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 |
|---|---|---|---|---|
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,550.73 – $1,550.73 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $276.46 – $774.09 | 14 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $666.44 – $666.44 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $334.44 – $1,821.93 | 14 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $470.96 – $1,318.69 | 14 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,113.17 – $1,113.17 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,783.70 – $1,783.70 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,510.46 – $1,510.46 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,493.86 – $1,493.86 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $818.37 – $818.37 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $642.40 – $642.40 | 1 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $4,002.27 – $4,002.27 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,587.61 – $3,587.61 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,687.06 – $2,687.06 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $5,715.15 – $5,715.15 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $556.21 – $556.21 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $455.54 – $1,318.69 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $412.67 – $412.67 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $121.11 | 16 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $85.13 | 16 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $75.91 | 14 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $121.11 | 16 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $85.13 | 16 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $52.19 | 14 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $39.56 | 16 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $85.13 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $53.82 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $62.14 – $195.12 | 16 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $16.31 – $72.71 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,936.95 – $1,936.95 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $611.88 – $611.88 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $369.49 – $1,034.57 | 14 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $369.49 – $1,034.57 | 14 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $566.11 – $1,585.11 | 14 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ductogram sgl duct CPT 77053 | not published | not published | $37.01 – $625.94 | 18 |
| Duodenal motility study CPT 91022 | not published | not published | $227.80 – $1,373.99 | 14 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $109.15 – $625.94 | 15 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $69.47 – $275.38 | 15 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $45.24 – $275.38 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $93.36 – $405.16 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $85.36 – $625.94 | 15 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $45.17 – $275.38 | 16 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $144.70 – $405.16 | 13 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $565.80 – $565.80 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $568.56 – $568.56 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $558.86 – $558.86 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $34.93 – $1,033.31 | 14 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $213.92 – $2,427.80 | 14 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $310.08 – $2,427.80 | 14 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $129.62 – $806.37 | 14 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $144.70 – $405.16 | 14 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $359.12 – $1,005.54 | 14 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $595.86 – $595.86 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $224.93 – $629.80 | 14 |
| Dynamic surface emg CPT 96002 | not published | not published | $60.20 – $806.37 | 14 |
| Ear and throat examination CPT 92502 | not published | not published | $272.89 – $1,318.69 | 14 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $234.19 – $234.19 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,128.02 – $2,128.02 | 1 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $46.84 – $153.80 | 14 |
| Ear protector evaluation CPT 92596 | not published | not published | $36.30 – $106.10 | 14 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $37.91 – $153.80 | 14 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $28.93 – $28.93 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $18.67 – $153.80 | 14 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $84.89 – $712.61 | 14 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $109.59 – $333.79 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $54.93 – $164.65 | 14 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $36.30 – $101.64 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $36.30 – $101.64 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $255.99 – $1,419.82 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $14.15 – $14.15 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $103.62 – $625.94 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $30.16 – $30.16 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $81.83 – $275.38 | 17 |
| Echo exam of eye CPT 76519 | not published | not published | $85.61 – $275.38 | 17 |
| Echo exam of eye CPT 76529 | not published | not published | $81.43 – $228.00 | 17 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $9.55 – $63.42 | 17 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $241.97 – $1,419.82 | 17 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $120.24 – $625.94 | 17 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $84.23 – $275.38 | 17 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $60.02 – $275.38 | 17 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $104.18 – $625.94 | 17 |
| Echograp trans r pros study CPT 76873 | not published | not published | $98.35 – $317.17 | 17 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $81.83 – $207.73 | 3 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $43.56 – $68.80 | 3 |
| Echo guide for artery repair CPT 76936 | not published | not published | $254.56 – $806.37 | 17 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $105.48 – $117.37 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $176.23 – $230.19 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $98.30 – $114.16 | 2 |
| Echo stress CPT 93350 | not published | not published | $287.45 – $1,419.82 | 14 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $165.07 – $1,419.82 | 14 |
| Echo tee guidance CPT 93355 | not published | not published | $841.02 – $841.02 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $415.79 – $1,419.82 | 14 |
| Echo transesophageal CPT 93313 | not published | not published | $152.25 – $1,419.82 | 14 |
| Echo transesophageal CPT 93314 | not published | not published | $236.38 – $236.38 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $492.91 – $1,419.82 | 14 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $415.35 – $1,419.82 | 14 |
| Echo transthoracic CPT 93303 | not published | not published | $248.31 – $1,419.82 | 14 |
| Echo transthoracic CPT 93304 | not published | not published | $141.97 – $1,419.82 | 14 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $179.19 – $625.94 | 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.