Where is Ascension Via Christi Rehabilitation Hospital, Inc?

1151 N Rock Road, Wichita, KS 67206, in Sedgwick County, Kansas.

What is the phone number of Ascension Via Christi Rehabilitation Hospital, Inc?

(316) 992-7587, as listed by Medicare (CMS).

Ascension Via Christi Rehabilitation Hospital, Inc

Quick answers

Where is Ascension Via Christi Rehabilitation Hospital, Inc?: 1151 N Rock Road, Wichita, KS 67206, in Sedgwick County, Kansas.
What is the phone number of Ascension Via Christi Rehabilitation Hospital, Inc?: (316) 992-7587, as listed by Medicare (CMS).

Specialties and care areas^[4][5][6][9]

Physical therapy
Occupational therapy
Speech therapy
Audiology
Sleep medicine
Physical medicine and rehabilitation

Conditions treated^[4][6]

Brain injury
Stroke
Spinal cord injury
Burns
Concussion impairment
Loss of limb
Multiple sclerosis
Parkinson's disease
Guillain-Barre syndrome
ALS
Orthopedic injuries
Work-related injuries
Swallowing disorders
Balance and dizziness disorders
Sleep apnea
Insomnia
Narcolepsy
Restless leg syndrome

Treatments^[4][5][9]

Inpatient rehabilitation
Outpatient therapy
Wound care
Vestibular rehabilitation
Neurologic rehabilitation
Vision therapy
Custom splint fabrication
Cognitive rehabilitation
Dysphagia rehabilitation
VitalStim therapy and NMES
Voice disorder therapy
Lymphedema therapy
Cardiac rehabilitation
Hearing aid fittings

Procedures^[4][6][9]

Fiberoptic endoscopic evaluation of swallowing (FEES)
Modified barium swallow exam
Videonystagmography (VNG)
Video head impulse test (vHIT)
VEMP testing
Electrocochleography
Auditory brainstem response testing
Rotary chair testing
Sleep study
CPAP titration
Home sleep testing

Programs and centers^[4]

Stroke Specialty Program
Brain Injury Program
Balance program
Easy Street real-world simulation rehabilitation area

Recognition^[4][7][8]

Joint Commission Gold Seal of Approval
MBSAQIP Comprehensive Center accreditation (bariatric program) 2026

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Wichita VA Medical Center2.4 mi · Wichita, KS · Federal/VA Acute Care Hospital
Wesley Medical Center3.0 mi · Wichita, KS · Acute Care Hospital
Ascension Via Christi Hospitals Wichita, Inc.4.8 mi · Wichita, KS · Acute Care Hospital
Kansas Medical Center LLC5.5 mi · Andover, KS · Acute Care Hospital
Via Christi Hospital Wichita St Teresa, Inc15 mi · Wichita, KS · Acute Care Hospital

Other hospitals nearby

Kansas Surgery & Recovery Center2.2 mi · Wichita, KS · Acute Care Hospital
Kansas Spine & Specialty Hospital, LLC2.9 mi · Wichita, KS · Acute Care Hospital
Kansas Heart Hospital3.3 mi · Wichita, KS · Acute Care Hospital
St Veronica4.3 mi · Bel Aire, KS · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Great Plains Post Acute1.4 mi · Wichita, KS · 1 of 5 stars
Center at Waterfront LLC1.5 mi · Wichita, KS · 3 of 5 stars
Life Care Center of Wichita1.6 mi · Wichita, KS · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Angels Care Hospice1.1 mi · Wichita, KS
Clear Path Hospice of Wichita LLC1.1 mi · Wichita, KS
Faith Hospice1.1 mi · Wichita, KS

All hospice providers in the state →

Home health agencies

Assurance Home Health Care, LLC1.1 mi · Wichita, KS
Clearpath Home Health1.1 mi · Wichita, KS
Faith Home Health1.1 mi · Wichita, KS

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care- Wichita East1.1 mi · Wichita, KS · 4 of 5 stars
DaVita East Wichita Dialysis Center4.0 mi · Wichita, KS · 3 of 5 stars
DaVita Wichita Dialysis Center4.0 mi · Wichita, KS · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Cosmetic & Reconstructive Surgery Center1.1 mi · Wichita, KS
Founders Surgery Center, LLC1.1 mi · Wichita, KS
Plastic Surgery Center PA1.1 mi · Wichita, KS

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

GraceMed Eastridge Family Clinic2.4 mi · Wichita, KS · Community health center
GraceMed Good Samaritan2.6 mi · Wichita, KS · Community health center
Holy Family Fairmount3.1 mi · Wichita, KS · Community health center

Clinics and urgent care

Hylo Urgent Care Clinics, P.A.1.9 mi · Wichita, KS · Urgent care center
Wesley Urgent Care, LLC1.9 mi · Wichita, KS · Urgent care center
Nexacart LLC3.2 mi · Wichita, KS · Urgent care center

Pharmacies

Arthritis and Rheumatology Clinics of Kansas, LLC1.1 mi · Wichita, KS · Clinic pharmacy
Dandurand Drug Co Inc1.1 mi · Wichita, KS · Community/retail pharmacy
Family Prescription Shop Inc1.1 mi · Wichita, KS · Community/retail pharmacy

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Wichita Best hospitals in Wichita

