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 |
|---|---|---|---|---|
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $98.35 – $275.38 | 17 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $236.60 – $236.60 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $1,118.73 – $1,118.73 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,985.07 – $1,985.07 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $393.01 – $1,318.69 | 14 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.41 – $138.35 | 14 |
| Prepare penis study CPT 54230 | not published | not published | $317.83 – $317.83 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $566.11 – $1,585.11 | 14 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $771.14 – $771.14 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $157.64 – $157.64 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $144.70 – $405.16 | 13 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $283.96 – $283.96 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $11.45 – $443.74 | 14 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $9.19 – $153.80 | 14 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $11.45 – $443.74 | 14 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $9.19 – $153.80 | 14 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $9.19 – $443.74 | 14 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $148.59 – $416.05 | 14 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $271.14 – $271.14 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $527.79 – $527.79 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $369.49 – $1,034.57 | 14 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,823.17 – $4,823.17 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $34.49 – $96.57 | 14 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $34.49 – $96.57 | 14 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $34.49 – $96.57 | 14 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $34.49 – $96.57 | 14 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $34.49 – $96.57 | 14 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $34.49 – $99.33 | 14 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $590.38 – $590.38 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $578.96 – $578.96 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $392.47 – $392.47 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $288.88 – $288.88 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $300.74 – $300.74 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $209.42 – $209.42 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $115.37 – $115.37 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $1,810.90 – $1,810.90 | 1 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $670.82 – $670.82 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $369.49 – $1,034.57 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $183.76 – $514.53 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $281.32 – $787.70 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $308.48 – $1,034.57 | 14 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $119.18 – $627.03 | 14 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $119.18 – $427.77 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | not published | not published | $1,413.86 – $1,413.86 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,237.67 – $2,237.67 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $276.46 – $774.09 | 14 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $715.71 – $715.71 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $898.83 – $898.83 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $866.17 – $866.17 | 1 |
| Procalcitonin CPT 84145 | not published | not published | $27.22 – $85.47 | 16 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $6,851.15 – $6,851.15 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $6,651.18 – $6,651.18 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $397.09 – $397.09 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $423.00 – $423.00 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $323.19 – $323.19 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $187.55 – $2,360.88 | 14 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $308.66 – $308.66 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $340.39 – $340.39 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $398.08 – $398.08 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $389.47 – $389.47 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $282.56 – $282.56 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $364.47 – $364.47 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $454.61 – $454.61 | 1 |
| Progesterone CPT 84144 | not published | not published | $18.93 – $84.37 | 17 |
| Prolactin CPT 84146 | not published | not published | $17.58 – $78.39 | 17 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $94.22 – $94.22 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $276.46 – $1,681.07 | 14 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $507.36 – $1,702.91 | 14 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $3,207.94 – $3,207.94 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $2,692.05 – $2,692.05 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,483.04 – $3,483.04 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $2,887.25 – $2,887.25 | 1 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $65.95 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,333.35 – $26,332.69 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,896.59 – $3,896.59 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,271.71 – $2,271.71 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,478.82 – $2,478.82 | 1 |
| Protein c activity CPT 85303 | not published | not published | $12.55 – $55.93 | 17 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | not published | not published | $10.74 – $43.43 | 17 |
| Protein s total CPT 85305 | not published | not published | $10.53 – $46.90 | 17 |
| Protein total 24 hour urine CPT 84156 | not published | not published | $3.33 – $14.82 | 17 |
| Protein total body fluid CPT 84157 | not published | not published | $3.33 – $14.82 | 17 |
| Protein total serum plasma whole blood CPT 84155 | not published | not published | $1.08 – $14.82 | 17 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.58 – $15.93 | 17 |
| Proton treatment complex CPT 77525 | not published | not published | $2,621.23 – $2,621.23 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $225.04 – $2,621.23 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $2,621.23 – $2,621.23 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $253.90 – $1,497.94 | 15 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.81 – $34.82 | 17 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $1,651.91 – $1,651.91 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,259.34 – $2,259.34 | 1 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $85.55 – $239.54 | 14 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $2,625.34 – $15,959.00 | 4 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $2,340.39 – $15,959.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $13,887.00 – $20,700.00 | 4 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,919.66 – $1,919.66 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $2,584.28 – $2,584.28 | 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.