▸ Hospital · KS · CCN 173028

Ascension Via Christi Rehabilitation Hospital

1151 N. ROCK ROAD, WICHITA, KS, 173028

Compliance grade
A
92/100
Procedures tracked
198
of 209 target codes
Payers
17
with negotiated rates
Rates published
11,198
last crawl 2026-05-23

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG8858——$1,275.15$10,995$25,665
Psychiatric diagnostic evaluationCPT9079110——$148.59$150.82$416.05
Psychiatric eval with medical servicesCPT9079210——$148.59$150.08$416.05
Psychotherapy 30 minutesCPT9083210——$148.59$150.82$416.05
Psychotherapy 45 minutesCPT9083410——$148.59$150.82$416.05
Psychotherapy 60 minutesCPT9083710——$148.59$150.82$416.05
Crisis psychotherapy 60 minutesCPT9083910——$148.59$150.82$416.05
emergency
ED visit level 1CPT9928112——$62.95$83.06$1,573
ED visit level 2CPT9928212——$123.22$149.38$1,573
ED visit level 3CPT9928312——$187.3$261.19$2,112
ED visit level 4CPT9928412——$353.72$401.69$2,649
ED visit level 5CPT9928512——$521.59$578.35$3,197
Critical care, first hourCPT9929111——$658.32$794.85$3,171
imaging
CT head without contrastCPT7045012——$98.35$100.32$591.78
CT head with contrastCPT7046011——$164.64$167.93$714.97
CT head with and without contrastCPT7047011——$164.64$167.93$862.97
CT neck with contrastCPT7049111——$164.64$167.93$855.47
MRI brain without contrastCPT7055112——$219.01$228.02$1,427.24
MRI brain with contrastCPT7055212——$264.15$336.89$1,595.29
MRI brain with and without contrastCPT7055312——$330.28$336.89$2,063.18
Chest X-ray single viewCPT7104511——$25.9$82.24$228
Chest X-ray 2 viewsCPT7104611——$30.97$82.24$228
Chest X-ray 3 viewsCPT7104711——$40$82.24$228
CT chest without contrastCPT7125012——$98.35$100.32$720.9
CT chest with contrastCPT7126012——$164.64$167.93$944.5
CT chest with and without contrastCPT7127011——$164.64$167.93$1,062.38
MRI chest without contrastCPT7155012——$215.82$228.02$1,554.11
MRI chest with contrastCPT7155112——$255.03$745.27$2,045.85
MRI chest with and without contrastCPT7155212——$330.28$336.89$2,360
Lumbosacral spine X-rayCPT7210012——$33.36$99.33$275.38
CT cervical spine without contrastCPT7212512——$98.35$100.32$1,198.91
CT thoracic spine without contrastCPT7212811——$98.35$100.32$720.9
CT lumbar spine without contrastCPT7213111——$98.35$100.32$719.87
MRI cervical spine without contrastCPT7214112——$223.55$228.02$1,300.6
MRI thoracic spine without contrastCPT7214612——$223.55$228.02$1,326.19
MRI lumbar spine without contrastCPT7214812——$219.63$228.02$1,308.01
MRI lumbar spine with and without contrastCPT7214912——$264.15$336.89$1,591.18
MRI cervical spine with and without contrastCPT7215612——$330.28$336.89$2,068.81
MRI lumbar spine with contrastCPT7215812——$330.28$336.89$2,035.72
CT pelvis without contrastCPT7219211——$98.35$100.32$681.94
CT pelvis with contrastCPT7219311——$164.64$167.93$818.2
Shoulder X-rayCPT7303012——$27.99$82.03$228
Humerus X-rayCPT7306012——$25.26$81.84$228
Hand X-ray 3 viewsCPT7313012——$25.26$82.24$228
MRI upper extremity joint without contrastCPT7322112——$200.34$228.02$1,346.09
MRI upper extremity joint with and without contrastCPT7322312——$317.34$336.89$2,004.9
Hip X-ray 2 viewsCPT735101——$68.02$68.02$68.02
Knee X-ray 1-2 viewsCPT7356012——$25.85$81.84$228
Ankle X-ray 3 viewsCPT7361012——$25.26$82.24$228
MRI lower extremity joint without contrastCPT7372112——$200.34$228.02$1,370.66
MRI lower extremity joint with and without contrastCPT7372312——$318.35$336.89$2,000.82