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Ascension Via Christi Rehabilitation Hospital, Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$102.58 – $220.66
New patient office visit (about 30–44 minutes): rates for 4 insurance plans AETNA — 1369_AETNA RHKS 20241101: $220.66 EARLY DETECTION WORKS — 781_EARLY DETECTION WORKS OUTPATIENT STKS, VWKS 20210212: $102.58 MULTIPLAN — 428_MULTIPLAN 20180601: 60% (a percentage in the contract, not a dollar amount) PHCS — 321_PHCS 20181001: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$102.58 – $220.66
New patient office visit (about 30–44 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$373.75
New patient office visit (about 45–59 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$373.75
New patient office visit (about 45–59 minutes): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $373.75
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$483.02
New patient office visit (about 60–74 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$483.02
New patient office visit (about 60–74 minutes): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $483.02
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$69.62 – $147.30
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans AETNA — 1369_AETNA RHKS 20241101: $147.30 EARLY DETECTION WORKS — 781_EARLY DETECTION WORKS OUTPATIENT STKS, VWKS 20210212: $69.62 MULTIPLAN — 428_MULTIPLAN 20180601: 60% (a percentage in the contract, not a dollar amount) PHCS — 321_PHCS 20181001: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$69.62 – $147.30
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$226.79
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans AETNA — 1369_AETNA RHKS 20241101: $226.79 MULTIPLAN — 428_MULTIPLAN 20180601: 60% (a percentage in the contract, not a dollar amount) PHCS — 321_PHCS 20181001: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$226.79
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$297.14
Office consultation with a specialist (moderate): rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $297.14 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$297.14
Office consultation with a specialist (moderate): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$474.17
Office consultation with a specialist (moderate to high): rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $474.17 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$474.17
Office consultation with a specialist (moderate to high): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$236.60
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $236.60 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$236.60
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$290.35
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $290.35 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$290.35
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$256.07 – $717
Emergency room visit (moderate): 10 of 25 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $258.63 AETNA — 1369_AETNA RHKS 20241101: $187.30 AETNA — 1475_AETNA STKS, VWKS 20250320: $2,112 AETNA ED LEVEL 3 2017 — 275_AETNA ED LEVEL 3 2017: $1,573 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $1,471 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $1,692 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $1,703 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $261.19 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $435.32 CIGNA — 1446_CIGNA RHKS 20250501: $1,259
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$256.07 – $717
Emergency room visit (moderate): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $258.63 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $261.19 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $435.32 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $256.07 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $261.19 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $258.63 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $256.07 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $256.07 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $261.19 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $358.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$187.30 – $2,112
Emergency room visit (moderate): rates for 1 insurance plan SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $880
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$393.81 – $1,102.67
Emergency room visit (moderately high): 10 of 25 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $397.75 AETNA — 1369_AETNA RHKS 20241101: $353.72 AETNA — 1475_AETNA STKS, VWKS 20250320: $2,534 AETNA ED LEVEL 3 2017 — 275_AETNA ED LEVEL 3 2017: $1,573 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $1,765 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $2,029 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $2,043 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $401.69 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $669.48 CIGNA — 1446_CIGNA RHKS 20250501: $1,359
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$393.81 – $1,102.67
Emergency room visit (moderately high): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $397.75 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $401.69 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $669.48 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $393.81 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $401.69 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $397.75 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $393.81 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $393.81 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $401.69 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $551.33
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$353.72 – $2,649
Emergency room visit (moderately high): rates for 1 insurance plan SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $1,449
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$567.01 – $1,587.63
Emergency room visit (high): 10 of 23 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $572.68 AETNA — 1369_AETNA RHKS 20241101: $521.59 AETNA — 1475_AETNA STKS, VWKS 20250320: $3,197 AETNA ED LEVEL 3 2017 — 275_AETNA ED LEVEL 3 2017: $1,573 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $2,228 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $2,560 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $2,581 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $578.35 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $963.92 CIGNA — 1446_CIGNA RHKS 20250501: $1,745
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$567.01 – $1,587.63
Emergency room visit (high): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $572.68 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $578.35 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $963.92 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $567.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $578.35 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $572.68 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $567.01 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $567.01 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $578.35 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $793.81
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$521.59 – $3,197
Emergency room visit (high): rates for 1 insurance plan SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $1,915

