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 |
|---|---|---|---|---|
| Ins vag brachytx device CPT 57156 | not published | not published | $281.32 – $787.70 | 14 |
| Interdental fixation CPT 21110 | not published | not published | $2,334.66 – $2,334.66 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $2,059.24 – $2,059.24 | 1 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $650.69 – $1,821.93 | 14 |
| Intermediate visual field xm CPT 92082 | not published | not published | $54.93 – $153.80 | 14 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $741.62 – $741.62 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $34.49 – $96.57 | 14 |
| Interrogation vad in person CPT 93750 | not published | not published | $84.89 – $237.69 | 14 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $34.07 – $96.57 | 14 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $22.65 – $63.42 | 14 |
| Interrog device eval heart CPT 93289 | not published | not published | $34.49 – $96.57 | 14 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $34.49 – $96.57 | 14 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $84.89 – $237.69 | 13 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $84.89 – $237.69 | 13 |
| Interstitial brachy inter CPT 77799 | not published | not published | $101.27 – $283.56 | 14 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $3,870.42 – $3,870.42 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $751.73 – $751.73 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $776.30 – $776.30 | 1 |
| Intra-atrial pacing CPT 93610 | not published | not published | $197.69 – $197.69 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $161.18 – $161.18 | 1 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $268.98 – $268.98 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $5,694.41 – $5,694.41 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $5,234.14 – $5,234.14 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $171.14 – $625.94 | 15 |
| Intracranial limited study CPT 93888 | not published | not published | $98.35 – $275.38 | 15 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $253.53 – $253.53 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $2,193.41 – $2,193.41 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,479.17 – $1,479.17 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $401.74 – $1,318.69 | 14 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $170.28 – $526.68 | 14 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $404.31 – $1,322.30 | 14 |
| Intraventricular pacing CPT 93612 | not published | not published | $234.73 – $234.73 | 1 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $13.68 – $60.97 | 17 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $119.18 – $333.70 | 14 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $573.94 – $573.94 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $855.34 – $855.34 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $1,171.03 – $1,171.03 | 1 |
| Intro catheter aorta CPT 36200 | not published | not published | $615.91 – $615.91 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $487.03 – $487.03 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $98.13 – $2,427.80 | 14 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $81.08 – $92.80 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $564.57 – $564.57 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $365.19 – $365.19 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $291.81 – $291.81 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $214.76 – $601.33 | 14 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $47.18 – $153.80 | 14 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.49 – $96.73 | 14 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $98.60 – $98.60 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | not published | 0 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $16,698.36 – $16,698.36 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $16,698.36 – $16,698.36 | 1 |
| Iron CPT 83540 | not published | not published | $5.87 – $26.20 | 17 |
| Iron binding capacity CPT 83550 | not published | not published | $7.93 – $35.37 | 17 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.87 – $26.18 | 17 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.96 – $101.64 | 14 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $54.93 – $153.80 | 14 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $712.27 – $712.27 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $54.93 – $153.80 | 14 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,954.93 – $2,954.93 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $168.71 – $5,826.42 | 4 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $65.82 – $184.30 | 14 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $54.96 – $54.96 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $42.67 – $119.48 | 14 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $187.94 – $545.58 | 14 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $122.21 – $1,040.54 | 17 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $369.04 – $1,033.31 | 14 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $71.98 – $460.99 | 17 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $71.98 – $460.99 | 17 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $518.56 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,915.23 – $1,915.23 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,389.13 – $2,389.13 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $966.61 – $966.61 | 1 |
| John cunningham antibody CPT 86711 | not published | not published | $13.06 – $53.03 | 16 |
| J-tube placement CPT 44015 | not published | not published | $526.76 – $526.76 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,168.56 – $5,168.56 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $91.65 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.86 – $57.31 | 17 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $7.41 – $33.02 | 17 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,191.87 – $1,191.87 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,265.87 – $1,265.87 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,994.45 – $1,994.45 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,901.69 – $2,901.69 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,378.12 – $1,378.12 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,295.35 – $2,295.35 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,398.81 – $1,398.81 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,599.32 – $1,599.32 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,290.21 – $2,290.21 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,457.64 – $2,457.64 | 1 |
| Kidney function study CPT 78725 | not published | not published | $55.30 – $1,040.54 | 17 |
| Kidney imaging morphology CPT 78700 | not published | not published | $66.59 – $1,040.54 | 17 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $207.72 – $1,393.84 | 17 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $141.13 – $1,393.84 | 17 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $98.35 – $275.38 | 17 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $82.41 – $392.09 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,273.78 – $2,273.78 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,872.82 – $1,872.82 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,494.20 – $1,494.20 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,366.91 – $2,366.91 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,156.63 – $2,156.63 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $3,450.20 – $3,450.20 | 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.