Does Ascension Via Christi St. Teresa publish its standard charges and chargemaster?

Yes. Ascension Via Christi St. Teresa publishes a machine-readable file with 13,182 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Ascension Via Christi St. Teresa charge for procedures?

Ascension Via Christi St. Teresa (Wichita, KS) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · KS · CCN 170200

Ascension Via Christi St. Teresa

Wichita, KS, 67235

38 bedsAcute Care Hospitals1

Compliance grade

92/100

Rates published

13,182

last crawl 2026-05-23

Procedures tracked

151

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All KS hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/271965272_ascension-via-christi-hospital-wichita-st-teresa-inc_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	16	—	—	$1,582.8	$8,209.87	0.64×	$25,665
Psychiatric diagnostic evaluation	CPT	90791	13	—	—	$148.59	$150.08	0.85×	$416.05
Psychiatric eval with medical services	CPT	90792	12	—	—	$148.59	$150.08	0.87×	$416.05
Psychotherapy 30 minutes	CPT	90832	13	—	—	$148.59	$150.08	1.0×	$416.05
Psychotherapy 45 minutes	CPT	90834	13	—	—	$148.59	$150.08	0.93×	$416.05
Psychotherapy 60 minutes	CPT	90837	13	—	—	$148.59	$150.08	0.79×	$416.05
Crisis psychotherapy 60 minutes	CPT	90839	13	—	—	$148.59	$150.08	0.94×	$416.05
emergency
ED visit level 1	CPT	99281	15	—	—	$81.43	$83.06	0.59×	$1,573
ED visit level 2	CPT	99282	15	—	—	$146.45	$149.38	0.63×	$1,573
ED visit level 3	CPT	99283	15	—	—	$256.07	$261.19	0.65×	$2,112
ED visit level 4	CPT	99284	15	—	—	$393.81	$401.69	0.60×	$2,608
ED visit level 5	CPT	99285	15	—	—	$567.01	$578.35	0.55×	$3,197
Critical care, first hour	CPT	99291	14	—	—	$779.26	$787.05	0.73×	$3,171
imaging
CT head without contrast	CPT	70450	14	—	—	$98.35	$99.33	0.48×	$591.78
CT head with contrast	CPT	70460	13	—	—	$164.64	$166.29	0.71×	$460.99
CT head with and without contrast	CPT	70470	13	—	—	$164.64	$166.29	0.62×	$493.25
CT neck with contrast	CPT	70491	13	—	—	$164.64	$166.29	0.61×	$515.3
MRI brain without contrast	CPT	70551	15	—	—	$223.55	$225.79	0.56×	$943.39
MRI brain with contrast	CPT	70552	15	—	—	$330.28	$333.58	0.70×	$1,155.99
MRI brain with and without contrast	CPT	70553	15	—	—	$330.28	$333.58	0.57×	$1,446.68
Chest X-ray single view	CPT	71045	13	—	—	$52.84	$82.24	0.87×	$228
Chest X-ray 2 views	CPT	71046	13	—	—	$70.25	$82.24	0.84×	$228
Chest X-ray 3 views	CPT	71047	13	—	—	$81.43	$82.24	0.86×	$228
CT chest without contrast	CPT	71250	14	—	—	$98.35	$99.33	0.46×	$658.05
CT chest with contrast	CPT	71260	14	—	—	$164.64	$166.29	0.59×	$944.5
CT chest with and without contrast	CPT	71270	13	—	—	$164.64	$166.29	0.57×	$631.18
MRI chest without contrast	CPT	71550	15	—	—	$223.55	$225.79	0.52×	$947.14
MRI chest with contrast	CPT	71551	15	—	—	$730.66	$737.97	0.91×	$2,045.85
MRI chest with and without contrast	CPT	71552	15	—	—	$330.28	$333.58	0.56×	$1,465.71
Lumbosacral spine X-ray	CPT	72100	14	—	—	$72.98	$98.84	0.96×	$275.38
CT cervical spine without contrast	CPT	72125	14	—	—	$98.35	$99.33	0.49×	$1,198.91
CT thoracic spine without contrast	CPT	72128	13	—	—	$98.35	$99.33	0.50×	$407.74
CT lumbar spine without contrast	CPT	72131	13	—	—	$98.35	$99.33	0.49×	$404.96
MRI cervical spine without contrast	CPT	72141	15	—	—	$223.55	$225.79	0.57×	$940.56