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.46 – $23.69
Basic metabolic panel (blood test): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $8.54 AETNA — 1369_AETNA RHKS 20241101: $29.82 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $26.56 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $8.63 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $14.38 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $34.24 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $8.46 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $8.63 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $8.46 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.46 – $23.69
Basic metabolic panel (blood test): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $8.54 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $8.63 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $14.38 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $8.46 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $8.63 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $8.54 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $8.46 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $8.46 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $8.63 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $11.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.68 – $34.24
Basic metabolic panel (blood test): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $12.76 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $8.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56 – $29.57
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $10.67 AETNA — 1369_AETNA RHKS 20241101: $37.24 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $33.16 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $10.77 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $17.95 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $42.77 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $10.56 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $10.77 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $10.56 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56 – $29.57
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $10.67 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $10.77 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $17.95 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $10.56 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $10.77 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $10.67 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $10.56 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $10.56 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $10.77 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $14.78
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$15.19 – $42.77
Comprehensive metabolic panel (blood test): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $15.92 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $15.19
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $133.87
Obstetric blood test panel: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $48.29 AETNA — 1369_AETNA RHKS 20241101: $160.20 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $150.12 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $48.77 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $81.28 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $47.81 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $48.77 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $47.81 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $47.81 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $133.87
Obstetric blood test panel: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $48.29 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $48.77 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $81.28 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $47.81 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $48.77 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $48.29 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $47.81 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $47.81 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $48.77 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $66.93
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$46.21 – $160.20
Obstetric blood test panel: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $72.11 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $46.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$13.39 – $37.49
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $13.52 AETNA — 1369_AETNA RHKS 20241101: $47.21 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $42.04 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $13.66 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $22.76 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $54.21 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $13.39 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $13.66 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $13.39 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$13.39 – $37.49
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $13.52 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $13.66 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $22.76 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $13.39 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $13.66 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $13.52 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $13.39 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $13.39 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $13.66 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $18.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.16 – $54.21
Cholesterol panel (lipid panel): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $20.18 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $12.16
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $24.30
Kidney function panel: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $8.77 AETNA — 1369_AETNA RHKS 20241101: $30.58 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $27.26 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $8.85 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $14.76 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $35.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $8.68 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $8.85 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $8.68 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $24.30
Kidney function panel: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $8.77 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $8.85 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $14.76 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $8.68 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $8.85 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $8.77 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $8.68 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $8.68 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $8.85 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $12.15
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$10.84 – $35.12
Kidney function panel: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $13.08 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $10.84
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17 – $22.88
Liver function panel: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $8.25 AETNA — 1369_AETNA RHKS 20241101: $28.78 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $25.65 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $8.33 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $13.89 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $33.05 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $8.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $8.33 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $8.17 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17 – $22.88
Liver function panel: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $8.25 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $8.33 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $13.89 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $8.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $8.33 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $8.25 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $8.17 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $8.17 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $8.33 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $11.44
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.59 – $33.05
Liver function panel: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $12.32 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $7.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17 – $8.88
Urine test (automated, with microscope): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $3.20 AETNA — 1369_AETNA RHKS 20241101: $11.17 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $9.95 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $3.23 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $5.39 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $12.83 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $3.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $3.23 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $3.17 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17 – $8.88
Urine test (automated, with microscope): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $3.20 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $3.23 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $5.39 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $3.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $3.23 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $3.20 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $3.17 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $3.17 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $3.23 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $4.44
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.61 – $12.83
Urine test (automated, with microscope): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $4.78 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $2.61
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48 – $9.74
Urine test (manual, without microscope): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $3.51 AETNA — 1369_AETNA RHKS 20241101: $9 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $10.93 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $3.55 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $5.92 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $10.36 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $3.48 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $3.55 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $3.48 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48 – $9.74
Urine test (manual, without microscope): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $3.51 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $3.55 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $5.92 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $3.48 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $3.55 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $3.51 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $3.48 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $3.48 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $3.55 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $4.87
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.11 – $10.93
Urine test (manual, without microscope): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $5.24 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $2.11
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.25 – $6.30
Urine test (automated, without microscope): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $2.27 AETNA — 1369_AETNA RHKS 20241101: $7.92 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $7.07 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $2.29 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $3.82 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $9.09 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $2.25 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $2.29 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $2.25 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.25 – $6.30
Urine test (automated, without microscope): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $2.27 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $2.29 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $3.82 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $2.25 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $2.29 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $2.27 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $2.25 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $2.25 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $2.29 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $3.15
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.85 – $9.09
Urine test (automated, without microscope): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $3.39 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $1.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$18.39 – $51.49
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $18.57 AETNA — 1369_AETNA RHKS 20241101: $64.80 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $57.74 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $18.76 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $31.26 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $74.37 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $18.39 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $18.76 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $18.39 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$18.39 – $51.49
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $18.57 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $18.76 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $31.26 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $18.39 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $18.76 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $18.57 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $18.39 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $18.39 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $18.76 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $25.75
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$16.69 – $74.37
PSA (prostate specific antigen) blood test: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $27.72 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $16.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$16.80 – $47.04
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $16.97 AETNA — 1369_AETNA RHKS 20241101: $59.19 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $52.75 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $17.14 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $28.56 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $67.95 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $16.80 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $17.14 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $16.80 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$16.80 – $47.04
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $16.97 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $17.14 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $28.56 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $16.80 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $17.14 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $16.97 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $16.80 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $16.80 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $17.14 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $23.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.25 – $67.95
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $25.33 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $15.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.77 – $21.76
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $7.85 AETNA — 1369_AETNA RHKS 20241101: $16.38 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $24.40 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $7.93 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $13.21 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $18.81 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $7.77 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $7.93 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $7.77 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.77 – $21.76
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $7.85 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $7.93 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $13.21 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $7.77 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $7.93 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $7.85 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $7.77 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $7.77 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $7.93 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $10.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$6.41 – $24.40
Complete blood count (CBC) with differential: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $11.72 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $6.41
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.47 – $18.12
Complete blood count (CBC), automated: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $6.53 AETNA — 1369_AETNA RHKS 20241101: $22.80 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $20.32 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $6.60 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $11 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $26.18 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $6.47 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $6.60 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $6.47 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.47 – $18.12
Complete blood count (CBC), automated: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $6.53 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $6.60 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $11 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $6.47 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $6.60 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $6.53 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $6.47 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $6.47 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $6.60 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $9.06
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$5.33 – $26.18
Complete blood count (CBC), automated: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $9.77 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $5.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.29 – $12.01
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $4.33 AETNA — 1369_AETNA RHKS 20241101: $13.83 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $13.47 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $4.38 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $7.29 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $15.90 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $4.29 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $4.38 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $4.29 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.29 – $12.01
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $4.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $4.38 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $7.29 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $4.29 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $4.38 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $4.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $4.29 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $4.29 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $4.38 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $6.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.24 – $15.90
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $6.47 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $3.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$6.01 – $16.83
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $6.07 AETNA — 1369_AETNA RHKS 20241101: $21.16 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $18.87 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $6.13 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $10.22 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $24.27 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $6.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $6.13 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $6.01 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$6.01 – $16.83
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $6.07 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $6.13 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $10.22 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $6.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $6.13 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $6.07 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $6.01 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $6.01 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $6.13 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $8.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.45 – $24.27
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $9.07 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $5.45

