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 |
|---|---|---|---|---|
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,712.20 – $2,712.20 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $65.82 – $184.30 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $65.82 – $197.17 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $306.75 – $858.90 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $304.08 – $858.90 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $65.82 – $184.30 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $65.82 – $191.63 | 14 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $50.92 – $184.30 | 14 |
| Administration immunization each additional component CPT 90461 | not published | not published | $29.62 – $29.62 | 1 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $19.24 – $19.24 | 1 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $58.70 – $58.70 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $20.20 – $184.30 | 14 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $18.38 – $18.38 | 1 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $108.98 – $2,674.69 | 4 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $4,536.31 – $4,536.31 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $222.31 – $222.31 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $252.20 – $806.37 | 14 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $242.38 – $806.37 | 14 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $287.99 – $806.37 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $18.20 – $81.08 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $5.13 – $22.95 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $104.66 – $406.44 | 16 |
| After cataract laser surgery CPT 66821 | not published | not published | $507.36 – $1,420.61 | 14 |
| Air conduction bilat CPT 92552 | not published | not published | $61.06 – $333.79 | 14 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $378.91 – $378.91 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $38.11 – $405.16 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $4.69 – $24.43 | 17 |
| Albumin ischemia modified CPT 82045 | not published | not published | $30.80 – $137.28 | 17 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.25 – $23.41 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $1.08 – $20.03 | 17 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $0.02 – $48.36 | 14 |
| Alkaline phosphatase CPT 84075 | not published | not published | $1.08 – $20.94 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $56.30 | 16 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.73 – $21.11 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $1.14 – $32.24 | 17 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $29.22 – $119.48 | 14 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $23.84 – $119.48 | 14 |
| Allergy Skin Testing CPT 95004 | not published | not published | $14.02 – $2,634.52 | 14 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $13.97 – $2,634.52 | 14 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $4,710.63 – $4,710.63 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $19.34 – $101.64 | 14 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $10.14 – $63.42 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $58.44 – $260.49 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $15.22 – $67.84 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $15.22 – $67.84 | 17 |
| Alt/sgpt CPT 84460 | not published | not published | $1.08 – $21.41 | 17 |
| Aluminum - quest CPT 82108 | not published | not published | $14.26 – $103.04 | 17 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $907.05 – $907.05 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $84.89 – $237.69 | 14 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.02 – $25.42 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $57.10 – $333.79 | 14 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.58 – $56.06 | 17 |
| Amino acid single qual CPT 82127 | not published | not published | $12.58 – $56.06 | 17 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $15.30 – $68.23 | 17 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $14.93 – $65.87 | 17 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $24.80 | 2 |
| Ammonia CPT 82140 | not published | not published | $13.22 – $58.95 | 17 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $249.05 – $2,254.78 | 15 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $281.32 – $787.70 | 15 |
| Amniotic fluid scan CPT 82143 | not published | not published | $6.23 – $29.36 | 17 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,320.00 – $2,320.00 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.02 – $23.72 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.02 – $28.47 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $736.37 | 13 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,680.35 – $1,680.35 | 1 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $2,771.61 – $2,771.61 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $2,015.45 – $2,015.45 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,573.04 – $2,573.04 | 1 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,136.30 – $3,136.30 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $2,044.28 – $2,044.28 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $2,349.15 – $2,349.15 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $2,629.84 – $2,629.84 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,092.70 – $2,092.70 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,568.02 – $2,568.02 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $1,915.65 – $1,915.65 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,211.17 – $2,211.17 | 1 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $3,545.99 – $3,545.99 | 1 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $2,524.87 – $2,524.87 | 1 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,599.68 – $2,599.68 | 1 |
| Amputation of lower leg CPT 27882 | not published | not published | $2,381.43 – $2,381.43 | 1 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $2,154.71 – $2,154.71 | 1 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,906.32 – $2,906.32 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $1,537.06 – $1,537.06 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $1,318.68 – $1,318.68 | 1 |
| Amylase CPT 82150 | not published | not published | $5.88 – $26.20 | 17 |
| Ana ds-dna CPT 86226 | not published | not published | $10.99 – $48.97 | 17 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $0.02 – $19.41 | 2 |
| Anal pressure record CPT 91122 | not published | not published | $262.46 – $806.37 | 14 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $144.70 – $405.16 | 14 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $224.93 – $629.80 | 14 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $84.89 – $237.69 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $64.45 – $206.27 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $56.01 – $230.38 | 16 |
| Analysis nerve CPT 88356 | not published | not published | $49.41 – $359.88 | 17 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $34.49 – $115.20 | 14 |
| Analysis tumor CPT 88358 | not published | not published | $69.64 – $443.74 | 17 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $84.89 – $237.69 | 14 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $98.25 | 13 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $8,011.21 – $8,011.21 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $8,792.31 – $8,792.31 | 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.