MRI thoracic spine without contrast	CPT	72146	15	—	—	$223.55	$225.79	0.61×	$939.84
MRI lumbar spine without contrast	CPT	72148	15	—	—	$223.55	$225.79	0.60×	$939.84
MRI lumbar spine with and without contrast	CPT	72149	15	—	—	$330.28	$333.58	0.73×	$1,155.99
MRI cervical spine with and without contrast	CPT	72156	15	—	—	$330.28	$333.58	0.62×	$1,446.96
MRI lumbar spine with contrast	CPT	72158	15	—	—	$330.28	$333.58	0.61×	$1,446.96
CT pelvis without contrast	CPT	72192	13	—	—	$98.35	$99.33	0.50×	$351.16
CT pelvis with contrast	CPT	72193	13	—	—	$164.64	$166.29	0.59×	$695.98
Shoulder X-ray	CPT	73030	14	—	—	$54.13	$81.84	0.88×	$228
Humerus X-ray	CPT	73060	14	—	—	$54.13	$81.84	0.92×	$228
Hand X-ray 3 views	CPT	73130	14	—	—	$58.81	$82.24	0.88×	$228
MRI upper extremity joint without contrast	CPT	73221	15	—	—	$223.55	$225.79	0.54×	$947.14
MRI upper extremity joint with and without contrast	CPT	73223	15	—	—	$330.28	$333.58	0.55×	$1,459.38
Hip X-ray 2 views	CPT	73510	1	—	—	$68.02	$68.02	0.90×	$68.02
Knee X-ray 1-2 views	CPT	73560	14	—	—	$51.89	$81.84	0.88×	$228
Ankle X-ray 3 views	CPT	73610	14	—	—	$58.81	$82.24	0.89×	$228
MRI lower extremity joint without contrast	CPT	73721	15	—	—	$223.55	$225.79	0.48×	$947.14
MRI lower extremity joint with and without contrast	CPT	73723	15	—	—	$330.28	$333.58	0.53×	$1,458.38
CT abdomen without contrast	CPT	74150	13	—	—	$98.35	$99.33	0.53×	$345.66
CT abdomen with contrast	CPT	74160	14	—	—	$164.64	$166.29	0.58×	$962.96
CT abdomen with and without contrast	CPT	74170	14	—	—	$164.64	$166.29	0.50×	$1,158.88
CT abdomen and pelvis without contrast	CPT	74176	13	—	—	$223.55	$225.79	0.62×	$625.94
CT abdomen and pelvis with contrast	CPT	74177	13	—	—	$330.28	$333.58	0.61×	$924.78
CT abdomen and pelvis with and without contrast	CPT	74178	13	—	—	$330.28	$333.58	0.58×	$1,034.75
MRI abdomen without contrast	CPT	74181	15	—	—	$223.55	$225.79	0.58×	$944.58
MRI abdomen with and without contrast	CPT	74183	15	—	—	$330.28	$333.58	0.59×	$1,458.29
Abdominal ultrasound complete	CPT	76700	14	—	—	$98.35	$99.33	0.67×	$275.38
Abdominal ultrasound limited	CPT	76705	14	—	—	$98.35	$99.33	0.68×	$275.38
Retroperitoneal ultrasound complete	CPT	76770	14	—	—	$98.35	$99.33	0.69×	$275.38
Obstetric ultrasound first trimester	CPT	76801	14	—	—	$98.35	$99.33	0.70×	$275.38
Obstetric ultrasound after first trimester	CPT	76805	14	—	—	$98.35	$99.33	0.65×	$293.98
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	—	$223.55	$225.79	0.96×	$625.94
Transvaginal ultrasound	CPT	76830	14	—	—	$98.35	$99.33	0.67×	$288.19
Pelvic ultrasound complete	CPT	76856	14	—	—	$98.35	$99.33	0.69×	$275.38
Scrotal ultrasound	CPT	76870	14	—	—	$98.35	$99.33	0.76×	$275.38
Diagnostic mammography unilateral	CPT	77065	13	—	—	$76.84	$77.61	0.52×	$303.26
Diagnostic mammography bilateral	CPT	77066	13	—	—	$97.94	$98.92	0.52×	$386.75
Screening mammography bilateral	CPT	77067	13	—	—	$81.06	$81.87	0.52×	$320.67
EKG tracing only	CPT	93005	12	—	—	$54.93	$55.48	0.47×	$153.8
Transthoracic echocardiogram complete	CPT	93306	12	—	—	$507.08	$512.15	0.86×	$1,419.82
Transthoracic echocardiogram	CPT	93307	12	—	—	$223.55	$225.79	0.91×	$625.94
Stress echocardiogram	CPT	93350	12	—	—	$507.08	$512.15	1.0×	$1,419.82
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	15	—	—	$9,004.87	$10,731	0.70×	$25,665
