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 |
|---|---|---|---|---|
| Surgical opening of stomach CPT 43510 | not published | not published | $867.07 – $3,424.37 | 14 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,805.11 – $2,805.11 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $2,700.24 – $2,700.24 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $10.33 – $63.42 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $15.72 – $101.64 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $26.45 – $138.35 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $48.44 – $161.71 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $193.53 – $931.50 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $338.10 – $2,115.37 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $4,817.42 – $4,817.42 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $5,449.15 – $5,449.15 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,393.89 – $1,393.89 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $1.69 – $19.20 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $1.69 – $19.20 | 17 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $7.84 – $34.96 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.02 – $20.85 | 17 |
| Suspension of testis CPT 54620 | not published | not published | $1,203.95 – $1,203.95 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,657.30 – $1,657.30 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $3,808.15 – $3,808.15 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $4,875.65 – $4,875.65 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $166.05 – $1,325.60 | 4 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.14 – $138.35 | 17 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,426.59 – $2,426.59 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,959.38 – $2,959.38 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,017.51 – $3,017.51 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.30 – $101.64 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $3.99 – $17.81 | 17 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $15.37 – $68.53 | 17 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $12.86 – $57.34 | 17 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.18 – $36.48 | 17 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.23 – $27.78 | 17 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $12.45 – $43.11 | 17 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $7,797.02 – $7,797.02 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $7,187.21 – $7,187.21 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,658.13 – $4,658.13 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $387.50 – $387.50 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $316.73 – $316.73 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $2,384.92 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $4,402.76 – $9,167.54 | 2 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,877.44 | 16 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,740.02 – $2,740.02 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $457.19 – $1,585.11 | 14 |
| Tavr perq femoral CPT 33361 | not published | not published | $5,595.37 – $5,595.37 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $76.53 – $228.00 | 14 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $6.03 – $228.00 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $67.97 – $314.00 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $56.23 – $250.66 | 17 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $566.11 – $1,585.11 | 14 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $98.35 – $275.38 | 14 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $98.35 – $275.38 | 14 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $341.40 – $1,132.07 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $42.63 – $190.02 | 17 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $16.42 – $84.09 | 17 |
| T cells total count CPT 86359 | not published | not published | $34.22 – $152.57 | 17 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $287.99 – $806.37 | 13 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $287.99 – $806.37 | 13 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $287.99 – $806.37 | 14 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $4,156.88 – $4,156.88 | 1 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $338.55 – $947.94 | 16 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $201.23 – $947.94 | 16 |
| Temperature gradient studies CPT 93740 | not published | not published | $5.88 – $405.16 | 14 |
| Tendon lengthening CPT 26476 | not published | not published | $2,064.24 – $2,064.24 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,113.93 – $2,113.93 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $2,068.54 – $2,068.54 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,167.08 – $3,167.08 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,238.33 – $2,238.33 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,058.53 – $2,058.53 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,216.85 – $2,216.85 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,856.21 – $2,856.21 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,855.09 – $1,855.09 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,142.25 – $1,142.25 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $948.95 – $948.95 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $0.02 – $581.53 | 16 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.45 – $24.27 | 17 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.88 – $18.27 | 17 |
| Test for urine cystines CPT 82615 | not published | not published | $7.41 – $33.02 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $105.73 – $1,040.54 | 17 |
| Test stress cardiovascular tracing only CPT 93017 | not published | not published | $186.42 – $806.37 | 14 |
| Test urine for lactose CPT 83633 | not published | not published | $4.99 – $35.33 | 17 |
| Test urine for porphyrins CPT 84119 | not published | not published | $7.81 – $41.95 | 17 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.95 – $14.04 | 17 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,126.68 | 13 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,674.15 | 13 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $158.48 – $443.74 | 14 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $158.48 – $443.74 | 14 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $60.00 – $443.74 | 14 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $12.00 – $138.35 | 14 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $121.94 – $1,132.07 | 14 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $12.84 – $57.23 | 17 |
| Therapy activation ipnss CPT 93150 | not published | not published | $84.89 – $237.69 | 13 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $33.73 – $94.44 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $29.38 – $82.26 | 14 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $183.76 – $514.53 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $435.52 – $435.52 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $164.64 – $470.20 | 17 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $51.91 – $545.58 | 14 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $465.19 – $1,600.98 | 14 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $7,630.21 – $7,630.21 | 1 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $993.30 – $993.30 | 1 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $13,991.10 – $13,991.10 | 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.