CT abdomen without contrastCPT7415011——$98.35$100.32$691.38
CT abdomen with contrastCPT7416012——$164.64$167.93$962.96
CT abdomen with and without contrastCPT7417012——$164.64$167.93$1,211.62
CT abdomen and pelvis without contrastCPT7417611——$223.55$228.02$660.31
CT abdomen and pelvis with contrastCPT7417711——$276.75$336.89$1,032.88
CT abdomen and pelvis with and without contrastCPT7417811——$306.22$336.89$1,305.62
MRI abdomen without contrastCPT7418112——$215.82$228.02$1,281.66
MRI abdomen with and without contrastCPT7418312——$330.28$336.89$2,111.1
Abdominal ultrasound completeCPT7670012——$98.35$100.32$379.46
Abdominal ultrasound limitedCPT7670512——$86.94$100.32$287.28
Retroperitoneal ultrasound completeCPT7677012——$98.35$100.32$360.56
Obstetric ultrasound first trimesterCPT7680112——$98.35$100.32$359.5
Obstetric ultrasound after first trimesterCPT7680512——$98.35$100.32$405.6
Obstetric ultrasound with fetal anatomyCPT7681112——$223.55$228.02$625.94
Transvaginal ultrasoundCPT7683012——$98.35$100.32$334.02
Pelvic ultrasound completeCPT7685612——$98.35$100.32$335.05
Scrotal ultrasoundCPT7687012——$95.05$100.32$331.21
Diagnostic mammography unilateralCPT7706511——$76.84$78.38$377.66
Diagnostic mammography bilateralCPT7706611——$97.94$99.9$478.99
Screening mammography bilateralCPT7706711——$81.06$82.68$386.32
EKG completeCPT930001——$70.75$70.75$70.75
EKG tracing onlyCPT9300510——$37.91$55.48$153.8
EKG interpretation onlyCPT930101——$32.84$32.84$32.84
Transthoracic echocardiogram completeCPT9330610——$255.99$512.15$1,419.82
Transthoracic echocardiogramCPT9330710——$179.19$225.79$625.94
Stress echocardiogramCPT9335010——$287.45$512.15$1,419.82
inpatient
Respiratory infections & inflammations w MCCMS-DRG1777——$1,275.15$18,879$25,665
COPD w MCCMS-DRG1907——$1,275.15$13,404$25,665
COPD w CCMS-DRG1917——$1,275.15$11,576$25,665
COPD w/o CC/MCCMS-DRG1927——$1,275.15$11,576$25,665
Simple pneumonia & pleurisy w CCMS-DRG1947——$1,275.15$11,738$25,665
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG1957——$1,275.15$11,576$25,665
AMI discharged alive w MCCMS-DRG2807——$1,275.15$17,889$25,665
AMI discharged alive w CCMS-DRG2817——$1,275.15$12,029$25,665
AMI discharged alive w/o CC/MCCMS-DRG2827——$1,275.15$11,576$25,665
Heart failure & shock w MCCMS-DRG2917——$1,275.15$16,252$25,665
Heart failure & shock w CCMS-DRG2927——$1,275.15$11,799$25,665
Heart failure & shock w/o CC/MCCMS-DRG2937——$1,275.15$11,576$25,665
Cardiac arrhythmia w MCCMS-DRG3087——$1,275.15$14,064$25,665
Cardiac arrhythmia w CCMS-DRG3097——$1,275.15$11,576$25,665
Cardiac arrhythmia w/o CC/MCCMS-DRG3107——$1,275.15$11,576$25,665
GI hemorrhage w CCMS-DRG3787——$1,275.15$11,966$25,665
GI hemorrhage w/o CC/MCCMS-DRG3797——$1,275.15$11,576$25,665
Esophagitis/gastroenteritis w/o MCCMS-DRG3927——$1,275.15$11,576$25,665
Fractures of femur w/o MCCMS-DRG5337——$1,275.15$15,078$25,665
Kidney/UTI w MCCMS-DRG6897——$1,275.15$12,433$25,665
Kidney/UTI w/o MCCMS-DRG6907——$1,275.15$11,576$25,665
Septicemia or severe sepsis w MV 96+ hrsMS-DRG8717——$1,275.15$18,358$25,665
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG8727——$1,275.15$12,213$25,665
Initial hospital care, low complexityCPT992211——$288.88$288.88$288.88
Initial hospital care, moderate complexityCPT992221——$392.47$392.47$392.47
Initial hospital care, high complexityCPT992231——$578.96$578.96$578.96
