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 |
|---|---|---|---|---|
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,469.20 – $2,469.20 | 1 |
| Urea nitrogen CPT 84520 | not published | not published | $1.08 – $15.96 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $4.31 – $19.20 | 17 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $5.99 – $26.70 | 17 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $805.65 – $805.65 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $84.75 – $1,040.54 | 17 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,502.69 – $1,502.69 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,474.50 – $1,474.50 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,918.68 – $1,918.68 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,449.19 – $1,449.19 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,433.88 – $1,433.88 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,284.19 – $1,284.19 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,888.05 – $1,888.05 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,443.97 – $1,443.97 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $4,368.44 – $4,368.44 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $4,387.78 – $4,387.78 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $50.45 – $625.94 | 16 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,957.56 – $2,957.56 | 1 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $49.84 – $625.94 | 17 |
| Uric acid blood CPT 84550 | not published | not published | $1.08 – $18.25 | 17 |
| Uric acid urine CPT 84560 | not published | not published | $4.31 – $19.20 | 17 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.51 – $12.27 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.97 – $8.75 | 17 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.61 – $12.83 | 17 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.85 – $9.09 | 17 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $24.11 – $225.60 | 4 |
| Urinary reflex study CPT 51792 | not published | not published | $54.93 – $222.65 | 14 |
| Urine Culture Test CPT 87086 | not published | not published | $7.33 – $32.66 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $82.73 – $333.79 | 14 |
| Urine pregnancy test CPT 81025 | not published | not published | $5.22 – $27.04 | 17 |
| Urography, antegrade CPT 74425 | not published | not published | $53.73 – $924.78 | 16 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $72.96 – $460.99 | 17 |
| Use 1st target lesion CPT 76982 | not published | not published | $86.72 – $275.38 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $84.21 – $84.21 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $290.35 – $290.35 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $179.06 – $179.06 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $428.68 – $428.68 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $334.63 – $334.63 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $90.68 – $90.68 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $37.15 – $37.15 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $96.86 – $211.58 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $364.03 – $364.03 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $98.67 – $98.67 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $48.44 – $204.28 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $119.42 – $200.47 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $252.24 – $410.77 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $48.44 – $81.92 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $823.09 – $823.09 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $519.70 – $519.70 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $66.74 – $185.90 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $114.54 – $169.59 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $51.96 – $51.96 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $28.20 – $56.31 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $33.68 – $56.70 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $189.20 – $189.20 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $39.13 – $61.65 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $35.96 – $58.47 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $18.09 – $28.36 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $51.48 – $76.56 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $107.76 – $185.90 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $43.34 – $63.49 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $12.04 – $17.15 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $622.21 – $622.21 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $510.55 – $510.55 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $458.86 – $458.86 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $437.22 – $437.22 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $282.31 – $282.31 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $810.23 – $810.23 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $165.02 – $380.19 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $346.30 – $687.57 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $701.27 – $701.27 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $756.11 – $756.11 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $119.36 – $119.36 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $317.67 – $1,172.21 | 16 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $412.10 – $412.10 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $293.48 – $293.48 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $60.72 – $140.22 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $39.88 – $84.06 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $180.68 – $247.85 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $489.84 – $489.84 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $150.12 – $456.75 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.03 | 13 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,710.20 – $3,710.20 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,678.18 – $4,678.18 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,444.47 – $3,444.47 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,930.77 – $4,930.77 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,560.52 – $4,560.52 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,296.52 – $3,296.52 | 1 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | not published | 0 |
| Vaginal bx CPT 58999 | not published | not published | $186.05 – $520.94 | 13 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,657.83 – $2,657.83 | 1 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $5,522.92 – $5,522.92 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $3,085.50 – $3,085.50 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $5,998.12 – $5,998.12 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $411.44 – $411.44 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $4,210.41 – $4,210.41 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $12.30 – $54.79 | 17 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,105.85 – $9,273.13 | 3 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $5,278.69 – $9,273.13 | 3 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $4,085.54 – $9,273.13 | 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.