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 |
|---|---|---|---|---|
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $521.59 – $2,581.00 | 19 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $84.16 – $95.31 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $552.02 – $552.02 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $110.43 – $1,040.54 | 17 |
| Esophageal recording CPT 93615 | not published | not published | $46.42 – $46.42 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $251.04 – $251.04 | 1 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $4,756.53 – $4,756.53 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $5,083.89 – $5,083.89 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $784.44 – $784.44 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $382.58 – $2,427.80 | 14 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $975.49 – $975.49 | 1 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $769.17 – $769.17 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $722.06 – $722.06 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $479.06 – $479.06 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $796.45 – $796.45 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $433.30 – $433.30 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $390.65 – $2,427.80 | 14 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $321.13 – $2,427.80 | 14 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $583.24 – $583.24 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $827.74 – $827.74 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $541.40 – $541.40 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,084.88 – $1,084.88 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $715.69 – $715.69 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $501.52 – $501.52 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,193.02 – $2,193.02 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $642.55 – $642.55 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $994.50 – $994.50 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $784.05 – $784.05 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $714.38 – $714.38 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $598.81 – $598.81 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $651.75 – $651.75 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $849.44 – $849.44 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $195.42 – $1,373.99 | 14 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $151.86 – $1,373.99 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $660.34 – $660.34 | 1 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $534.85 – $534.85 | 1 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $3,351.58 – $3,351.58 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $4,903.27 – $4,903.27 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $30.60 – $30.60 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $152.64 – $806.37 | 14 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $172.35 – $1,373.99 | 14 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $572.25 – $572.25 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $846.76 – $846.76 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $487.72 – $487.72 | 1 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $13,376.72 – $13,376.72 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $1,615.26 – $1,615.26 | 1 |
| Establish access to aorta CPT 36160 | not published | not published | $518.10 – $518.10 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $633.57 – $633.57 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $3,987.98 – $3,987.98 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $19.06 – $27.43 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $41.26 – $74.44 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $69.62 – $147.30 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $226.79 – $226.79 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $320.24 – $320.24 | 1 |
| Estradiol total CPT 82670 | not published | not published | $25.35 – $113.02 | 17 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.68 – $87.70 | 17 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,125.50 – $3,125.50 | 1 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $13.52 – $60.25 | 17 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.62 – $33.96 | 17 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,445.52 – $1,445.52 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $144.70 – $405.16 | 14 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $114.76 – $371.26 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $58.44 – $308.07 | 16 |
| Evaluation heart device CPT 93640 | not published | not published | $724.86 – $724.86 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $124.61 – $348.91 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $148.59 – $416.05 | 15 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $2,244.90 – $2,244.90 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $953.35 – $953.35 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $4,612.23 – $12,402.00 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $4,589.72 – $4,589.72 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $6,864.38 – $6,864.38 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $8,571.48 – $8,571.48 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $1,653.81 – $12,402.00 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $5,152.74 – $5,152.74 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $8,585.18 – $8,585.18 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $4,280.06 – $4,280.06 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $6,893.41 – $6,893.41 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $3,528.82 – $3,528.82 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $2,807.62 – $2,807.62 | 1 |
| Event monitor CPT 93270 | not published | not published | $34.49 – $96.57 | 14 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $54.14 – $806.37 | 14 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $19.88 – $806.37 | 14 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $79.06 – $79.06 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $78.84 – $806.37 | 14 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $52.00 – $806.37 | 14 |
| Evok oa screening qual CPT 92558 | not published | not published | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $281.32 – $787.70 | 14 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $397.98 – $397.98 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,921.01 – $1,921.01 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,657.76 – $2,657.76 | 1 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,682.66 – $1,682.66 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,930.51 – $1,930.51 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,537.24 – $2,537.24 | 1 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $4,330.98 – $4,330.98 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $6,337.01 – $6,337.01 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,549.28 – $1,549.28 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,186.24 – $1,186.24 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $3,755.19 – $3,755.19 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,739.87 – $5,739.87 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,348.33 – $1,348.33 | 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.