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$98.35 – $275.38
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AETNA — 1369_AETNA RHKS 20241101: $549.71 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $280.81 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $167.19 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $591.78 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $100.32 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $98.35 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $98.35
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$98.35 – $275.38
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $99.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $100.32 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $167.19 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $100.32 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $99.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $98.35 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $98.35 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $100.32 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.69
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$126.08 – $591.78
CT scan of the head or brain, without contrast: rates for 2 insurance plans AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $258.25 CIGNA — 1446_CIGNA RHKS 20250501: $235.64
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$330.28 – $924.78
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $333.58 AETNA — 1369_AETNA RHKS 20241101: $2,063.18 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $967.18 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $336.89 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $561.48 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $1,446.68 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $330.28 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $336.89 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $330.28 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $330.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$330.28 – $924.78
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $333.58 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $336.89 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $561.48 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $330.28 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $336.89 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $333.58 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $330.28 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $330.28 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $336.89 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $462.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$348.98 – $2,063.18
MRI of the brain, before and after contrast: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $781.75 CIGNA — 1447_CIGNA STKS, VWKS 20250501: $781.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$81.43 – $228
Chest X-ray, 2 views: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $82.24 AETNA — 1369_AETNA RHKS 20241101: $83.91 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $70.25 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $83.06 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $138.43 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $81.43 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $83.06 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $81.43 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $81.43 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $81.43
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$81.43 – $228
Chest X-ray, 2 views: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $82.24 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $83.06 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $138.43 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $81.43 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $83.06 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $82.24 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $81.43 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $81.43 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $83.06 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $114
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$30.97 – $167.79
Chest X-ray, 2 views: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $167.79
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$98.35 – $275.38
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AETNA — 1369_AETNA RHKS 20241101: $148.22 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $114.30 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $167.19 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $102.02 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $100.32 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $98.35 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $98.35
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$98.35 – $275.38
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $99.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $100.32 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $167.19 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $100.32 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $99.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $98.35 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $98.35 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $100.32 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.69
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$46.22 – $235.64
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $235.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$223.55 – $625.94
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $225.79 AETNA — 1369_AETNA RHKS 20241101: $1,308.01 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $552.55 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $228.02 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $380.04 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $939.84 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $223.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $228.02 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $223.55 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $223.55
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$223.55 – $625.94
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $225.79 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $228.02 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $380.04 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $223.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $228.02 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $225.79 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $223.55 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $223.55 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $228.02 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $312.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$219.63 – $1,308.01
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $467.09 CIGNA — 1447_CIGNA STKS, VWKS 20250501: $467.09
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$164.64 – $460.99
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $166.29 AETNA — 1369_AETNA RHKS 20241101: $818.20 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $695.98 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $167.93 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $279.89 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $164.64 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $167.93 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $164.64 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $164.64 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $164.64
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$164.64 – $460.99
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $166.29 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $167.93 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $279.89 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $164.64 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $167.93 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $166.29 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $164.64 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $164.64 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $167.93 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $230.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$172.30 – $818.20
CT scan of the pelvis, with contrast: rates for 2 insurance plans AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $657.69 CIGNA — 1446_CIGNA RHKS 20250501: $383.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$223.55 – $625.94
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $225.79 AETNA — 1369_AETNA RHKS 20241101: $1,370.66 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $622.31 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $228.02 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $380.04 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $947.14 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $223.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $228.02 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $223.55 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $223.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$223.55 – $625.94
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $225.79 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $228.02 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $380.04 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $223.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $228.02 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $225.79 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $223.55 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $223.55 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $228.02 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $312.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$200.34 – $1,370.66
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans CIGNA — 1446_CIGNA RHKS 20250501: $467.09 CIGNA — 1447_CIGNA STKS, VWKS 20250501: $467.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$330.28 – $924.78
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $333.58 AETNA — 1369_AETNA RHKS 20241101: $1,032.88 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $911.99 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $336.89 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $561.48 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $330.28 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $336.89 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $330.28 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $330.28 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $330.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$330.28 – $924.78
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $333.58 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $336.89 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $561.48 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $330.28 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $336.89 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $333.58 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $330.28 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $330.28 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $336.89 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $462.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$276.75 – $1,032.88
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $802.81
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$98.35 – $275.38
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AETNA — 1369_AETNA RHKS 20241101: $379.46 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $267.33 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $167.19 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $256.99 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $100.32 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $98.35 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $98.35
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$98.35 – $275.38
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $99.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $100.32 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $167.19 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $100.32 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $99.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $98.35 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $98.35 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $100.32 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.69
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$119.70 – $379.46
Ultrasound of the abdomen, complete: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $235.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$98.35 – $275.38
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AETNA — 1369_AETNA RHKS 20241101: $405.60 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $293.98 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $167.19 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $259.62 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $100.32 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $98.35 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $98.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$98.35 – $275.38
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $99.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $100.32 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $167.19 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $100.32 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $99.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $98.35 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $98.35 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $100.32 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$144.82 – $405.60
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $235.64
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$98.35 – $275.38
Transvaginal ultrasound: 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AETNA — 1369_AETNA RHKS 20241101: $334.02 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $288.19 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $167.19 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $229.57 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $100.32 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $98.35 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $98.35
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$98.35 – $275.38
Transvaginal ultrasound: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $99.33 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $100.32 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $167.19 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $98.35 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $100.32 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $99.33 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $98.35 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $98.35 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $100.32 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.69
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$100.91 – $334.02
Transvaginal ultrasound: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $235.64
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$116.33 – $377.66
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $77.61 AETNA — 1369_AETNA RHKS 20241101: $377.66 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $303.26 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $78.38 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $130.63 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $76.84 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $78.38 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $76.84 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $76.84 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $76.84
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$76.84 – $215.15
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $77.61 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $78.38 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $130.63 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $76.84 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $78.38 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $77.61 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $76.84 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $76.84 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $78.38 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $107.58
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$116.33 – $377.66
Diagnostic mammogram, one breast: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $199.31
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$144.62 – $478.99
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $98.92 AETNA — 1369_AETNA RHKS 20241101: $478.99 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $386.75 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $99.90 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $166.50 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $97.94 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $99.90 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $97.94 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $97.94 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $97.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$97.94 – $274.23
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $98.92 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $99.90 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $166.50 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $97.94 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $99.90 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $98.92 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $97.94 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $97.94 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $99.90 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $137.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$144.62 – $478.99
Diagnostic mammogram, both breasts: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $254.17
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$110.21 – $386.32
Screening mammogram, both breasts: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $81.87 AETNA — 1369_AETNA RHKS 20241101: $386.32 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $320.67 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $82.68 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $137.80 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $81.06 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $82.68 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $81.06 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $81.06 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $81.06
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$81.06 – $226.97
Screening mammogram, both breasts: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $81.87 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $82.68 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $137.80 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $81.06 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $82.68 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $81.87 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $81.06 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $81.06 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $82.68 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $113.48
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$110.21 – $386.32
Screening mammogram, both breasts: rates for 1 insurance plan CIGNA — 1446_CIGNA RHKS 20250501: $210.74

