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 |
|---|---|---|---|---|
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $155.48 – $551.34 | 2 |
| Excision aural polyp CPT 69540 | not published | not published | $457.44 – $457.44 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $430.52 – $1,821.93 | 14 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $443.98 – $443.98 | 1 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $373.55 – $1,821.93 | 14 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $797.75 – $797.75 | 1 |
| Excision breast lesion CPT 19125 | not published | not published | $436.29 – $1,490.96 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $790.20 – $790.20 | 1 |
| Excision graft extremity CPT 35903 | not published | not published | $2,225.09 – $2,225.09 | 1 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $6,900.08 – $6,900.08 | 1 |
| Excision gum each quadrant CPT 41820 | not published | not published | not published | 0 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,588.95 – $2,588.95 | 1 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $643.09 – $643.09 | 1 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,255.12 – $1,255.12 | 1 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $473.35 – $473.35 | 1 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $471.66 – $471.66 | 1 |
| Excision of gum flap CPT 41821 | not published | not published | not published | 0 |
| Excision of gum lesion CPT 41822 | not published | not published | $638.76 – $638.76 | 1 |
| Excision of gum lesion CPT 41823 | not published | not published | $1,146.29 – $1,146.29 | 1 |
| Excision of gum lesion CPT 41826 | not published | not published | $734.38 – $734.38 | 1 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,098.46 – $1,098.46 | 1 |
| Excision of gum lesion CPT 41828 | not published | not published | $775.52 – $775.52 | 1 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $453.03 – $453.03 | 1 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $3,007.55 – $3,007.55 | 1 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $2,075.01 – $2,075.01 | 1 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $2,715.69 – $2,715.69 | 1 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $1,137.77 – $1,137.77 | 1 |
| Excision of neck cyst CPT 42815 | not published | not published | $2,038.50 – $2,038.50 | 1 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $1,044.15 – $1,044.15 | 1 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $506.51 – $506.51 | 1 |
| Excision of rectal lesion CPT 45160 | not published | not published | $3,594.40 – $3,594.40 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,406.38 – $1,406.38 | 1 |
| Excision of salivary cyst CPT 42408 | not published | not published | $1,206.26 – $1,206.26 | 1 |
| Excision of skull tumor CPT 61563 | not published | not published | $7,567.60 – $7,567.60 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $3,508.21 – $3,508.21 | 1 |
| Excision of tongue lesion CPT 41112 | not published | not published | $901.00 – $901.00 | 1 |
| Excision of tongue lesion CPT 41114 | not published | not published | $2,321.97 – $2,321.97 | 1 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $999.67 – $999.67 | 1 |
| Excision of tonsil tags CPT 42860 | not published | not published | $688.92 – $688.92 | 1 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,066.84 – $2,066.84 | 1 |
| Excision of uvula CPT 42140 | not published | not published | $562.31 – $562.31 | 1 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $594.34 – $594.34 | 1 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,225.38 – $1,225.38 | 1 |
| Excision radial head CPT 24130 | not published | not published | $1,838.41 – $1,838.41 | 1 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $476.97 – $476.97 | 1 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $1,795.26 – $1,795.26 | 1 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,952.82 – $1,952.82 | 1 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $4,738.16 – $4,738.16 | 1 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,585.26 – $2,585.26 | 1 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $1,883.82 – $1,883.82 | 1 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $515.96 – $515.96 | 1 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $634.68 – $634.68 | 1 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,396.22 – $1,396.22 | 1 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $453.70 – $453.70 | 1 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $3,776.30 – $3,776.30 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $471.31 – $471.31 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $413.18 – $1,821.93 | 14 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $628.11 – $1,821.93 | 14 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $974.31 – $974.31 | 1 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $1,362.05 – $1,362.05 | 1 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $396.31 – $396.31 | 1 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $504.03 – $1,821.93 | 14 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $714.21 – $714.21 | 1 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $389.81 – $1,821.93 | 14 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $498.81 – $1,821.93 | 14 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $369.49 – $1,034.57 | 14 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $650.69 – $1,821.93 | 14 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $650.69 – $1,821.93 | 14 |
| Exc mandible 21025 CPT 21025 | not published | not published | $2,769.74 – $2,769.74 | 1 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $1,889.70 – $1,889.70 | 1 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $2,824.25 – $2,824.25 | 1 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $1,803.89 – $1,803.89 | 1 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $3,915.61 – $3,915.61 | 1 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $2,904.03 – $2,904.03 | 1 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $1,515.24 – $1,515.24 | 1 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $601.99 – $601.99 | 1 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $1,275.53 – $1,275.53 | 1 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $3,034.73 – $3,034.73 | 1 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $2,210.61 – $2,210.61 | 1 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $2,784.18 – $2,784.18 | 1 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $3,681.56 – $3,681.56 | 1 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $2,259.95 – $2,259.95 | 1 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $3,092.66 – $3,092.66 | 1 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $1,993.04 – $1,993.04 | 1 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $1,043.29 – $1,043.29 | 1 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $799.70 – $799.70 | 1 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $1,060.43 – $1,060.43 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $580.12 – $1,821.93 | 14 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $810.10 – $810.10 | 1 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $1,002.28 – $1,002.28 | 1 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $1,189.78 – $1,189.78 | 1 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $1,717.28 – $1,717.28 | 1 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $1,141.59 – $1,141.59 | 1 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $1,320.55 – $1,320.55 | 1 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $1,206.95 – $1,206.95 | 1 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $1,583.26 – $1,583.26 | 1 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $1,595.31 – $1,595.31 | 1 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $1,599.54 – $1,599.54 | 1 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $1,577.65 – $1,577.65 | 1 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $1,792.41 – $1,792.41 | 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.