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 |
|---|---|---|---|---|
| Dilation of urethra CPT 53665 | not published | not published | $153.38 – $153.38 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $502.31 – $502.31 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $215.74 – $215.74 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $352.71 – $1,728.41 | 14 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $588.48 – $588.48 | 1 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $984.39 – $984.39 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $194.12 – $194.12 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $36.30 – $101.64 | 14 |
| Disability dlco CPT 94727 | not published | not published | $38.11 – $405.16 | 14 |
| Disaccharidases CPT 82657 | not published | not published | $16.38 – $69.61 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,501.39 – $1,501.39 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $5,886.14 – $5,886.14 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $785.87 – $785.87 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $167.62 – $3,614.81 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $419.11 – $419.11 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,501.90 – $1,501.90 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,555.77 – $4,555.77 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,936.21 – $2,936.21 | 1 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,223.06 – $1,223.06 | 1 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $22.20 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,110.52 – $1,110.52 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $876.06 | 16 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $0.02 – $430.18 | 16 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $12.46 – $55.57 | 17 |
| Dna gardnerella CPT 87510 | not published | not published | $18.20 – $81.08 | 17 |
| Dna probe chlamydia CPT 87490 | not published | not published | $18.20 – $81.08 | 17 |
| Dna probe gc CPT 87590 | not published | not published | $18.20 – $84.40 | 17 |
| Dna trichomonas CPT 87660 | not published | not published | $18.20 – $81.08 | 17 |
| Doppler echo complete CPT 93320 | not published | not published | $74.24 – $74.24 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $357.24 – $357.24 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $82.71 – $405.16 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $45.02 – $333.79 | 15 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $548.90 | 16 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $456.70 – $1,821.93 | 14 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $514.16 – $1,821.93 | 14 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $574.93 – $574.93 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $425.92 – $1,821.93 | 14 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $657.66 – $657.66 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,663.28 – $1,663.28 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $214.76 – $601.33 | 14 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $570.87 – $570.87 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,612.19 – $1,612.19 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $460.00 – $460.00 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $1,613.12 – $1,613.12 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $1,646.75 – $1,646.75 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,356.00 – $1,356.00 | 1 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $393.28 – $1,821.93 | 14 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $214.76 – $601.33 | 14 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $931.80 – $931.80 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $905.21 – $905.21 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $963.68 – $963.68 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $470.96 – $1,318.69 | 14 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $470.96 – $1,318.69 | 14 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,247.37 – $1,247.37 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,251.45 – $1,251.45 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,466.41 – $1,466.41 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $214.76 – $601.33 | 14 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $429.02 – $1,318.69 | 14 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,906.43 – $1,906.43 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,256.93 – $2,256.93 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,734.87 – $1,734.87 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,797.84 – $1,797.84 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,345.73 – $2,345.73 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $545.26 – $545.26 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,983.10 – $1,983.10 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $1,590.81 – $1,590.81 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $470.96 – $1,318.69 | 14 |
| Drainage of throat abscess CPT 42725 | not published | not published | $3,008.73 – $3,008.73 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,556.74 – $1,556.74 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $622.40 – $622.40 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $617.29 – $1,728.41 | 14 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,486.13 – $2,486.13 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $207.18 – $2,634.52 | 14 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $105.66 – $333.79 | 14 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $916.69 – $916.69 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $859.94 – $859.94 | 1 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $337.09 – $1,793.29 | 14 |
| Drain chest lesion CPT 21502 | not published | not published | $1,956.49 – $1,956.49 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $183.76 – $514.53 | 14 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,251.35 – $1,251.35 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $1,438.80 – $1,438.80 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $1,176.72 – $1,176.72 | 1 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $4,246.70 – $4,246.70 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,505.84 – $1,505.84 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,159.74 – $1,159.74 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,847.19 – $3,847.19 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,234.40 – $1,234.40 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $2,509.10 – $2,509.10 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $776.82 – $776.82 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $937.06 – $937.06 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $1,822.86 – $1,822.86 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $529.91 – $529.91 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,694.19 – $2,694.19 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $183.76 – $514.53 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $183.76 – $514.53 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $369.49 – $1,034.57 | 14 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $164.28 – $1,585.11 | 14 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,384.69 – $3,384.69 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $1,233.57 – $1,233.57 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,747.28 – $2,747.28 | 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.