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 |
|---|---|---|---|---|
| Mastectomy partial CPT 19301 | not published | not published | $2,124.11 – $2,124.11 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $3,922.17 – $3,922.17 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $2,660.69 – $2,660.69 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,540.09 – $3,540.09 | 1 |
| Mastoids complete CPT 70130 | not published | not published | $49.91 – $275.38 | 17 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,587.85 – $4,587.85 | 1 |
| Mastopexy CPT 19316 | not published | not published | $2,598.87 – $2,598.87 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $3,291.97 – $3,291.97 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $31.84 – $141.96 | 17 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $18.20 – $85.69 | 17 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,471.03 – $1,471.03 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $13.12 – $58.47 | 17 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $13.90 – $61.96 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $13.90 – $61.96 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $121.11 | 16 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $16.18 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $16.18 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $13.42 – $59.80 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $0.02 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $12.19 – $54.32 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $13.68 – $47.35 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $26.09 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $23.72 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $109.35 – $381.92 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $91.66 – $287.81 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $0.02 – $430.18 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $215.61 – $3,642.40 | 3 |
| Mayo androstenedione CPT 82157 | not published | not published | $26.56 – $110.61 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $13.25 – $59.03 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $9.81 – $43.74 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $13.66 – $60.88 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $20.82 – $96.90 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $98.25 | 13 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $23.72 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $9.23 – $31.97 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $454.80 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $144.46 – $673.91 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $11.71 – $40.51 | 17 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $51.02 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $11.97 – $41.42 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.10 – $36.15 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $12.34 – $54.98 | 17 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $91.65 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $15.30 – $68.23 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $16.42 – $84.09 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $383.77 | 16 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $9.74 – $37.64 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $12.82 – $57.15 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $11.69 – $52.10 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $10.73 – $47.84 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $11.51 – $51.33 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $71.76 – $365.78 | 17 |
| Mayo chromium CPT 82495 | not published | not published | $18.40 – $63.68 | 17 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $0.02 – $23.72 | 2 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $10.41 – $36.02 | 17 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $16.38 – $75.64 | 17 |
| Mayo cortisol free CPT 82530 | not published | not published | $15.16 – $67.62 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $42.13 – $117.96 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $11.00 – $38.06 | 17 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.02 – $46.13 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.02 – $23.72 | 2 |
| Mayo cyanide CPT 82600 | not published | not published | $17.60 – $73.96 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $137.29 – $1,510.94 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $12.02 – $53.60 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $22.93 – $102.21 | 17 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $29.28 – $91.94 | 16 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.69 – $34.29 | 17 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $4.44 – $15.70 | 17 |
| Mayo estriol CPT 82677 | not published | not published | $21.95 – $97.81 | 17 |
| Mayo estrone CPT 82679 | not published | not published | $22.64 – $82.38 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $14.83 – $66.09 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $43.11 | 16 |
| Mayo factor ii CPT 85210 | not published | not published | $11.78 – $52.52 | 17 |
| Mayo factor v CPT 85220 | not published | not published | $16.01 – $71.38 | 17 |
| Mayo factor vii CPT 85230 | not published | not published | $16.24 – $72.41 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | not published | not published | $20.82 – $72.03 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $20.82 – $72.03 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | not published | not published | $20.82 – $72.03 | 17 |
| Mayo factor x CPT 85260 | not published | not published | $16.24 – $72.41 | 17 |
| Mayo factor xi CPT 85270 | not published | not published | $16.24 – $72.41 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $15.25 – $67.95 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | not published | not published | $8.18 – $64.24 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $7.81 – $252.64 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.73 – $24.55 | 17 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $7.71 – $45.40 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $21.67 – $68.04 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $253.41 – $861.87 | 2 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.31 – $14.92 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $31.84 – $141.96 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $31.84 – $141.96 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $11.34 – $50.55 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $23.42 – $104.37 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | not published | not published | $8.06 – $35.90 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $12.26 – $48.53 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $24.65 – $108.78 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | not published | not published | $11.75 – $54.23 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $13.60 – $60.64 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | not published | not published | $18.88 – $84.15 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $20.81 – $84.15 | 17 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $98.25 | 13 |
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.