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 |
|---|---|---|---|---|
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,426.86 – $2,426.86 | 1 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $291.90 – $291.90 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,858.53 – $1,858.53 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,664.46 – $1,664.46 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,351.82 – $1,351.82 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $756.50 – $756.50 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $960.97 – $960.97 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,736.23 – $2,736.23 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,115.02 – $3,115.02 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,696.43 – $2,696.43 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $1,450.66 – $1,450.66 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,844.41 – $1,844.41 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,086.60 – $2,086.60 | 1 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $4,985.58 – $4,985.58 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,952.80 – $1,952.80 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $6,854.89 – $6,854.89 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,045.69 – $2,045.69 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $759.72 – $759.72 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,014.34 – $3,014.34 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $994.11 – $994.11 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,447.59 – $1,447.59 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,424.82 – $2,424.82 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $113.26 – $405.16 | 14 |
| Limited visual field xm CPT 92081 | not published | not published | $54.74 – $153.80 | 14 |
| Lipase CPT 83690 | not published | not published | $6.25 – $27.87 | 17 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,290.57 – $1,290.57 | 1 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $22.52 – $106.32 | 17 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $28.62 – $107.36 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $7.43 – $33.13 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $8.65 – $38.59 | 17 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $107.36 | 16 |
| Lip surgery procedure CPT 40799 | not published | not published | $214.76 – $601.33 | 13 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.97 – $53.32 | 17 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $6.00 – $26.73 | 17 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $4,299.02 – $4,299.02 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $493.33 | 13 |
| Liver elastography 91200 CPT 91200 | not published | not published | $43.22 – $405.16 | 14 |
| Liver Function Test CPT 80076 | not published | not published | $7.59 – $33.05 | 17 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $5,113.77 – $5,113.77 | 1 |
| Liver imaging CPT 78201 | not published | not published | $65.07 – $2,674.69 | 17 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $73.53 – $2,674.69 | 17 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $71.98 – $1,040.54 | 17 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $83.74 – $1,040.54 | 17 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $193.77 – $193.77 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,758.48 – $1,758.48 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $70.26 – $806.37 | 14 |
| Low back disk surgery CPT 63030 | not published | not published | $3,713.03 – $7,024.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $164.64 – $642.22 | 17 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $180.91 – $924.78 | 17 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $98.35 – $404.96 | 17 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $330.28 – $1,446.96 | 17 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $264.15 – $1,155.99 | 17 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $219.63 – $939.84 | 17 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $33.36 – $275.38 | 17 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,278.49 – $3,278.49 | 1 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $183.76 – $514.53 | 13 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $3,201.59 – $3,201.59 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $3,636.94 – $3,636.94 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,576.40 – $3,576.40 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $3,931.42 – $3,931.42 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.95 – $88.89 | 17 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $120.86 – $3,614.81 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,875.19 – $5,875.19 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $15.65 – $153.80 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $24.23 – $405.16 | 14 |
| Lung perfusion imaging CPT 78580 | not published | not published | $109.42 – $1,040.54 | 17 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $5,644.35 – $5,644.35 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $22.65 – $131.59 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,561.48 – $2,561.48 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $177.69 – $1,393.84 | 17 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $228.36 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $44.48 – $198.28 | 17 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $30.55 – $595.06 | 17 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $123.71 – $1,600.98 | 16 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $175.64 – $3,429.34 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $121.92 – $3,429.34 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $175.64 – $5,826.42 | 3 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $470.96 – $1,318.69 | 14 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $521.84 – $521.84 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $785.31 – $785.31 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $10.88 – $30.28 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.87 – $17.26 | 17 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.87 – $17.26 | 17 |
| Magnesium CPT 83735 | not published | not published | $6.08 – $27.09 | 17 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $223.55 – $942.77 | 17 |
| Malaria antibody CPT 86750 | not published | not published | $11.97 – $53.32 | 17 |
| Male sling procedure CPT 53440 | not published | not published | $3,519.03 – $3,519.03 | 1 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $10,920.11 – $10,920.11 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,140.87 – $1,140.87 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,434.70 – $1,434.70 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $53.87 – $333.79 | 14 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $54.91 – $333.79 | 14 |
| Manipulation of hip joint CPT 27275 | not published | not published | $650.25 – $650.25 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $441.05 – $441.05 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $221.85 – $621.18 | 14 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.37 – $15.92 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $144.01 – $144.01 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $557.85 – $557.85 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $396.08 – $396.08 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $4,017.40 – $4,017.40 | 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.