Hospital discharge, <30 minCPT992381——$205.9$205.9$205.9
Hospital discharge, >30 minCPT992391——$301.57$301.57$301.57
lab
Basic metabolic panel (BMP)CPT8004812——$8.46$8.63$34.24
General health panelCPT800503——$35.77$53.53$115.15
Electrolyte panelCPT8005112——$4.34$7.15$28.36
Comprehensive metabolic panelCPT8005312——$10.56$10.77$42.77
Lipid panelCPT8006112——$12.16$13.66$54.21
Renal function panelCPT8006912——$8.68$8.85$35.12
Hepatic function panelCPT8007612——$7.59$8.33$33.05
Urinalysis non-automatedCPT8100212——$2.11$3.55$10.93
Urinalysis automatedCPT8100312——$1.85$2.29$9.09
Glucose quantitativeCPT8294712——$1.08$4.01$15.87
Hemoglobin A1cCPT8303612——$8$9.9$39.25
Thyroid stimulating hormone (TSH)CPT8444312——$15.25$17.14$67.95
Complete blood count with automated differentialCPT8502512——$6.41$7.93$24.4
Complete blood count without differentialCPT8502712——$5.33$6.6$26.18
Urine culture bacterialCPT8708612——$7.33$8.23$32.66
Urine culture identificationCPT8708812——$6.93$8.25$32.74
Tissue exam by pathologist level IVCPT8830512——$48.44$50.4$243.17
maternity
Fetal non-stress testCPT5902510——$49.08$187.91$520.94
Routine obstetric care including vaginal deliveryCPT594001——$5,522.92$5,522.92$5,522.92
Vaginal delivery onlyCPT594091——$2,366.47$2,366.47$2,366.47
Vaginal delivery with postpartumCPT594101——$2,769.71$2,769.71$2,769.71
Routine obstetric care with C-sectionCPT595101——$6,252.56$6,252.56$6,252.56
C-section delivery onlyCPT595141——$2,809.44$2,809.44$2,809.44
C-section with postpartumCPT595151——$3,349.76$3,349.76$3,349.76
office
Office visit, new patient, 15-29 minCPT992022——$71.02$108.49$145.95
Office visit, new patient, 30-44 minutesCPT992032——$102.58$161.62$220.66
Office visit, new patient, 45-59 minCPT992041——$373.75$373.75$373.75
Office visit, new patient, 60-74 minCPT992051——$483.02$483.02$483.02
Office visit, established patient, 5 minCPT992112——$19.06$23.25$27.43
Office visit, established patient, 10-19 minCPT992122——$41.26$57.85$74.44
Office visit, established patient, 20-29 minutesCPT992132——$69.62$108.46$147.3
Office visit, established patient, 30-39 minutesCPT992141——$226.79$226.79$226.79
Office visit, established patient, 40-54 minCPT992151——$320.24$320.24$320.24
preventive
Upper GI endoscopy diagnosticCPT4323510——$548.95$875.74$2,427.8
Upper GI endoscopy with biopsyCPT4323910——$649.17$875.74$2,427.8
Sigmoidoscopy diagnosticCPT4533010——$232.08$851.6$2,360.88
Sigmoidoscopy with biopsyCPT4533110——$281.18$851.6$2,360.88
Colonoscopy diagnosticCPT4537810——$818.84$851.6$2,360.88
Colonoscopy with biopsyCPT453801——$982.97$982.97$982.97
Colonoscopy with polyp removalCPT453851——$1,167.89$1,167.89$1,167.89
surgery
Total shoulder arthroplastyCPT234721——$5,604.42$5,604.42$5,604.42
Hip hemiarthroplastyCPT271251——$4,199.74$4,199.74$4,199.74
Total hip replacementCPT271301——$5,389.96$5,389.96$5,389.96
Total knee replacementCPT274471——$5,763.98$5,763.98$5,763.98
Knee revision arthroplasty single componentCPT274861——$5,267.25$5,267.25$5,267.25
Knee revision arthroplasty all componentsCPT274871——$6,629.21$6,629.21$6,629.21
Shoulder arthroscopy with decompressionCPT298261——$2,464.01$2,464.01$2,464.01
Shoulder arthroscopy with rotator cuff repairCPT298271——$4,015.97$4,015.97$4,015.97
Knee arthroscopy with meniscectomyCPT298811——$2,366.91$2,366.91$2,366.91
ACL reconstructionCPT298881——$3,676.69$3,676.69$3,676.69
