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 |
|---|---|---|---|---|
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $572.49 – $2,427.80 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $348.26 – $2,360.88 | 14 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $158.82 – $2,427.80 | 14 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $344.99 – $2,427.80 | 14 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $317.52 | 15 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $193.17 | 15 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $109.90 | 15 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,937.58 – $2,937.58 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,934.76 – $2,934.76 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $3,331.70 – $3,331.70 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $4,092.46 – $4,092.46 | 1 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $12.96 – $57.78 | 17 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.31 – $19.20 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.49 – $24.49 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.49 – $10.30 | 17 |
| Glucose blood quantitative CPT 82947 | not published | not published | $1.08 – $15.87 | 17 |
| Glucose body fluid CPT 82945 | not published | not published | $3.56 – $15.87 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $54.93 – $153.80 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $11.68 – $52.08 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.56 – $15.84 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $16.86 – $75.18 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $16.80 – $74.90 | 17 |
| Gonioscopy CPT 92020 | not published | not published | $57.88 – $333.79 | 14 |
| Goniotomy CPT 65820 | not published | not published | $2,530.77 – $2,530.77 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,933.11 – $2,933.11 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $4,231.52 – $4,231.52 | 1 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $221.85 – $621.18 | 14 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,693.37 – $1,693.37 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,674.25 – $1,674.25 | 1 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $495.64 – $495.64 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,686.38 – $1,686.38 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.28 – $63.65 | 17 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $73.63 – $237.38 | 16 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $6,862.66 – $6,862.66 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,476.14 – $2,476.14 | 1 |
| G-tube reposition CPT 43761 | not published | not published | $224.93 – $629.80 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $80.47 – $3,724.56 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $621.10 – $1,821.93 | 14 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $73.70 – $149.79 | 2 |
| Gum graft CPT 41870 | not published | not published | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,305.20 – $1,305.20 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $566.11 – $1,585.11 | 13 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $369.49 – $1,034.57 | 14 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $369.49 – $1,084.76 | 14 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $4.69 – $7.00 | 3 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,866.98 – $2,866.98 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,240.94 – $2,240.94 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,532.50 – $2,532.50 | 1 |
| Hand X-ray CPT 73130 | not published | not published | $25.26 – $228.00 | 17 |
| Haptoglobin quantitative CPT 83010 | not published | not published | $11.41 – $50.88 | 17 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $307.20 – $307.20 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $308.83 – $308.83 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $437.27 – $437.27 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,401.61 – $1,401.61 | 1 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,379.30 – $1,379.30 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $205.21 – $1,132.07 | 14 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,281.68 – $1,281.68 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $42.53 – $333.79 | 14 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $55.40 – $333.79 | 14 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,884.00 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $635.54 | 16 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,178.29 | 16 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $1,019.18 | 16 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $548.90 | 16 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $635.54 | 16 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,178.29 | 16 |
| Hc ea ha check monaural CPT 92594 | not published | not published | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $102.53 – $584.96 | 17 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $60.88 | 17 |
| Hcg qualitative CPT 84703 | not published | not published | $6.82 – $30.39 | 17 |
| Hcg quantitative CPT 84702 | not published | not published | $13.66 – $60.88 | 17 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | not published | 0 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | not published | 0 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | not published | 0 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $505.26 – $505.26 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $566.11 – $1,585.11 | 14 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $707.05 – $707.05 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $566.11 – $1,585.11 | 14 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $185.90 – $185.90 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $656.23 – $656.23 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $152.94 – $1,393.84 | 17 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $371.62 – $1,040.54 | 14 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $71.98 – $1,040.54 | 17 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $140.27 – $2,674.69 | 17 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $227.94 – $2,674.69 | 3 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $483.02 – $483.02 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $298.62 – $1,796.62 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $581.42 – $1,796.62 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $641.65 – $2,022.58 | 16 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $161.15 – $680.99 | 16 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $213.72 – $930.37 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $164.64 – $493.25 | 17 |
| Head CT scan (with contrast) CPT 70460 | not published | not published | $164.64 – $460.99 | 17 |
| Head CT scan (without contrast) CPT 70450 | not published | not published | $98.35 – $591.78 | 18 |
| Heart first pass add-on CPT 78496 | not published | not published | $62.13 – $241.11 | 3 |
| Heart first pass multiple CPT 78483 | not published | not published | $232.08 – $1,393.84 | 17 |
| Heart image spect CPT 78494 | not published | not published | $181.55 – $1,040.54 | 17 |
| Heart infarct image CPT 78466 | not published | not published | $103.96 – $1,040.54 | 17 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $124.13 – $1,393.84 | 17 |
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.