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$70.75
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans AETNA — 1369_AETNA RHKS 20241101: $70.75 AETNA — 1475_AETNA STKS, VWKS 20250320: 58% (a percentage in the contract, not a dollar amount) AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: 39% (a percentage in the contract, not a dollar amount) AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: 44% (a percentage in the contract, not a dollar amount) AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: 56% (a percentage in the contract, not a dollar amount) COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: 50% (a percentage in the contract, not a dollar amount)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$70.75
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$990.25 – $16,108
Left heart catheterization (diagnostic): rates for 8 insurance plans AETNA — 1369_AETNA RHKS 20241101: $3,198.47 AETNA — 1475_AETNA STKS, VWKS 20250320: $16,108 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $10,792 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $12,402 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $12,534 CIGNA — 1446_CIGNA RHKS 20250501: $6,498 CIGNA — 1447_CIGNA STKS, VWKS 20250501: $6,498 PHCS — 321_PHCS 20181001: 65% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$990.25 – $16,108
Left heart catheterization (diagnostic): rates for 2 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $9,315 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $9,315
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$990.25 – $16,108
Left heart catheterization (diagnostic): rates for 1 insurance plan MULTIPLAN — 428_MULTIPLAN 20180601: 65% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$1,118.88 – $2,766.22
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $2,766.22
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$1,118.88 – $2,766.22
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,526.26
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier TC In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$1,118.88 – $2,766.22
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,118.88
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$4,252.63 – $22,190
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans AETNA — 1369_AETNA RHKS 20241101: $4,252.63 AETNA — 1475_AETNA STKS, VWKS 20250320: $22,190 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $15,462 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $17,769 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $17,906 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $13,740 BCBS CAP — 1467_BLUE CROSS BLUE SHIELD CAP STKS, VWKS 20250701: 56% (a percentage in the contract, not a dollar amount) BCBS CHOICE — 1468_BLUE CROSS BLUE SHIELD CHOICE STKS, VWKS 20250701: 54% (a percentage in the contract, not a dollar amount) BCBS VALUE BLUE — 1469_BLUE CROSS BLUE SHIELD VALUE BLUE STKS, VWKS 20250701: 27% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$4,252.63 – $22,190
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $18,113 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $18,113 CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$4,252.63 – $22,190
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan AETNA LSA — 1412_AETNA LSA/NAP STKS, VWKS 20241101: 73% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$940.90 – $2,634.52
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $950.31 AETNA — 1369_AETNA RHKS 20241101: $2,143.50 AETNA — 1475_AETNA STKS, VWKS 20250320: $3,190 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $2,137 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $2,456 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $2,482 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $959.72 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,599.53 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $1,904 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $940.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$940.90 – $2,634.52
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $950.31 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $959.72 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,599.53 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $940.90 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $959.72 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $950.31 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $940.90 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $940.90 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $959.72 PROVIDRS CARE — 1485_PROVIDRS CARE RHKS 20250701: $1,797.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$495.74 – $3,190
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $1,035 BCBS CHOICE — 1468_BLUE CROSS BLUE SHIELD CHOICE STKS, VWKS 20250701: 55% (a percentage in the contract, not a dollar amount) CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$27.33 – $76.52
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $27.60 AETNA — 1369_AETNA RHKS 20241101: $69.50 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $92.54 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $27.88 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $46.46 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: $73.38 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $27.33 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $27.88 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $27.33 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $27.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$27.33 – $76.52
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $27.60 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $27.88 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $46.46 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $27.33 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $27.88 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $27.60 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $27.33 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $27.33 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $27.88 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $38.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$69.50 – $92.54
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AETNA — 1369_AETNA RHKS 20241101: $195.27 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $258.27 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $94.87 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $94.87 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $93.01
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $94.87 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $93.94 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $93.01 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $94.87 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$195.27 – $258.27
Physical therapy evaluation (low complexity): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AETNA — 1369_AETNA RHKS 20241101: $195.27 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $258.27 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $94.87 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $94.87 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $93.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $94.87 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $93.94 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $93.01 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $94.87 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$195.27 – $258.27
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AETNA — 1369_AETNA RHKS 20241101: $195.27 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $258.27 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $94.87 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $94.87 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $93.01 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $93.01
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $94.87 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $93.94 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $93.01 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $94.87 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$195.27 – $258.27
Physical therapy evaluation (high complexity): rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AETNA — 1369_AETNA RHKS 20241101: $169.15 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $192.23 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $151.56 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $148.59
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $151.56 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $150.08 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $148.59 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $151.56 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $208.03
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$169.15 – $192.23
Psychotherapy, 30 minutes: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AETNA — 1369_AETNA RHKS 20241101: $224.99 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $256.29 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $151.56 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $148.59
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $151.56 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $150.08 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $148.59 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $151.56 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $208.03
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$224.99 – $256.29
Psychotherapy, 45 minutes: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AETNA — 1369_AETNA RHKS 20241101: $337.02 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $383.83 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $151.56 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $148.59
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $151.56 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $150.08 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $148.59 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $151.56 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $208.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$337.02 – $383.83
Psychotherapy, 60 minutes: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, without the patient: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AETNA — 1369_AETNA RHKS 20241101: $248.07 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $309.67 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $151.56 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $148.59
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, without the patient: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $151.56 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $150.08 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $148.59 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $151.56 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $208.03
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$248.07 – $309.67
Family psychotherapy, without the patient: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, with the patient: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AETNA — 1369_AETNA RHKS 20241101: $256.92 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $321.82 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $151.56 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $148.59 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $148.59
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, with the patient: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $151.56 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $150.08 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $148.59 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $151.56 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $208.03
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$256.92 – $321.82
Family psychotherapy, with the patient: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$85.55 – $239.54