Major small/large bowel procedures w MCCMS-DRG3297——$1,275.15$20,161$57,922
Major small/large bowel procedures w CCMS-DRG3307——$1,275.15$20,161$29,660
Major small/large bowel procedures w/o CC/MCCMS-DRG3317——$1,275.15$17,824$25,665
CABG single arterial graftCPT335331——$7,346.03$7,346.03$7,346.03
CABG 2 arterial graftsCPT335341——$8,614.45$8,614.45$8,614.45
CABG 3 arterial graftsCPT335351——$9,594.25$9,594.25$9,594.25
CABG 4+ arterial graftsCPT335361——$10,309$10,309$10,309
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG4187——$1,275.15$17,760$25,665
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG4197——$1,275.15$14,503$25,665
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG4207——$1,275.15$20,161$40,545
Open appendectomyCPT449501——$2,299.17$2,299.17$2,299.17
Laparoscopic appendectomyCPT449701——$2,122.41$2,122.41$2,122.41
Major joint replacement w MCCMS-DRG4697——$1,275.15$20,161$38,418
Major joint replacement w/o MCCMS-DRG4707——$1,275.15$19,908$25,665
Laparoscopic cholecystectomyCPT475622——$2,645.98$7,024$7,024
Lap cholecystectomy with cholangiographyCPT475632——$2,690.13$7,024$7,024
Hip & femur procedures except major joint w MCCMS-DRG4807——$1,275.15$20,161$35,041
Hip & femur procedures except major joint w CCMS-DRG4817——$1,275.15$19,581$25,665
Hip & femur procedures except major joint w/o CC/MCCMS-DRG4827——$1,275.15$17,681$25,665
Open umbilical hernia repairCPT495601——$2,626.84$2,626.84$2,626.84
Umbilical hernia repair age 5+CPT495851——$1,557.03$1,557.03$1,557.03
Lap inguinal hernia repairCPT496501——$1,500.72$1,500.72$1,500.72
Lap incisional hernia repairCPT496521——$2,728.39$2,728.39$2,728.39
Total abdominal hysterectomyCPT581501——$3,702.92$3,702.92$3,702.92
Vaginal hysterectomyCPT582601——$3,085.5$3,085.5$3,085.5
Lap-assisted vaginal hysterectomyCPT585501——$3,293.99$3,293.99$3,293.99
Lap-assisted vaginal hysterectomy >250gCPT585521——$3,655.83$3,655.83$3,655.83
Lap salpingo-oophorectomyCPT586611——$2,403.91$2,403.91$2,403.91
OR procedure for obesity w MCCMS-DRG6199——$1,275.15$20,258$36,043
OR procedure for obesity w CCMS-DRG6209——$1,275.15$18,967$32,413
OR procedure for obesity w/o CC/MCCMS-DRG6219——$1,275.15$18,330$32,413
Complex cataract surgeryCPT669821——$3,711.11$3,711.11$3,711.11
Cataract surgery with lens implantCPT669841——$2,666.64$2,666.64$2,666.64
Intravitreal injectionCPT6702810——$306.75$309.82$858.9
Vitrectomy mechanicalCPT670421——$5,294.36$5,294.36$5,294.36
Uterine & adnexa procedures w CC/MCCMS-DRG7437——$1,275.15$12,145$25,665
Uterine & adnexa procedures w/o CC/MCCMS-DRG7447——$1,275.15$17,873$25,665
PCI single major coronary arteryCPT929203——$2,109.43$12,669$20,700
PCI with drug-eluting stentCPT929283——$2,342.98$12,669$20,700
PCI bypass graftCPT929373——$2,340.39$12,669$20,700
Left heart catheterizationCPT934523——$990.25$9,315$16,108
Coronary angiography with cathCPT934553——$1,152.58$9,315$16,108
Coronary angiography with bypass cathCPT934583——$1,218.19$9,315$16,108

Payer mix (top 17)

PayerCodes coveredMedian rate
Aetna197$853.14
smarthealth140$312.97
Humana136$164.64
Blue Cross Blue Shield136$228.02
UnitedHealthcare136$294.13
vc hope96$148.59
Ambetter96$252.6
Medicare96$149.73
Medicare Advantage96$148.59
va96$148.59
Cigna91$467.09
First Health64$365.95
healthchoice of ok40$12,694
medica40$10,731
early detection works5$69.62
providrs care3$18,734
Multiplan1$3,879