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 |
|---|---|---|---|---|
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $465.46 – $465.46 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $258.42 – $258.42 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | not published | not published | $106.67 – $526.68 | 14 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $162.04 – $162.04 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $670.82 – $670.82 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $251.41 – $764.40 | 14 |
| Inj dx for sinogram CPT 20501 | not published | not published | $157.37 – $157.37 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $341.84 – $1,793.29 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $276.14 – $276.14 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $215.20 – $764.40 | 14 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $188.63 – $12,534.00 | 4 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $457.63 – $1,793.29 | 14 |
| Injection eye drug CPT 67028 | not published | not published | $306.75 – $858.90 | 14 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $301.42 – $301.42 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $177.64 – $177.64 | 1 |
| Injection for hip x-ray CPT 27095 | not published | not published | $318.42 – $318.42 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $206.20 – $206.20 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $558.27 – $558.27 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $208.93 – $208.93 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $196.28 – $196.28 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $276.43 – $276.43 | 1 |
| Injection into brain canal CPT 61026 | not published | not published | $500.68 – $1,793.29 | 14 |
| Injection into brain canal CPT 61055 | not published | not published | $273.00 – $764.40 | 14 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $445.24 – $2,360.88 | 14 |
| Injection into spinal artery CPT 62294 | not published | not published | $823.36 – $2,983.12 | 14 |
| Injection into vocal cord CPT 31513 | not published | not published | $359.12 – $1,005.54 | 14 |
| Injection jugular CPT 36299 | not published | not published | not published | 0 |
| Injection of sinus tract CPT 20500 | not published | not published | $344.13 – $344.13 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $224.93 – $629.80 | 14 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $147.26 – $1,040.54 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $282.53 – $1,793.29 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $284.87 – $1,793.29 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $443.69 – $2,305.41 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $259.95 – $259.95 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $454.53 – $2,305.41 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $222.31 – $222.31 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $384.57 – $2,305.41 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $474.98 – $1,793.29 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $434.17 – $1,793.29 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $158.10 – $764.40 | 14 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $140.96 – $764.40 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $157.24 – $764.40 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $42.67 – $119.48 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $149.86 – $545.58 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $61.11 – $184.30 | 14 |
| Injection treatment of eye CPT 66020 | not published | not published | $445.24 – $445.24 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $378.10 – $378.10 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,356.86 – $1,356.86 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,886.06 – $1,886.06 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $823.36 – $2,305.41 | 14 |
| Injection treatment of nose CPT 30200 | not published | not published | $217.19 – $1,318.69 | 14 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $274.81 – $274.81 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $276.46 – $774.09 | 14 |
| Inject/treat eye socket CPT 67505 | not published | not published | $276.46 – $774.09 | 14 |
| Inject/treat eye socket CPT 67515 | not published | not published | $276.46 – $774.09 | 14 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $440.49 – $1,793.29 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $379.48 – $2,305.41 | 14 |
| Inj for ext venography CPT 36005 | not published | not published | $195.10 – $195.10 | 1 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $286.17 – $286.17 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $171.29 – $12,534.00 | 4 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $217.39 – $12,534.00 | 4 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $221.15 – $12,534.00 | 4 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $167.30 – $12,534.00 | 4 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $167.30 – $12,534.00 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $561.72 – $2,305.41 | 14 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $109.13 – $514.53 | 14 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $169.96 – $514.53 | 14 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $263.59 – $1,728.41 | 14 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $566.19 – $566.19 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $444.82 – $444.82 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $179.88 – $179.88 | 1 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $203.27 – $203.27 | 1 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $273.99 – $273.99 | 1 |
| Inj proc for lymphang CPT 38790 | not published | not published | $308.31 – $308.31 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $695.81 – $695.81 | 1 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $364.99 – $364.99 | 1 |
| Inj proc sialogram CPT 42550 | not published | not published | $249.35 – $249.35 | 1 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $250.92 – $250.92 | 1 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $369.49 – $1,034.57 | 14 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $269.54 – $1,034.57 | 14 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $369.49 – $1,034.57 | 13 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $194.85 – $545.58 | 14 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $1,522.00 – $1,522.00 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $1,168.35 – $1,168.35 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $1,755.92 – $1,755.92 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $1,627.61 – $1,627.61 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $139.46 – $787.70 | 14 |
| Insemination of oocytes CPT 89268 | not published | not published | $94.00 – $443.74 | 14 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $2,733.63 – $2,733.63 | 1 |
| Insert and remove bone pin CPT 20650 | not published | not published | $574.24 – $574.24 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $4,133.93 – $4,133.93 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $1,860.67 – $1,860.67 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $574.53 – $574.53 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $605.80 – $605.80 | 1 |
| Insert cath pleura with image CPT 32557 | not published | not published | $687.47 – $687.47 | 1 |
| Insert cath pleura without image CPT 32556 | not published | not published | $510.43 – $510.43 | 1 |
| Insert drug delivery implant CPT 11981 | not published | not published | $119.21 – $333.79 | 14 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $3,145.53 – $3,145.53 | 1 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $2,973.21 – $2,973.21 | 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.