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 moderate sedation ea addtl 15 min CPT 99153 | not published | not published | $1,174.80 – $1,174.80 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $6,601.46 – $6,601.46 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $114.88 – $114.88 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $54.71 – $54.71 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $114.64 – $114.64 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $42.48 – $42.48 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $439.75 – $1,585.11 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $372.57 – $2,305.41 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $269.96 – $1,793.29 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $292.44 – $2,305.41 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $297.27 – $2,305.41 | 14 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $368.68 – $2,305.41 | 14 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $279.01 – $2,305.41 | 14 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $313.97 – $2,305.41 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $327.70 – $1,793.29 | 14 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $299.63 – $1,793.29 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $160.64 – $1,033.31 | 14 |
| Ghs o2 saturation CPT 82810 | not published | not published | $7.92 – $35.29 | 17 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $37.10 – $405.16 | 14 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $10.28 – $153.80 | 14 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $42.67 – $136.63 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $137.05 – $1,600.98 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $739.65 – $739.65 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $39.14 – $405.16 | 14 |
| Ghs oscillating trac CPT 92545 | not published | not published | $34.86 – $806.37 | 14 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $23.40 – $65.52 | 14 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $23.40 – $93.46 | 14 |
| Ghs ot dds rom CPT 95851 | not published | not published | $21.76 – $60.93 | 14 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.51 – $57.43 | 13 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $38.03 – $106.48 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $56.14 – $157.19 | 16 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $42.29 – $1,694.50 | 14 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $264.43 – $264.43 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $226.79 – $226.79 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $39.72 – $76.96 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $214.76 – $601.33 | 14 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.99 – $22.27 | 17 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $376.55 – $376.55 | 1 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $221.85 – $1,074.09 | 14 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.90 – $17.40 | 17 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $329.66 – $2,634.52 | 14 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $49.84 – $333.79 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $7.34 – $63.42 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.76 – $39.06 | 17 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.04 – $20.94 | 17 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $13.02 – $47.06 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $52.10 – $153.80 | 14 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.11 – $49.53 | 17 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $13.25 – $59.03 | 17 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $177.39 – $858.90 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $119.21 – $433.94 | 14 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $369.04 – $1,033.31 | 14 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $2,015.08 – $2,015.08 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,944.95 – $1,944.95 | 1 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $11.70 – $52.13 | 17 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.90 – $17.40 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $10.88 – $48.53 | 17 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.22 – $14.35 | 17 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.94 – $48.75 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.09 – $36.07 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.26 – $27.89 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $183.76 – $514.53 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $183.76 – $514.53 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $183.76 – $628.63 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $183.76 – $819.99 | 14 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $183.76 – $1,083.36 | 14 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $144.70 – $405.16 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $79.43 – $806.37 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $134.76 – $1,373.99 | 14 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $44.97 – $125.92 | 14 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $273.00 – $764.40 | 14 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $59.51 – $333.79 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $95.52 – $267.46 | 14 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $36.30 – $101.64 | 14 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $119.21 – $333.79 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $67.83 – $189.92 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $42.67 – $119.48 | 14 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $194.85 – $545.58 | 14 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $566.11 – $1,585.11 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $369.49 – $1,034.57 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $844.20 – $844.20 | 1 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.62 – $29.53 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $221.85 – $962.92 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $221.85 – $917.41 | 14 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $22.06 – $98.31 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.35 – $59.47 | 17 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $2,366.47 – $2,366.47 | 1 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $490.71 – $2,595.35 | 14 |
| Ghs windowing of cast CPT 29730 | not published | not published | $145.93 – $408.60 | 14 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.36 – $59.56 | 17 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $124.57 – $625.94 | 16 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $8.56 – $38.14 | 17 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $951.77 – $951.77 | 1 |
| Gi protein loss CPT 78282 | not published | not published | $56.34 – $1,040.54 | 16 |
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.