Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.)
929 N St Francis Street Wichita KS 67214|3600 E Harry St, Wichita, KS · Ascension · · NPI 1154314789
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 |
|---|---|---|---|---|
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $84.16 – $275.38 | 18 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | not published | 0 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | not published | 0 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | not published | 0 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | not published | 0 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $54.93 – $153.80 | 16 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $54.93 – $153.80 | 16 |
| Optx palatal/max fracture CPT 21422 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $14.93 – $74.10 | 18 |
| Orthopantogram CPT 70355 | not published | not published | $27.36 – $228.00 | 18 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $54.93 – $153.80 | 16 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $188.10 – $526.68 | 16 |
| Osmolality blood CPT 83930 | not published | not published | $6.00 – $26.73 | 18 |
| Osmolality urine CPT 83935 | not published | not published | $6.18 – $27.56 | 18 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $23.40 – $65.52 | 16 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $23.40 – $65.52 | 16 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $23.40 – $65.52 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $95.35 – $272.71 | 18 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $95.35 – $273.71 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $95.35 – $272.71 | 18 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $90.44 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $46.77 – $130.96 | 17 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $43.02 – $120.46 | 17 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $25.81 – $85.16 | 19 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $65.57 – $188.40 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $32.58 – $118.25 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $20.10 – $56.28 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $21.04 – $58.91 | 16 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $27.33 – $92.54 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $30.41 – $106.35 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $30.26 – $102.87 | 18 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $1,894.20 | 17 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $946.24 | 17 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $719.87 – $2,015.64 | 16 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | not published | 0 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | not published | 0 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $37.45 – $166.95 | 19 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $497.80 – $1,456.52 | 17 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $349.32 – $1,040.54 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $371.62 – $1,040.54 | 17 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $183.76 – $514.53 | 16 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | not published | 0 |
| Partial hip replacement CPT 27125 | not published | not published | not published | 0 |
| Partial hysterectomy CPT 58180 | not published | not published | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | not published | 0 |
| Partial removal of bladder CPT 51550 | not published | not published | not published | 0 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | not published | 0 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | not published | 0 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | not published | 0 |
| Partial removal of sternum CPT 21620 | not published | not published | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $158.48 – $443.74 | 16 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $158.48 – $443.74 | 16 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $49.41 – $138.35 | 16 |
| Patient recorded spirometry CPT 94014 | not published | not published | $369.04 – $1,033.31 | 16 |
| Patient recorded spirometry CPT 94015 | not published | not published | $287.99 – $806.37 | 16 |
| Pdgfra gene CPT 81314 | not published | not published | $217.48 – $1,034.66 | 17 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $183.76 – $514.53 | 16 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $144.70 – $405.16 | 16 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $144.70 – $405.16 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $164.64 – $695.44 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $164.64 – $695.98 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $98.35 – $351.16 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $330.28 – $1,458.29 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $330.28 – $1,161.11 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $223.55 – $946.05 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $98.35 – $275.38 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $77.20 – $275.38 | 18 |
| Penile injection CPT 54235 | not published | not published | $224.93 – $629.80 | 16 |
| Penile vascular study CPT 93980 | not published | not published | $98.35 – $275.38 | 16 |
| Penile vascular study CPT 93981 | not published | not published | $98.35 – $275.38 | 16 |
| Penis study CPT 54240 | not published | not published | $287.99 – $806.37 | 16 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $10,792.00 – $16,108.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | not published | 0 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $54.93 – $153.80 | 16 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $79.50 – $1,419.82 | 17 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $371.62 – $1,040.54 | 18 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $650.69 – $1,821.93 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $101.01 – $1,821.93 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $224.93 – $629.80 | 16 |
| Perq transcath closure each CPT 93592 | not published | not published | $10,792.00 – $16,108.00 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $7,726.00 – $16,108.00 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $7,726.00 – $16,108.00 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | not published | 0 |
| Pertussis ag if CPT 87265 | not published | not published | $10.88 – $48.53 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $408.77 – $408.77 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $412.80 – $412.80 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $246.71 – $246.71 | 1 |
| Pet image full body CPT 78813 | not published | not published | $321.55 – $321.55 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $258.40 – $258.40 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $318.79 – $318.79 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $364.83 – $364.83 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $221.18 – $260.37 | 2 |
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.