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 |
|---|---|---|---|---|
| Treat thigh fx growth plate CPT 27516 | not published | not published | $221.85 – $1,678.75 | 14 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $2,496.09 – $2,496.09 | 1 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,711.08 – $1,711.08 | 1 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,250.14 – $2,250.14 | 1 |
| Treat toe dislocation CPT 28636 | not published | not published | $745.75 – $745.75 | 1 |
| Treat toe dislocation CPT 28665 | not published | not published | $245.61 – $687.71 | 14 |
| Treat toe dislocation CPT 28666 | not published | not published | $736.82 – $736.82 | 1 |
| Treat toe fracture CPT 28525 | not published | not published | $1,475.98 – $1,475.98 | 1 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $3,254.41 – $3,254.41 | 1 |
| Treat trigeminal tract CPT 61791 | not published | not published | $4,195.48 – $4,195.48 | 1 |
| Treat ulnar fracture CPT 24675 | not published | not published | $1,485.89 – $1,485.89 | 1 |
| Treat ulnar fracture CPT 24685 | not published | not published | $2,370.16 – $2,370.16 | 1 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $186.05 – $520.94 | 14 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $1,404.09 – $1,404.09 | 1 |
| Treat wrist dislocation CPT 25675 | not published | not published | $221.85 – $1,416.20 | 14 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $12.01 – $41.57 | 16 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $180.98 – $632.71 | 16 |
| Trichinella antibody CPT 86784 | not published | not published | $11.40 – $39.44 | 17 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $10.88 – $48.53 | 17 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $0.02 – $29.76 | 2 |
| Triglycerides CPT 84478 | not published | not published | $1.08 – $23.27 | 17 |
| Trim nondyst nails CPT 11719 | not published | not published | $30.31 – $153.80 | 14 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,990.00 – $3,990.00 | 1 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $4,451.22 – $4,451.22 | 1 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $1,825.07 – $1,825.07 | 1 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $852.34 – $852.34 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $221.85 – $1,731.99 | 14 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $3,965.72 – $9,273.13 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $4,393.02 – $9,273.13 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $3,255.20 – $3,255.20 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $872.66 – $872.66 | 1 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $609.10 – $609.10 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $1,307.98 – $1,307.98 | 1 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $1,272.31 – $1,272.31 | 1 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $1,686.26 – $1,686.26 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $1,041.12 – $1,041.12 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $608.36 – $608.36 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $1,488.72 – $1,488.72 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $3,117.95 – $3,117.95 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $809.96 – $809.96 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $2,320.54 – $2,320.54 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $2,895.54 – $2,895.54 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,488.24 – $2,488.24 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,241.80 – $2,241.80 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,696.51 – $1,696.51 | 1 |
| Troponin quantitative CPT 84484 | not published | not published | $8.93 – $39.80 | 17 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $507.36 – $3,944.27 | 14 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,453.15 – $1,453.15 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,358.66 – $1,358.66 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $310.08 – $1,132.07 | 14 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,309.08 – $4,309.08 | 1 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $3,943.68 – $3,943.68 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $4,252.63 – $17,906.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $221.85 – $621.18 | 13 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $221.85 – $826.66 | 14 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $2,099.68 – $2,099.68 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $221.85 – $1,105.50 | 14 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $394.31 – $1,585.11 | 14 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $249.81 – $1,585.11 | 14 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,675.99 – $2,675.99 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,693.53 – $2,693.53 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $1,594.06 – $1,594.06 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,630.80 – $2,630.80 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $1,739.49 – $1,739.49 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $1,901.41 – $1,901.41 | 1 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $1,722.71 – $1,722.71 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,371.83 – $2,371.83 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,112.99 – $2,112.99 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,337.38 – $1,337.38 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $221.85 – $678.47 | 14 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,091.85 – $1,091.85 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,942.07 – $1,942.07 | 1 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $60.22 – $405.16 | 14 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $470.96 – $1,318.69 | 14 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,975.30 – $4,975.30 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,403.65 – $4,403.65 | 1 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.61 – $12.83 | 17 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $87.14 – $734.76 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | not published | not published | $82.68 – $281.24 | 16 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $8.09 – $275.38 | 17 |
| Ultrasound breast complete CPT 76641 | not published | not published | $65.33 – $275.38 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $50.03 – $228.00 | 17 |
| Ultrasound chest CPT 76604 | not published | not published | $80.54 – $275.38 | 17 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $65.12 – $275.38 | 17 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $69.08 – $275.38 | 17 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $73.58 – $111.30 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $86.72 – $275.38 | 16 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $93.97 – $275.38 | 17 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $98.35 – $383.92 | 17 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $45.14 – $71.87 | 3 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $82.99 – $408.22 | 3 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $183.12 – $209.68 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $194.14 – $347.07 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $81.43 – $255.71 | 17 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $81.43 – $241.81 | 17 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $89.94 – $275.38 | 16 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $30.45 – $275.38 | 16 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $98.35 – $275.38 | 13 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $128.66 – $137.84 | 3 |
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.