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 |
|---|---|---|---|---|
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,204.88 – $1,204.88 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $158.48 – $443.74 | 14 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $112.67 – $443.74 | 14 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $49.41 – $138.35 | 14 |
| Patient recorded spirometry CPT 94014 | not published | not published | $138.74 – $1,033.31 | 14 |
| Patient recorded spirometry CPT 94015 | not published | not published | $65.12 – $806.37 | 14 |
| Pdgfra gene CPT 81314 | not published | not published | $217.48 – $1,034.66 | 16 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $183.76 – $521.74 | 14 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,586.81 – $2,586.81 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $46.69 – $405.16 | 14 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $144.70 – $570.08 | 14 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,278.55 – $2,278.55 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $164.64 – $695.44 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $164.64 – $695.98 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $98.35 – $351.16 | 17 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $330.28 – $1,458.29 | 17 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $256.06 – $1,161.11 | 17 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $216.41 – $946.05 | 17 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $98.35 – $275.38 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $57.96 – $275.38 | 17 |
| Penile injection CPT 54235 | not published | not published | $224.93 – $629.80 | 14 |
| Penile vascular study CPT 93980 | not published | not published | $98.35 – $275.38 | 15 |
| Penile vascular study CPT 93981 | not published | not published | $81.89 – $275.38 | 15 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,887.90 – $1,887.90 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,907.57 – $2,907.57 | 1 |
| Penis study CPT 54240 | not published | not published | $125.09 – $806.37 | 14 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $1,870.34 – $1,870.34 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $1,450.96 – $1,450.96 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $3,162.85 – $3,162.85 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $849.88 – $12,402.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $5,485.85 – $5,485.85 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $881.34 – $881.34 | 1 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $3,330.18 – $3,330.18 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,625.41 – $2,625.41 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $969.76 – $969.76 | 1 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $54.93 – $153.80 | 14 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $45.58 – $45.58 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $41.75 – $41.75 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,611.05 – $1,611.05 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $71.46 – $1,419.82 | 16 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $129.99 – $1,040.54 | 17 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $3,352.73 – $3,352.73 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $3,125.73 – $12,534.00 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $527.45 – $1,821.93 | 14 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $101.01 – $1,821.93 | 15 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $5,130.85 – $5,130.85 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,489.58 – $3,489.58 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $1,324.19 – $1,324.19 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $1,790.95 – $1,790.95 | 1 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,137.99 – $2,137.99 | 1 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $224.93 – $629.80 | 14 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,895.04 – $1,895.04 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,728.69 – $1,728.69 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,599.10 – $12,534.00 | 4 |
| Perq transcath closure pda CPT 93582 | not published | not published | $2,522.41 – $2,522.41 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $3,628.75 – $12,534.00 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $4,372.70 – $12,534.00 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $2,807.70 – $2,807.70 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $2,088.91 – $2,088.91 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $829.46 – $829.46 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,218.46 – $1,218.46 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,212.26 – $1,212.26 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,965.38 – $2,965.38 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $10.88 – $48.53 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $364.40 – $3,034.00 | 3 |
| Pet CT whole body initial CPT 78816 | not published | not published | $372.99 – $3,034.00 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $222.41 – $3,034.00 | 3 |
| Pet image full body CPT 78813 | not published | not published | $299.33 – $3,034.00 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $231.86 – $2,674.69 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $288.02 – $3,034.00 | 3 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $328.46 – $3,034.00 | 3 |
| Pet scan brain perf study CPT 78609 | not published | not published | $219.75 – $260.37 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,096.94 – $1,096.94 | 1 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $71.44 – $75.01 | 2 |
| Ph body fluid CPT 83986 | not published | not published | $3.25 – $14.46 | 17 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.02 – $65.31 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $10.39 – $48.04 | 17 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $12.03 – $53.63 | 17 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $119.21 – $333.79 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $1,762.29 – $1,762.29 | 1 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,159.41 – $2,159.41 | 1 |
| Phosphorus CPT 84100 | not published | not published | $1.08 – $19.20 | 17 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $4.69 – $20.94 | 17 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $54.93 – $175.77 | 14 |
| Photochemotherapy puva CPT 96912 | not published | not published | $54.93 – $225.95 | 14 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $312.00 – $1,034.57 | 14 |
| Photo patch test CPT 95052 | not published | not published | $15.77 – $153.80 | 14 |
| Photopheresis CPT 36522 | not published | not published | $387.25 – $387.25 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $88.36 – $333.79 | 14 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $48.02 – $155.08 | 17 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $48.33 – $443.74 | 17 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $22.65 – $156.12 | 17 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | not published | 0 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $862.97 | 16 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $566.11 – $1,585.11 | 14 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,578.71 – $1,578.71 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $1,486.97 – $1,486.97 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,794.50 – $1,794.50 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,565.72 – $1,565.72 | 1 |
| Pinworm exam CPT 87172 | not published | not published | $3.87 – $17.26 | 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.