COPD w MCC	MS-DRG	190	15	—	—	$6,382.99	$7,978.74	0.71×	$25,665
COPD w CC	MS-DRG	191	15	—	—	$4,857.69	$6,072.11	0.69×	$25,665
COPD w/o CC/MCC	MS-DRG	192	15	—	—	$3,699.45	$4,624.31	0.66×	$25,665
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	—	—	$4,643.9	$5,804.88	0.68×	$25,665
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	—	—	$3,621.66	$4,527.07	0.68×	$25,665
AMI discharged alive w MCC	MS-DRG	280	15	—	—	$9,243.43	$10,731	0.68×	$25,882
AMI discharged alive w CC	MS-DRG	281	15	—	—	$5,296.2	$6,620.25	0.68×	$25,665
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	—	—	$4,166.78	$5,208.47	0.67×	$25,665
Heart failure & shock w MCC	MS-DRG	291	15	—	—	$7,397.74	$9,247.17	0.72×	$25,665
Heart failure & shock w CC	MS-DRG	292	15	—	—	$4,892.26	$6,115.33	0.68×	$25,665
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	—	—	$3,261.51	$4,076.89	0.66×	$25,665
Cardiac arrhythmia w MCC	MS-DRG	308	15	—	—	$6,937.91	$8,672.39	0.72×	$25,665
Cardiac arrhythmia w CC	MS-DRG	309	15	—	—	$4,239.38	$5,299.23	0.68×	$25,665
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	—	—	$3,262.08	$4,077.6	0.66×	$25,665
GI hemorrhage w CC	MS-DRG	378	15	—	—	$5,651.17	$7,063.96	0.71×	$25,665
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	—	—	$3,632.6	$4,540.75	0.66×	$25,665
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	—	—	$4,492.35	$5,615.44	0.70×	$25,665
Fractures of femur w/o MCC	MS-DRG	533	15	—	—	$9,033.68	$10,731	0.71×	$25,665
Kidney/UTI w MCC	MS-DRG	689	15	—	—	$6,686.09	$8,357.61	0.72×	$25,665
Kidney/UTI w/o MCC	MS-DRG	690	15	—	—	$4,664.65	$5,830.81	0.70×	$25,665
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	15	—	—	$10,731	$11,417	0.61×	$31,342
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	—	—	$5,896.64	$7,370.8	0.71×	$25,665
lab
Basic metabolic panel (BMP)	CPT	80048	14	—	—	$8.46	$8.54	0.26×	$34.24
General health panel	CPT	80050	1	—	—	$35.77	$35.77	0.33×	$35.77
Electrolyte panel	CPT	80051	14	—	—	$4.34	$7.08	0.30×	$28.36
Comprehensive metabolic panel	CPT	80053	14	—	—	$10.56	$10.67	0.24×	$42.77
Lipid panel	CPT	80061	14	—	—	$12.16	$13.52	0.35×	$54.21
Renal function panel	CPT	80069	14	—	—	$8.68	$8.77	0.32×	$35.12
Hepatic function panel	CPT	80076	14	—	—	$7.59	$8.25	0.31×	$33.05
Urinalysis non-automated	CPT	81002	14	—	—	$2.11	$3.51	0.50×	$10.93
Urinalysis automated	CPT	81003	14	—	—	$1.85	$2.27	0.16×	$9.09
Glucose quantitative	CPT	82947	14	—	—	$1.08	$3.97	0.23×	$15.87
Hemoglobin A1c	CPT	83036	14	—	—	$8	$9.81	0.36×	$39.25
Thyroid stimulating hormone (TSH)	CPT	84443	14	—	—	$15.25	$16.97	0.36×	$67.95
Complete blood count with automated differential	CPT	85025	14	—	—	$6.41	$7.85	0.30×	$24.4
Complete blood count without differential	CPT	85027	14	—	—	$5.33	$6.53	0.30×	$26.18
Urine culture bacterial	CPT	87086	14	—	—	$7.33	$8.15	0.35×	$32.66
Urine culture identification	CPT	87088	14	—	—	$6.93	$8.17	0.37×	$32.74
Tissue exam by pathologist level IV	CPT	88305	14	—	—	$49.41	$49.9	0.49×	$161.71
maternity
Fetal non-stress test	CPT	59025	12	—	—	$186.05	$187.91	1.0×	$520.94
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$71.02	$71.02	0.82×	$71.02
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$102.58	$102.58	0.84×	$102.58
Office visit, established patient, 5 min	CPT	99211	1	—	—	$19.06	$19.06	0.30×	$19.06
