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 |
|---|---|---|---|---|
| Unlisted neurological dx px CPT 95999 | not published | not published | $144.70 – $405.16 | 16 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $22.65 – $63.42 | 16 |
| Unlisted orl service/px CPT 92700 | not published | not published | $22.65 – $63.42 | 16 |
| Unlisted procedure colon CPT 45399 | not published | not published | $843.17 – $2,360.88 | 16 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $867.07 – $2,427.80 | 16 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $276.46 – $774.09 | 16 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted procedure liver CPT 47399 | not published | not published | $650.69 – $1,821.93 | 16 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $12.00 – $12.00 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $276.46 – $774.09 | 16 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $650.69 – $1,821.93 | 16 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $843.17 – $2,360.88 | 16 |
| Unlisted procedure spine CPT 22899 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $27.55 – $77.14 | 16 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $214.76 – $601.33 | 16 |
| 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 | 16 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $867.07 – $2,427.80 | 16 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $145.93 – $408.60 | 16 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $276.46 – $774.09 | 16 |
| 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 | 16 |
| Unlisted px external ear CPT 69399 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $276.46 – $774.09 | 16 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted px inner ear CPT 69949 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $276.46 – $774.09 | 16 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $221.85 – $621.18 | 16 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $224.93 – $629.80 | 16 |
| 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 | 16 |
| Unlisted px middle ear CPT 69799 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $221.85 – $621.18 | 16 |
| 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 | 16 |
| Unlisted px small intestine CPT 44799 | not published | not published | $867.07 – $2,427.80 | 16 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $122.79 – $343.81 | 16 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $214.76 – $601.33 | 16 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.41 – $138.35 | 16 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $371.62 – $1,040.54 | 16 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $183.76 – $514.53 | 16 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.41 – $138.35 | 16 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $22.65 – $63.42 | 16 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $81.43 – $228.00 | 16 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $571.78 – $1,600.98 | 16 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $371.62 – $1,040.54 | 16 |
| Upgrade pm system CPT 33214 | not published | not published | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $330.28 – $1,444.75 | 19 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $330.28 – $1,153.81 | 19 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | not published | not published | $223.55 – $939.84 | 19 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $867.07 – $2,427.80 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $867.07 – $2,427.80 | 16 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $867.07 – $2,427.80 | 16 |
| Urea nitrogen CPT 84520 | not published | not published | $1.08 – $15.96 | 18 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $4.31 – $19.20 | 18 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $5.99 – $26.70 | 18 |
| Ureteral reflux study CPT 78740 | not published | not published | $371.62 – $1,040.54 | 18 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | not published | 0 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $55.88 – $625.94 | 17 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $196.84 – $625.94 | 18 |
| Uric acid blood CPT 84550 | not published | not published | $1.08 – $18.25 | 19 |
| Uric acid urine CPT 84560 | not published | not published | $4.31 – $19.20 | 19 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.51 – $12.27 | 19 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.97 – $8.75 | 18 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.61 – $12.83 | 19 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.85 – $9.09 | 18 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $180.68 – $225.60 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $54.93 – $153.80 | 16 |
| Urine Culture Test CPT 87086 | not published | not published | $7.33 – $32.66 | 18 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $119.21 – $333.79 | 16 |
| Urine pregnancy test CPT 81025 | not published | not published | $5.22 – $27.04 | 18 |
| Urography, antegrade CPT 74425 | not published | not published | $330.28 – $924.78 | 17 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $164.64 – $460.99 | 18 |
| Use 1st target lesion CPT 76982 | not published | not published | $98.35 – $275.38 | 17 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $96.86 – $115.29 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $48.44 – $50.29 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $119.42 – $134.01 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $252.24 – $252.24 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $48.44 – $54.28 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $66.74 – $107.76 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $114.54 – $114.54 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $28.20 – $38.04 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $33.68 – $34.32 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $39.13 – $47.80 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $35.96 – $36.61 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $18.09 – $18.26 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $51.48 – $51.72 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $107.76 – $107.76 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $43.34 – $43.34 | 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.