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 |
|---|---|---|---|---|
| Radiology port images(s) CPT 77417 | not published | not published | $36.61 – $43.21 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,188.01 – $4,858.06 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $126.17 – $2,674.69 | 4 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $158.84 – $2,674.69 | 4 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $252.10 – $2,674.69 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $160.00 – $2,674.69 | 4 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $97.22 – $1,040.54 | 17 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $64.85 – $267.33 | 2 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $5,324.10 – $5,324.10 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $4,332.13 – $4,332.13 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $4,940.30 – $4,940.30 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,684.39 – $3,684.39 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,839.04 – $2,839.04 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $5,149.54 – $5,149.54 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,636.48 – $2,636.48 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $4,064.17 – $4,064.17 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $4,484.80 – $4,484.80 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,244.64 – $3,244.64 | 1 |
| Rapid desensitization CPT 95180 | not published | not published | $272.08 – $1,033.31 | 14 |
| Rapid Strep Test CPT 87880 | not published | not published | $9.89 – $51.90 | 17 |
| Rbc count only automated CPT 85041 | not published | not published | $2.73 – $12.19 | 17 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $205.21 – $1,132.07 | 14 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $9.19 – $1,033.31 | 14 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $8,401.88 – $8,401.88 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,722.70 – $2,722.70 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,325.18 – $3,325.18 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $3,658.02 – $3,658.02 | 1 |
| Realignment of knee CPT 27457 | not published | not published | $3,581.66 – $3,581.66 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $2,221.77 – $2,221.77 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $3,907.91 – $3,907.91 | 1 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $3,768.52 – $3,768.52 | 1 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,995.10 – $4,995.10 | 1 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $3,898.41 – $3,898.41 | 1 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,556.45 – $5,556.45 | 1 |
| Rechanneling of artery CPT 35361 | not published | not published | $6,253.66 – $6,253.66 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $4,879.80 – $4,879.80 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $5,471.95 – $5,471.95 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $5,077.49 – $5,077.49 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $5,832.56 – $5,832.56 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $3,917.85 – $3,917.85 | 1 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $4,885.29 – $4,885.29 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,470.97 – $5,470.97 | 1 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,313.40 – $5,313.40 | 1 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,040.10 – $5,040.10 | 1 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,617.08 – $4,617.08 | 1 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $5,092.40 – $5,092.40 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $4,026.65 – $4,026.65 | 1 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $4,308.52 – $4,308.52 | 1 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $3,891.89 – $3,891.89 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $3,682.64 – $3,682.64 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $3,695.63 – $3,695.63 | 1 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $3,209.93 – $3,209.93 | 1 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,390.47 – $3,390.47 | 1 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,893.96 – $3,893.96 | 1 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $2,512.74 – $2,512.74 | 1 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,964.93 – $1,964.93 | 1 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $3,341.47 – $3,341.47 | 1 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,318.34 – $3,318.34 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $3,732.26 – $3,732.26 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $3,925.23 – $3,925.23 | 1 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,023.97 – $4,023.97 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,032.41 – $4,032.41 | 1 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,570.00 – $3,570.00 | 1 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,493.68 – $2,493.68 | 1 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,745.83 – $2,745.83 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,341.35 – $2,341.35 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,506.40 – $2,506.40 | 1 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $4,276.81 – $4,276.81 | 1 |
| Reconstruction knee CPT 27427 | not published | not published | $2,637.66 – $2,637.66 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $4,092.78 – $4,092.78 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $4,595.40 – $4,595.40 | 1 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,057.35 – $2,057.35 | 1 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $5,635.32 – $5,635.32 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,567.50 – $2,567.50 | 1 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $3,321.07 – $3,321.07 | 1 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,309.91 – $3,309.91 | 1 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,424.82 – $2,424.82 | 1 |
| Reconstruction of jaw CPT 21245 | not published | not published | $3,421.00 – $3,421.00 | 1 |
| Reconstruction of jaw CPT 21246 | not published | not published | $3,173.94 – $3,173.94 | 1 |
| Reconstruction of jaw CPT 21248 | not published | not published | $3,285.60 – $3,285.60 | 1 |
| Reconstruction of jaw CPT 21249 | not published | not published | $4,647.43 – $4,647.43 | 1 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $4,107.59 – $4,107.59 | 1 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $3,780.26 – $3,780.26 | 1 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $6,250.49 – $6,250.49 | 1 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $3,922.94 – $3,922.94 | 1 |
| Reconstruction of mouth CPT 40840 | not published | not published | $2,276.43 – $2,276.43 | 1 |
| Reconstruction of mouth CPT 40842 | not published | not published | $2,281.90 – $2,281.90 | 1 |
| Reconstruction of mouth CPT 40843 | not published | not published | $2,961.77 – $2,961.77 | 1 |
| Reconstruction of mouth CPT 40844 | not published | not published | $4,107.68 – $4,107.68 | 1 |
| Reconstruction of mouth CPT 40845 | not published | not published | $4,575.21 – $4,575.21 | 1 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $659.45 – $659.45 | 1 |
| Reconstruction of nose CPT 30410 | not published | not published | $4,346.87 – $4,346.87 | 1 |
| Reconstruction of nose CPT 30420 | not published | not published | $4,952.20 – $4,952.20 | 1 |
| Reconstruction of orbit CPT 21256 | not published | not published | $4,441.97 – $4,441.97 | 1 |
| Reconstruction of throat CPT 42950 | not published | not published | $2,868.70 – $2,868.70 | 1 |
| Reconstruction of urethra CPT 53410 | not published | not published | $3,924.24 – $3,924.24 | 1 |
| Reconstruction of urethra CPT 53415 | not published | not published | $4,530.78 – $4,530.78 | 1 |
| Reconstruction of urethra CPT 53430 | not published | not published | $3,810.44 – $3,810.44 | 1 |
| Reconstruction of urethra CPT 54308 | not published | not published | $2,882.14 – $2,882.14 | 1 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,304.91 – $3,304.91 | 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.