – $2,584.82 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,881.75 – $1,881.75 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $7,175.92 – $7,175.92 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $452.15 – $452.15 | 1 |
| Design mlc device for imrt CPT 77338 | not published | not published | $338.55 – $947.94 | 16 |
| Desoxycorticosterone CPT 82633 | not published | not published | $28.10 – $109.50 | 17 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,629.70 – $1,629.70 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $6,162.74 – $6,162.74 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $4,459.56 – $4,459.56 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $183.76 – $514.53 | 14 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $183.76 – $514.53 | 14 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,049.95 – $1,049.95 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $317.07 – $317.07 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $535.81 – $535.81 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $183.76 – $514.53 | 14 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $733.67 – $733.67 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $420.29 – $420.29 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $183.76 – $514.53 | 14 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $566.11 – $1,585.11 | 14 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,783.23 – $1,783.23 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $15.40 – $15.40 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $473.57 – $473.57 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $658.44 – $658.44 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $183.76 – $514.53 | 14 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $769.14 – $2,305.41 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $275.86 – $275.86 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,028.99 – $1,028.99 | 1 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,343.21 – $1,343.21 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,431.18 – $1,431.18 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,337.85 – $1,337.85 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $183.76 – $518.72 | 14 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $472.79 – $472.79 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $520.46 – $520.46 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $636.53 – $636.53 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $369.49 – $1,034.57 | 14 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,426.03 – $2,426.03 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $633.15 – $633.15 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $358.64 – $358.64 | 1 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $347.89 – $347.89 | 1 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $18.20 – $94.29 | 17 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $36.39 – $162.21 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $20.07 – $20.07 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $144.70 – $405.16 | 14 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $168.71 – $168.71 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $31.73 – $228.00 | 17 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $20.17 – $89.91 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $8.00 – $39.25 | 17 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $677.83 – $677.83 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,177.53 – $1,177.53 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $369.04 – $1,033.31 | 13 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $119.21 – $333.79 | 14 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $103.64 – $254.17 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $129.74 – $199.31 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $178.62 – $502.71 | 14 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $179.54 – $502.71 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $97.94 – $386.75 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $76.84 – $303.26 | 16 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $81.43 – $228.00 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $701.00 – $701.00 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $204.84 – $1,102.67 | 14 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.51 – $20.69 | 16 |
| Diffusing capacity CPT 94729 | not published | not published | $25.39 – $25.39 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $290.45 – $290.45 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.05 – $53.71 | 17 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $523.05 – $523.05 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $364.01 – $364.01 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $334.76 – $2,427.80 | 14 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,864.07 – $1,864.07 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $933.25 – $933.25 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $2,653.04 – $2,653.04 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $363.76 – $1,033.31 | 14 |
| Dilate urethra stricture CPT 53600 | not published | not published | $224.93 – $629.80 | 14 |
| Dilate urethra stricture CPT 53601 | not published | not published | $119.21 – $333.79 | 14 |
| Dilate urethra stricture CPT 53605 | not published | not published | $261.30 – $261.30 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $224.93 – $629.80 | 14 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $144.70 – $405.16 | 14 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $594.73 – $594.73 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $180.47 – $180.47 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $701.40 – $701.40 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $288.16 – $1,318.69 | 14 |
| Dilation of urethra CPT 53661 | not published | not published | $119.21 – $333.79 | 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.