Group psychotherapy: 10 of 15 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $86.41 AETNA — 1369_AETNA RHKS 20241101: $110.70 AETNA: CITY OF WICHITA — 643_AETNA CITY OF WICHITA STKS, VWKS 20200415: $76.15 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $87.26 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $145.44 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $85.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $87.26 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $85.55 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $85.55 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $85.55
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$85.55 – $239.54
Group psychotherapy: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $86.41 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $87.26 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $145.44 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $85.55 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $87.26 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $86.41 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $85.55 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $85.55 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $87.26 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $119.77
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$76.15 – $110.70
Group psychotherapy: rates for 1 insurance plan CIGNA — 1447_CIGNA STKS, VWKS 20250501: 63% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$393.10 – $1,338.71
Removal of breast growth (open surgery): rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $1,338.71 EARLY DETECTION WORKS — 781_EARLY DETECTION WORKS OUTPATIENT STKS, VWKS 20210212: $393.10
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,389.96
Total hip replacement: rates for 3 insurance plans AETNA — 1369_AETNA RHKS 20241101: $5,389.96 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: 50% (a percentage in the contract, not a dollar amount) HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,763.98
Total knee replacement: rates for 3 insurance plans AETNA — 1369_AETNA RHKS 20241101: $5,763.98 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: 50% (a percentage in the contract, not a dollar amount) HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$2,464.01
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $2,464.01
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,366.91
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $2,366.91
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,079.64
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,079.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $875.74 AETNA — 1369_AETNA RHKS 20241101: $548.95 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $884.41 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $867.07 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $884.41 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $884.41
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $875.74 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $884.41 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $884.41 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $875.74 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $867.07 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $867.07 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $884.41 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $1,213.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $875.74 AETNA — 1369_AETNA RHKS 20241101: $649.17 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $884.41 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $867.07 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $884.41 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $867.07 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $884.41
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $875.74 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $884.41 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $884.41 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $875.74 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $867.07 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $867.07 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $884.41 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $1,213.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$843.17 – $2,360.88
Colonoscopy (diagnostic): 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $851.60 AETNA — 1369_AETNA RHKS 20241101: $818.84 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $860.03 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,433.39 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $843.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $860.03 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $843.17 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $843.17 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $843.17 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $860.03
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$843.17 – $2,360.88
Colonoscopy (diagnostic): 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $851.60 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $860.03 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,433.39 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $843.17 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $860.03 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $851.60 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $843.17 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $843.17 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $860.03 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $1,180.44
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$982.97
Colonoscopy with biopsy: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $982.97
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,167.89
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,167.89
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,125.15
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,125.15
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,645.98 – $7,024
Gallbladder removal by laparoscope: rates for 3 insurance plans AETNA — 1369_AETNA RHKS 20241101: $2,645.98 CIGNA — 1446_CIGNA RHKS 20250501: $7,024 CIGNA — 1447_CIGNA STKS, VWKS 20250501: $7,024
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,834.30
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,834.30
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$553.67
Prostate biopsy: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $553.67
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$6,996.49 – $26,332.69
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans AETNA — 1369_AETNA RHKS 20241101: $6,996.49 HUMANA — 1486_HUMANA 20250101: $26,332.69 UNITED HEALTH CARE — 1465_UNITED HEALTH CARE RHKS 20250701: $24,219 UNITED HEALTH CARE — 1466_UNITED HEALTH CARE STKS, VWKS 20250701: $23,817 COVENTRY CITY OF WICHITA — 318_STKS, VWKS COVENTRY CITY OF WICHITA 20181001: 50% (a percentage in the contract, not a dollar amount) HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,001.96
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,001.96
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$640.46 – $1,793.29
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $646.86 AETNA — 1369_AETNA RHKS 20241101: $434.17 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $653.27 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,088.78 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $640.46 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $653.27 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $640.46 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $640.46 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $640.46 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $653.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$640.46 – $1,793.29
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $646.86 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $653.27 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,088.78 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $640.46 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $653.27 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $646.86 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $640.46 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $640.46 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $653.27 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $896.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$823.36 – $2,305.41
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $831.59 AETNA — 1369_AETNA RHKS 20241101: $443.69 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $839.83 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $1,399.71 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $823.36 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $839.83 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $823.36 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $823.36 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $823.36 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $839.83
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$823.36 – $2,305.41
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $831.59 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $839.83 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $1,399.71 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $823.36 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $839.83 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $831.59 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $823.36 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $823.36 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $839.83 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $1,152.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,617.40
Carpal tunnel release: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $1,617.40
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$507.36 – $1,420.61
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates AARP MEDICARE REPLACEMENT — 1336_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $512.43 AETNA — 1369_AETNA RHKS 20241101: $1,049.58 ALLWELL MEDICARE — 1337_MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $517.51 AMBETTER SUNFLOWER — 1003_AMBETTER SUNFLOWER OUTPATIENT 20230101: $862.51 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1016_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $507.36 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1338_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD OUTPATIENT 20: $517.51 MEDICARE ADVANTAGE COVENTRY — 1339_MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $507.36 MEDICARE ADVANTAGE HUMANA — 1340_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101: $507.36 MEDICARE ADVANTAGE OTHER — 1341_MEDICARE ADVANTAGE OTHER OUTPATIENT 20250101: $507.36 MEDICARE ADVANTAGE UHC — 1343_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20: $517.51
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$507.36 – $1,420.61
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates AARP MEDICARE REPLACEMENT — 1507_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $512.43 ALLWELL MEDICARE — 1497_MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $517.51 AMBETTER SUNFLOWER — 1491_AMBETTER SUNFLOWER INPATIENT 20251001: $862.51 DEFAULT - 100 PERCENT OF MEDICARE RATES — 1490_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $507.36 MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD — 1498_MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD INPATIENT 202: $517.51 MEDICARE ADVANTAGE COVENTRY — 1500_MEDICARE ADVANTAGE COVENTRY INPATIENT STKS, RHKS 202510: $512.43 MEDICARE ADVANTAGE HUMANA — 1499_MEDICARE ADVANTAGE HUMANA INPATIENT RHKS, STKS 20251001: $507.36 MEDICARE ADVANTAGE OTHER — 1501_MEDICARE ADVANTAGE OTHER INPATIENT STKS, RHKS 20251001: $507.36 MEDICARE ADVANTAGE UHC — 1509_RHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 202: $517.51 SMARTHEALTH — 1489_SMARTHEALTH INPATIENT 20251001: $710.30
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,666.64
Cataract removal with lens implant: rates for 1 insurance plan AETNA — 1369_AETNA RHKS 20241101: $2,666.64

