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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27443 | not published | not published | $3,004.35 – $3,004.35 | 1 |
| Revision of knee joint CPT 27446 | not published | not published | $4,136.37 – $4,136.37 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $3,612.02 – $3,612.02 | 1 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $992.78 – $992.78 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,591.01 – $1,591.01 | 1 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,583.50 – $1,583.50 | 1 |
| Revision of neck muscle CPT 21725 | not published | not published | $650.69 – $1,955.70 | 14 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $2,363.27 – $2,363.27 | 1 |
| Revision of nose CPT 30120 | not published | not published | $1,601.24 – $1,601.24 | 1 |
| Revision of nose CPT 30430 | not published | not published | $3,220.44 – $3,220.44 | 1 |
| Revision of nose CPT 30435 | not published | not published | $4,195.19 – $4,195.19 | 1 |
| Revision of nose CPT 30450 | not published | not published | $5,604.47 – $5,604.47 | 1 |
| Revision of nose CPT 30460 | not published | not published | $2,812.40 – $2,812.40 | 1 |
| Revision of nose CPT 30462 | not published | not published | $5,457.53 – $5,457.53 | 1 |
| Revision of penis CPT 54300 | not published | not published | $2,584.70 – $2,584.70 | 1 |
| Revision of penis CPT 54304 | not published | not published | $3,026.24 – $3,026.24 | 1 |
| Revision of penis CPT 54420 | not published | not published | $2,831.56 – $2,831.56 | 1 |
| Revision of penis CPT 54430 | not published | not published | $2,566.27 – $2,566.27 | 1 |
| Revision of penis CPT 54435 | not published | not published | $1,660.84 – $1,660.84 | 1 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,769.40 – $6,769.40 | 1 |
| Revision of radius CPT 25350 | not published | not published | $2,643.27 – $2,643.27 | 1 |
| Revision of radius CPT 25355 | not published | not published | $2,982.92 – $2,982.92 | 1 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,154.86 – $2,154.86 | 1 |
| Revision of scrotum CPT 55175 | not published | not published | $1,437.87 – $1,437.87 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $2,730.13 – $2,730.13 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,494.88 – $2,494.88 | 1 |
| Revision of testis CPT 54660 | not published | not published | $1,410.32 – $1,410.32 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,719.73 – $2,719.73 | 1 |
| Revision of toe CPT 28312 | not published | not published | $1,215.88 – $1,215.88 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $9,752.69 – $9,752.69 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $2,568.04 – $2,568.04 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,745.38 – $2,745.38 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,735.69 – $2,735.69 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $1,626.36 – $1,626.36 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $1,825.32 – $1,825.32 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $1,188.60 – $1,188.60 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,255.87 – $2,255.87 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,065.68 – $3,065.68 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,742.38 – $2,742.38 | 1 |
| Revision tips CPT 37183 | not published | not published | $1,633.44 – $1,633.44 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $6,901.28 – $6,901.28 | 1 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $7,460.00 – $7,460.00 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,019.58 – $5,019.58 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,780.15 – $4,780.15 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,816.99 – $3,816.99 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,081.16 – $4,081.16 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,737.97 – $5,737.97 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,964.88 – $3,964.88 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,402.67 – $1,402.67 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $626.00 – $626.00 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $549.15 – $549.15 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $3,274.21 – $3,274.21 | 1 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $1,184.69 – $1,184.69 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $809.39 – $809.39 | 1 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.15 – $22.96 | 17 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.15 – $22.96 | 17 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $3,673.00 – $3,673.00 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $165.80 – $165.80 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $1,067.22 – $12,402.00 | 3 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $681.17 – $12,402.00 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $2,908.75 – $2,908.75 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $244.40 – $244.40 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $1,553.88 – $12,402.00 | 3 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,170.39 – $12,402.00 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,071.62 – $4,071.62 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $334.39 – $1,821.93 | 14 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,547.23 – $2,547.23 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,233.69 – $1,233.69 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,330.49 – $1,330.49 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $790.03 – $790.03 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $502.75 – $502.75 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,757.59 – $2,757.59 | 1 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $465.63 – $465.63 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,413.77 – $3,413.77 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $1,581.61 – $1,581.61 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $1,642.10 – $1,642.10 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $1,521.12 – $1,521.12 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $897.80 – $897.80 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,948.00 – $1,948.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $8,964.17 – $8,964.17 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $571.78 – $1,600.98 | 14 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $950.81 – $950.81 | 1 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $587.57 – $587.57 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $1,519.54 – $1,519.54 | 1 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $1,398.53 – $1,398.53 | 1 |
| Rmvl pq iabp CPT 33968 | not published | not published | $135.13 – $135.13 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $867.62 – $867.62 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,207.28 – $2,207.28 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $1,416.52 – $1,416.52 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $332.47 – $1,821.93 | 14 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,032.22 – $1,032.22 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $363.74 – $1,033.31 | 14 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $2,526.96 – $2,526.96 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $1,939.78 – $1,939.78 | 1 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $1,557.50 – $1,557.50 | 1 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $1,784.07 – $1,784.07 | 1 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $951.21 – $951.21 | 1 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $145.02 – $145.02 | 1 |
| Rotavirus antibody CPT 86759 | not published | not published | $11.97 – $57.24 | 17 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $2,297.76 – $2,297.76 | 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.