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 |
|---|---|---|---|---|
| Incision of tendon & muscle CPT 23405 | not published | not published | $2,312.20 – $2,312.20 | 1 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,246.53 – $1,246.53 | 1 |
| Incision of thigh tendon CPT 27306 | not published | not published | $1,384.41 – $1,384.41 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,604.17 – $1,604.17 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,707.04 – $1,707.04 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $2,090.70 – $2,090.70 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $2,581.03 – $2,581.03 | 1 |
| Incision of tibia CPT 27705 | not published | not published | $2,836.04 – $2,836.04 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $4,291.86 – $4,291.86 | 1 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,122.67 – $1,122.67 | 1 |
| Incision of tongue fold CPT 41010 | not published | not published | $394.51 – $394.51 | 1 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,810.29 – $1,810.29 | 1 |
| Incision of urethra CPT 53000 | not published | not published | $590.33 – $590.33 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $1,162.55 – $1,162.55 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $390.30 – $390.30 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $259.53 – $259.53 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $984.84 – $984.84 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $2,582.85 – $2,582.85 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,676.42 – $1,676.42 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $1,344.02 – $1,344.02 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,075.68 – $1,075.68 | 1 |
| Incisn of toe tndn CPT 28010 | not published | not published | $797.80 – $797.80 | 1 |
| Incisn windpipe CPT 31600 | not published | not published | $1,494.06 – $1,494.06 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,499.03 – $1,499.03 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,271.94 – $1,271.94 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $634.68 – $634.68 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,101.44 – $1,101.44 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $196.56 | 13 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $118.25 – $463.59 | 17 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $233.56 – $843.36 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $233.56 – $843.36 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $116.78 – $445.60 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $233.56 – $1,041.19 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $102.90 | 16 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $10.88 – $110.81 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $9.89 – $51.97 | 17 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $14.89 – $66.42 | 17 |
| Infect ag if influenza a CPT 87276 | not published | not published | $10.88 – $50.46 | 17 |
| Infect ag if influenza b CPT 87275 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $10.88 – $48.98 | 17 |
| Infect ag if nos ea CPT 87299 | not published | not published | $10.88 – $50.55 | 17 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $10.88 – $48.53 | 17 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $31.72 – $167.90 | 17 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $31.84 – $141.96 | 17 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $38.86 – $173.24 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $35.09 – $117.49 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $77.19 – $300.81 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $46.56 – $177.66 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $143.67 | 13 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $378.12 – $1,365.60 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $443.31 – $1,976.20 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $23.65 – $92.71 | 17 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $115.86 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $10.88 – $58.17 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $9.37 – $41.77 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $9.37 – $41.77 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $21.85 – $75.61 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $9.89 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $10.88 – $48.53 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $31.84 – $123.66 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $416.78 – $1,406.43 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $34.38 – $143.67 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $399.36 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $142.63 – $399.36 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $31.84 – $141.96 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $35.09 – $110.18 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $214.96 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $416.78 – $1,395.26 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $429.47 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $825.79 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $38.86 – $173.24 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $38.86 – $173.24 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $38.86 – $173.24 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $77.19 – $344.14 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $116.38 – $447.86 | 16 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $18.84 – $91.75 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $74.38 – $115.69 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $46.92 – $66.81 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $12,339.80 – $12,339.80 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $243.21 – $680.99 | 17 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $179.41 – $179.41 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $195.10 – $1,373.99 | 14 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $34.81 – $526.68 | 14 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $1,040.78 – $1,040.78 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $363.42 – $363.42 | 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.