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 |
|---|---|---|---|---|
| Blood Clotting (PT/INR) Test CPT 85610 | not published | not published | $3.24 – $15.90 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | not published | not published | $5.45 – $24.27 | 17 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $6.41 – $24.40 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | not published | not published | $5.33 – $26.18 | 17 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $1.96 – $21.98 | 17 |
| Blood Culture Test CPT 87040 | not published | not published | $9.37 – $41.74 | 17 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $2.10 – $11.81 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $25.75 – $247.34 | 17 |
| Blood gases ph venous CPT 82800 | not published | not published | $7.68 – $34.54 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $13.12 – $64.32 | 17 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $2.69 – $13.28 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | not published | not published | $2.69 – $13.75 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | not published | not published | $2.96 – $16.70 | 17 |
| Blood smear interpretation CPT 85060 | not published | not published | $21.72 – $74.58 | 5 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.12 – $13.91 | 17 |
| Blood typing abo CPT 86900 | not published | not published | $2.71 – $333.79 | 17 |
| Blood typing ag donor ea ag CPT 86902 | not published | not published | $3.47 – $931.50 | 16 |
| Blood typing patient serum CPT 86904 | not published | not published | $4.35 – $153.80 | 17 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | not published | not published | $3.47 – $931.50 | 17 |
| Blood typing rh (d) CPT 86901 | not published | not published | $2.71 – $101.64 | 17 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $7.04 – $101.64 | 17 |
| Blood volume CPT 78122 | not published | not published | $64.94 – $1,393.84 | 17 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $843.71 – $843.71 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $31.73 – $275.38 | 17 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $121.87 – $1,040.54 | 17 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $91.24 – $1,040.54 | 17 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $232.86 – $232.86 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $291.07 – $291.07 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,221.41 – $1,221.41 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $761.07 – $761.07 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $118.62 – $1,040.54 | 17 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $80.54 – $1,040.54 | 17 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $110.09 – $1,040.54 | 17 |
| Bone marrow interpretation CPT 85097 | not published | not published | $77.28 – $2,115.37 | 17 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $9,958.79 – $9,958.79 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $9,294.13 – $9,294.13 | 1 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $66.59 – $275.38 | 17 |
| Borrelia antibody CPT 86619 | not published | not published | $12.14 – $42.01 | 17 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $15.45 – $68.89 | 17 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $98.25 | 13 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.12 – $13.91 | 17 |
| Bowel imaging CPT 78290 | not published | not published | $101.43 – $1,040.54 | 17 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,471.17 – $2,471.17 | 1 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $974.82 – $974.82 | 1 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $1,098.41 – $1,098.41 | 1 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $1,307.81 – $1,307.81 | 1 |
| Brach/thor cath addl CPT 36218 | not published | not published | $208.17 – $208.17 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $338.55 – $947.94 | 16 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $278.40 – $947.94 | 16 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $211.76 – $947.94 | 16 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $550.76 | 16 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $5,213.13 – $5,213.13 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $4,527.14 – $4,527.14 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $45.56 – $1,393.84 | 17 |
| Brain image < 4 views CPT 78600 | not published | not published | $64.89 – $1,040.54 | 17 |
| Brain image 4+ views CPT 78605 | not published | not published | $79.38 – $1,393.84 | 17 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $75.15 – $1,040.54 | 17 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $93.82 – $1,393.84 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $266.32 – $1,468.27 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $177.69 – $1,158.92 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $177.69 – $943.86 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | not published | not published | $330.28 – $1,446.68 | 17 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $264.15 – $1,155.99 | 17 |
| Brain MRI (without contrast) CPT 70551 | not published | not published | $219.01 – $943.39 | 17 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $0.02 – $2,939.04 | 16 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $0.02 – $1,834.48 | 16 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $205.98 – $1,178.29 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $0.02 – $946.24 | 16 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $0.02 – $1,776.49 | 16 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $581.28 | 15 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $205.98 – $1,178.29 | 16 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $0.02 – $888.24 | 16 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $390.57 – $1,381.60 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,640.67 – $5,730.12 | 4 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $2,156.81 – $2,156.81 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $156.81 – $633.99 | 2 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $42.76 – $1,821.93 | 15 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $5,230.77 – $5,230.77 | 1 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $6,111.16 – $6,111.16 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,638.00 – $5,638.00 | 1 |
| Breast reduction CPT 19318 | not published | not published | $3,769.09 – $3,769.09 | 1 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $30.58 – $405.16 | 14 |
| Breathing response hypoxia CPT 94450 | not published | not published | $55.40 – $405.16 | 14 |
| Breath recording infant CPT 94772 | not published | not published | $490.71 – $1,373.99 | 13 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $333.27 | 17 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $39.04 | 17 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $359.12 – $1,005.54 | 14 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $270.72 – $270.72 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $935.86 – $935.86 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $1,032.93 – $1,032.93 | 1 |
| Bronchial allergy tests CPT 95070 | not published | not published | $94.64 – $1,373.99 | 14 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $359.12 – $1,005.54 | 14 |
| Bronchial challenge CPT 94070 | not published | not published | $80.49 – $806.37 | 14 |
| Bronchial valve init insert CPT 31647 | not published | not published | $934.46 – $934.46 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $305.90 – $305.90 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $970.17 – $970.17 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $863.44 – $863.44 | 1 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $620.36 – $620.36 | 1 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $780.07 – $780.07 | 1 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $886.85 – $886.85 | 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.