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$5,522.92
Vaginal delivery, with care before and after: rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $5,522.92 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$6,252.56
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $6,252.56 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$5,812.22
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans AETNA — 1369_AETNA RHKS 20241101: $5,812.22 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: 60% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,275.15 – $112,593.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates AETNA — 1475_AETNA STKS, VWKS 20250320: $18,538 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $12,420 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $14,274 BCBS CAP — 1487_BLUE CROSS BLUE SHIELD CAP RHKS 20250101: $1,342.26 BCBS CHOICE — 1488_BLUE CROSS BLUE SHIELD CHOICE RHKS 20250101: $1,275.15 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: $99,266 HUMANA — 1486_HUMANA 20250101: $25,664.88 MEDICA — 1319_MEDICA HEALTHIER YOU STKS, RHKS 20241001: $10,731 PROVIDRS CARE — 1482_PROVIDRS CARE (TIER 1) STKS, VWKS 20250701: $25,090.70 UNITED HEALTH CARE — 1465_UNITED HEALTH CARE RHKS 20250701: $22,150
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,275.15 – $112,593.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $112,593.70 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $112,593.70
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,275.15 – $25,664.88
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates AETNA — 1475_AETNA STKS, VWKS 20250320: $18,538 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $12,420 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $14,274 BCBS CAP — 1487_BLUE CROSS BLUE SHIELD CAP RHKS 20250101: $1,342.26 BCBS CHOICE — 1488_BLUE CROSS BLUE SHIELD CHOICE RHKS 20250101: $1,275.15 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: $21,277 HUMANA — 1486_HUMANA 20250101: $25,664.88 MEDICA — 1319_MEDICA HEALTHIER YOU STKS, RHKS 20241001: $10,731 UNITED HEALTH CARE — 1465_UNITED HEALTH CARE RHKS 20250701: $22,150 UNITED HEALTH CARE — 1466_UNITED HEALTH CARE STKS, VWKS 20250701: $21,783
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,275.15 – $25,664.88
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $24,133.39 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $24,133.39
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,275.15 – $26,843.16
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates AETNA — 1475_AETNA STKS, VWKS 20250320: $18,538 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $12,420 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $14,274 BCBS CAP — 1487_BLUE CROSS BLUE SHIELD CAP RHKS 20250101: $1,342.26 BCBS CHOICE — 1488_BLUE CROSS BLUE SHIELD CHOICE RHKS 20250101: $1,275.15 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: $23,666 HUMANA — 1486_HUMANA 20250101: $25,664.88 MEDICA — 1319_MEDICA HEALTHIER YOU STKS, RHKS 20241001: $10,731 UNITED HEALTH CARE — 1465_UNITED HEALTH CARE RHKS 20250701: $22,150 UNITED HEALTH CARE — 1466_UNITED HEALTH CARE STKS, VWKS 20250701: $21,783
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,275.15 – $26,843.16
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $26,843.16 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $26,843.16
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,275.15 – $25,664.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates AETNA — 1475_AETNA STKS, VWKS 20250320: $18,538 AETNA SPIRIT CONCIERGE CARE — 1473_AETNA SPIRIT CONCIERGE CARE STKS, VWKS 20250320: $12,420 AETNA SPIRIT TRADITIONAL — 1474_AETNA SPIRIT TRADITIONAL STKS, VWKS 20250320: $14,274 BCBS CAP — 1487_BLUE CROSS BLUE SHIELD CAP RHKS 20250101: $1,342.26 BCBS CHOICE — 1488_BLUE CROSS BLUE SHIELD CHOICE RHKS 20250101: $1,275.15 HEALTHCHOICE OF OK — 423_HEALTHCHOICE STKS, VWKS 20170101: $10,465 HUMANA — 1486_HUMANA 20250101: $25,664.88 MEDICA — 1319_MEDICA HEALTHIER YOU STKS, RHKS 20241001: $10,731 UNITED HEALTH CARE — 1465_UNITED HEALTH CARE RHKS 20250701: $22,150 UNITED HEALTH CARE — 1466_UNITED HEALTH CARE STKS, VWKS 20250701: $21,783
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,275.15 – $25,664.88
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans SMARTHEALTH — 1083_SMARTHEALTH OUTPATIENT 20230101: $11,869.97 SMARTHEALTH — 1293_SMARTHEALTH INPATIENT 20241001: $11,869.97

