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 |
|---|---|---|---|---|
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $991.43 – $991.43 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $8.46 – $34.24 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $10.56 – $42.77 | 17 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $7.68 – $43.11 | 17 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $108.00 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $391.37 | 15 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.15 – $19.56 | 17 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $9.41 – $126.13 | 17 |
| Microdissection laser CPT 88380 | not published | not published | $120.83 – $284.98 | 5 |
| Microdissection manual CPT 88381 | not published | not published | $137.07 – $447.32 | 5 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $70.59 | 16 |
| Microsatellite instability CPT 81301 | not published | not published | $335.40 – $1,094.48 | 16 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $778.47 – $778.47 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $144.70 – $405.16 | 14 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $98.35 – $275.38 | 17 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $10,837.63 – $10,837.63 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $603.88 | 16 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $635.54 | 16 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,120.76 | 16 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $1,039.34 | 16 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $3,872.97 – $3,872.97 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $81.43 – $228.00 | 17 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $326.20 – $326.20 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $710.40 – $710.40 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,427.66 – $1,427.66 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $921.39 – $921.39 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $445.11 – $445.11 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $80.49 – $333.79 | 14 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $5,244.45 – $5,244.45 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,238.35 – $2,238.35 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $29.64 – $105.64 | 14 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $200.83 | 15 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $472.04 | 15 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $862.97 | 15 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $946.24 | 15 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $122.22 – $888.24 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,657.29 | 15 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $3,016.00 – $6,280.00 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $111.17 – $862.72 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $124.63 – $931.50 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $114.40 – $443.74 | 17 |
| Motion analysis video/3d CPT 96000 | not published | not published | $257.12 – $1,373.99 | 14 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $304.01 – $2,634.52 | 14 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $8.09 – $1,033.31 | 14 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,085.43 – $1,085.43 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $51.88 – $135.08 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $158.48 – $982.95 | 16 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $61.77 – $241.01 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $81.64 – $443.74 | 17 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $420.92 | 14 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $266.74 – $1,157.83 | 4 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $269.86 – $1,158.18 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $269.96 – $1,158.80 | 4 |
| MRA pelvis CPT 72198 | not published | not published | $266.74 – $1,158.18 | 4 |
| MRA spinal canal CPT 72159 | not published | not published | $265.53 – $1,511.98 | 4 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $254.86 – $1,478.07 | 4 |
| Mr elastography CPT 76391 | not published | not published | $161.65 – $625.94 | 16 |
| MRI brain w/dye CPT 70558 | not published | not published | $164.64 – $699.30 | 16 |
| MRI brain without dye CPT 70557 | not published | not published | $485.26 – $1,419.82 | 16 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $164.64 – $664.90 | 16 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $74.34 – $667.04 | 17 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $107.19 – $1,096.83 | 4 |
| MRI breast without cont bi CPT 77047 | not published | not published | $81.92 – $662.89 | 17 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $117.65 – $1,092.67 | 4 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $223.55 – $929.60 | 17 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $330.28 – $1,448.77 | 17 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $468.65 – $2,045.85 | 17 |
| MRI chest without contrast CPT 71550 | not published | not published | $215.82 – $947.14 | 17 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $330.28 – $1,465.71 | 17 |
| MRI chest w IV cont CPT 71551 | not published | not published | $255.03 – $2,045.85 | 17 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $266.81 – $527.73 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $223.55 – $889.10 | 16 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $224.03 – $1,520.27 | 3 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $628.04 – $880.24 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $238.96 – $1,162.20 | 17 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $199.75 – $947.51 | 17 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $318.35 – $1,460.47 | 17 |
| MRI orbit/face/neck without contrast CPT 70540 | not published | not published | $199.75 – $947.51 | 17 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | not published | not published | $317.34 – $1,460.13 | 17 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $238.96 – $1,162.20 | 17 |
| MRI tmj CPT 70336 | not published | not published | $218.01 – $940.56 | 17 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $198.10 – $947.89 | 17 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $318.35 – $1,460.47 | 17 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $240.00 – $1,193.39 | 17 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $81.43 – $228.00 | 13 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $84.89 – $237.69 | 13 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $54.93 – $153.80 | 13 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $22.65 – $63.42 | 13 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $223.55 – $625.94 | 13 |
| Mr spectroscopy CPT 76390 | not published | not published | $81.43 – $1,376.00 | 17 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $669.76 | 16 |
| Msh2 gene full seq CPT 81295 | not published | not published | $335.91 – $1,198.54 | 16 |
| Msh2 gene known variants CPT 81296 | not published | not published | $286.79 – $1,060.47 | 16 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $747.32 | 16 |
| Msh6 gene full seq CPT 81298 | not published | not published | $636.16 – $2,015.41 | 16 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $967.12 | 16 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $205.17 | 16 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $18.20 – $84.40 | 17 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.32 – $23.71 | 17 |
| Mucopolysaccharides CPT 83864 | not published | not published | $18.06 – $89.49 | 17 |
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.