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 |
|---|---|---|---|---|
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $486.56 – $486.56 | 1 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $145.71 – $629.80 | 14 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $306.75 – $858.90 | 14 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $306.75 – $858.90 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $65.82 – $184.30 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $31.84 – $141.96 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $221.85 – $879.43 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $221.85 – $1,301.36 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,556.47 – $1,556.47 | 1 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $221.85 – $1,460.87 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,798.46 – $1,798.46 | 1 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $2,732.96 – $2,732.96 | 1 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $221.85 – $1,061.32 | 14 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,595.83 – $1,595.83 | 1 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,821.85 – $1,821.85 | 1 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $221.85 – $1,659.69 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $221.85 – $1,049.83 | 14 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $30.06 – $98.97 | 16 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $190.65 – $1,033.31 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $119.21 – $333.79 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $153.23 – $1,033.31 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $119.21 – $333.79 | 14 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $214.76 – $693.25 | 14 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $150.90 – $1,033.31 | 14 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $119.21 – $333.79 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $13.80 – $61.52 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $221.85 – $1,185.23 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $407.38 – $2,427.80 | 14 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $130.58 – $687.71 | 14 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $458.49 – $1,793.29 | 14 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $144.70 – $648.85 | 14 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $23.32 – $405.16 | 14 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $43.44 – $405.16 | 14 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $11.86 – $11.86 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $256.68 – $1,034.57 | 14 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $227.89 – $1,034.57 | 14 |
| Ghs eye exam CPT 92002 | not published | not published | $119.18 – $333.70 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $276.46 – $774.09 | 14 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.35 – $15.23 | 17 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,215.83 – $1,215.83 | 1 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $916.89 – $916.89 | 1 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $622.18 – $622.18 | 1 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $529.47 – $529.47 | 1 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.07 – $28.23 | 17 |
| Ghs fish cytogen CPT 88271 | not published | not published | $19.43 – $86.62 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $36.43 – $162.43 | 17 |
| Ghs flow volume loop CPT 94375 | not published | not published | $42.53 – $806.37 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $86.27 – $806.37 | 14 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $31.84 – $141.96 | 17 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $15.62 – $72.13 | 17 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $14.06 – $62.63 | 17 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $7.68 – $34.26 | 17 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $10.88 – $48.53 | 17 |
| Ghs HIV antibody CPT 86703 | not published | not published | $12.44 – $48.53 | 17 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $58.41 – $333.28 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $839.79 – $839.79 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $1,416.57 – $1,416.57 | 1 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $568.75 – $1,821.93 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $327.16 – $1,821.93 | 14 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $93.95 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $224.93 – $629.80 | 14 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $179.54 – $502.71 | 14 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $412.15 – $412.15 | 1 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $11.68 – $40.41 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $162.48 – $514.53 | 14 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $683.46 – $2,305.41 | 14 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $695.00 – $2,305.41 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $162.31 – $764.40 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $334.17 – $334.17 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $509.42 – $2,305.41 | 14 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $230.80 – $1,033.31 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $1,060.88 – $1,060.88 | 1 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $37.32 – $37.32 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $224.93 – $629.80 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $42.67 – $119.48 | 14 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $306.75 – $1,051.31 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $369.04 – $1,033.31 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $369.49 – $1,089.71 | 14 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $1,090.91 – $1,090.91 | 1 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $369.49 – $1,287.74 | 14 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $7.81 – $34.79 | 17 |
| Ghs low level laser therapy CPT 97039 | not published | not published | not published | 0 |
| Ghs mbp CPT 83873 | not published | not published | $15.61 – $69.58 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | not published | not published | $2,703.05 – $2,703.05 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $10,614.26 – $10,614.26 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $8,702.79 – $8,702.79 | 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.