Source: Ascension Via Christi Rehabilitation Hospital, Inc’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Inpatient Rehabilitation Hospital
Address	1151 N Rock Road, Wichita, KS 67206
County	Sedgwick County
State	Kansas
Phone	(316) 992‑7587
Ownership	Non-profit
CMS Certification Number	173028
Name in Medicare records	ASCENSION VIA CHRISTI REHABILITATION HOSPITAL, INC
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(316) 634‑3400^[4][9]
Name on the hospital’s website	Ascension Via Christi Rehabilitation Hospital
Official website	healthcare.ascension.org
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Ascension Via Christi Rehabilitation Hospital | Ascension — healthcare.ascension.org
Ascension Via Christi Therapy Center at the Rehabilitation Hospital | Ascension — healthcare.ascension.org
Ascension Via Christi Sleep Center on Rock Road | Ascension — healthcare.ascension.org
Ascension Via Christi Weight Management in Wichita | Ascension — healthcare.ascension.org
Bariatric surgery in Kansas | Ascension — healthcare.ascension.org
Audiology services in Wichita | Ascension — healthcare.ascension.org

Ascension Via Christi Rehabilitation Hospital, Inc

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][5][6][9]

Conditions treated^[4][6]

Treatments^[4][5][9]

Procedures^[4][6][9]

Programs and centers^[4]

Recognition^[4][7][8]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Ascension Via Christi Rehabilitation Hospital, Inc

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6][9]

Conditions treated[4][6]

Treatments[4][5][9]

Procedures[4][6][9]

Programs and centers[4]

Recognition[4][7][8]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][5][6][9]

Conditions treated^[4][6]

Treatments^[4][5][9]

Procedures^[4][6][9]

Programs and centers^[4]

Recognition^[4][7][8]