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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $70.71 – $85.92 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $223.55 – $625.94 | 17 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $93.90 – $275.38 | 17 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $98.35 – $275.38 | 17 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $98.35 – $360.06 | 17 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $86.89 – $275.38 | 17 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $95.05 – $275.38 | 17 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $98.35 – $275.45 | 17 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $163.64 – $358.44 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $98.35 – $288.19 | 17 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $164.64 – $801.77 | 16 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.45 – $23.96 | 16 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $263.00 – $263.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $281.32 – $1,631.47 | 14 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,149.56 – $1,149.56 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $22.65 – $239.43 | 14 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $22.65 – $63.42 | 13 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $42.67 – $119.48 | 13 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted CT procedure CPT 76497 | not published | not published | $81.43 – $228.00 | 15 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.41 – $138.35 | 14 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $41.57 – $138.35 | 14 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $144.70 – $405.16 | 13 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $186.05 – $520.94 | 13 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $46.03 – $228.00 | 15 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $186.05 – $520.94 | 13 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.41 – $138.35 | 14 |
| Unlisted mr procedure CPT 76498 | not published | not published | $81.43 – $228.00 | 15 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $144.70 – $405.16 | 13 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $22.65 – $63.42 | 13 |
| Unlisted orl service/px CPT 92700 | not published | not published | $22.65 – $63.42 | 13 |
| Unlisted procedure colon CPT 45399 | not published | not published | $843.17 – $2,360.88 | 13 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $867.07 – $2,427.80 | 13 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $276.46 – $774.09 | 13 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted procedure liver CPT 47399 | not published | not published | $650.69 – $1,821.93 | 13 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $12.00 – $53.34 | 2 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $276.46 – $774.09 | 13 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $650.69 – $1,821.93 | 13 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $843.17 – $2,360.88 | 13 |
| Unlisted procedure spine CPT 22899 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $3,373.10 – $3,373.10 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $27.55 – $77.14 | 13 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $867.07 – $2,427.80 | 13 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $145.93 – $408.60 | 13 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $276.46 – $774.09 | 13 |
| Unlisted px diaphragm CPT 39599 | not published | not published | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $650.69 – $1,821.93 | 13 |
| Unlisted px external ear CPT 69399 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $276.46 – $774.09 | 13 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px inner ear CPT 69949 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $276.46 – $774.09 | 13 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $224.93 – $629.80 | 13 |
| Unlisted px mediastinum CPT 39499 | not published | not published | not published | 0 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $122.79 – $343.81 | 14 |
| Unlisted px middle ear CPT 69799 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $221.85 – $621.18 | 13 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px small intestine CPT 44799 | not published | not published | $867.07 – $2,427.80 | 13 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $122.79 – $343.81 | 14 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $214.76 – $601.33 | 13 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.41 – $138.35 | 13 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $371.62 – $1,040.54 | 14 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $183.76 – $514.53 | 13 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.41 – $138.35 | 14 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $22.65 – $63.42 | 14 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $81.43 – $228.00 | 14 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $571.78 – $1,600.98 | 13 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $371.62 – $1,040.54 | 14 |
| Upgrade pm system CPT 33214 | not published | not published | $1,913.54 – $1,913.54 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $330.28 – $1,444.75 | 17 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $284.52 – $1,153.81 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | not published | not published | $223.55 – $939.84 | 17 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $548.95 – $2,427.80 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $649.17 – $2,427.80 | 14 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $1,016.15 – $1,016.15 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $665.97 – $2,427.80 | 14 |
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.