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$41.26	$41.26	0.52×	$41.26
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$69.62	$69.62	0.61×	$69.62
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	—	—	$867.07	$875.74	0.96×	$2,427.8
Upper GI endoscopy with biopsy	CPT	43239	12	—	—	$867.07	$875.74	0.91×	$2,427.8
Sigmoidoscopy diagnostic	CPT	45330	12	—	—	$843.17	$851.6	1.0×	$2,360.88
Sigmoidoscopy with biopsy	CPT	45331	12	—	—	$843.17	$851.6	0.95×	$2,360.88
Colonoscopy diagnostic	CPT	45378	12	—	—	$843.17	$851.6	0.97×	$2,360.88
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	15	—	—	$10,731	$26,487	0.62×	$74,163
Major small/large bowel procedures w CC	MS-DRG	330	15	—	—	$10,731	$14,090	0.61×	$38,678
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	—	—	$9,697.51	$10,731	0.65×	$27,153
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	15	—	—	$9,747.64	$10,731	0.65×	$27,293
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	—	—	$7,870.26	$9,837.83	0.73×	$25,665
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	15	—	—	$10,731	$19,829	0.61×	$54,972
Major joint replacement w MCC	MS-DRG	469	15	—	—	$10,731	$17,828	0.60×	$48,940
Major joint replacement w/o MCC	MS-DRG	470	15	—	—	$10,731	$11,337	0.60×	$31,122
Laparoscopic cholecystectomy	CPT	47562	1	—	—	$7,024	$7,024	4.0×	$7,024
Lap cholecystectomy with cholangiography	CPT	47563	1	—	—	$7,024	$7,024	3.7×	$7,024
Hip & femur procedures except major joint w MCC	MS-DRG	480	15	—	—	$10,731	$17,117	0.61×	$46,989
Hip & femur procedures except major joint w CC	MS-DRG	481	15	—	—	$10,731	$12,311	0.61×	$33,794
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	15	—	—	$9,398.44	$10,731	0.67×	$26,316
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$10,731	$16,971	0.62×	$46,587
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$9,221.54	$11,973	0.74×	$32,413
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$8,691.97	$11,517	0.76×	$32,413
Intravitreal injection	CPT	67028	12	—	—	$306.75	$309.82	0.90×	$858.9
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	15	—	—	$7,149.38	$8,936.73	0.73×	$25,665
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	15	—	—	$10,731	$12,044	0.63×	$33,062
PCI single major coronary artery	CPT	92920	3	—	—	$7,726	$14,405	2.5×	$20,700
PCI with drug-eluting stent	CPT	92928	3	—	—	$7,726	$14,405	1.4×	$20,700
PCI bypass graft	CPT	92937	3	—	—	$7,726	$14,405	1.3×	$20,700
Left heart catheterization	CPT	93452	3	—	—	$6,498	$10,792	3.5×	$16,108
Coronary angiography with cath	CPT	93455	3	—	—	$6,498	$10,792	3.4×	$16,108
Coronary angiography with bypass cath	CPT	93458	3	—	—	$6,498	$10,792	3.5×	$16,108

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 20)

Payer	Codes covered	Median rate
smarthealth	140	$462.39
Ambetter	136	$279.89
Blue Cross Blue Shield	136	$167.93
corizon	136	$205.8
via christi research	136	$164.64
Humana	136	$223.55
Medicare	136	$167.93
Medicare Advantage	136	$165.47
saint lukes health systems	136	$164.64
UnitedHealthcare	136	$336.89
va	136	$164.64
vc hope	136	$164.64
Aetna	130	$12,420
First Health	64	$365.95
healthchoice of ok	40	$12,694
medica	40	$10,731
Cigna	35	$810
early detection works	5	$69.62
providrs care	3	$18,734
Multiplan	1	$3,879

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