Digestive disorders treatment (inpatient stay)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $11,576
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 204% of the Medicare baseline (a markup of 104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthchoice Of Ok | $7,619 | 134% |
| Smarthealth | $8,642 | 152% |
| Medica | $10,639 - $10,731 | 187% |
| Aetna | $12,420 - $18,538 | 219% |
| UnitedHealthcare | $21,783 | 384% |
| Humana | $25,665 | 452% |
Consumer Guidance & Cost Commentary
For this inpatient digestive disorder treatment at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates paid by major insurers range from $7,619 to $25,665, with a median negotiated amount of $11,576. These commercial rates are significantly higher than the Medicare benchmark of $5,675.87, reflecting the administrative costs and contract structures inherent in insurance billing. While the facility is located in Wichita, Kansas, the provided data does not include specific county or state average comparisons for this procedure, so patients should rely on the Medicare rate as a baseline for understanding the facility's cost structure. It is important to note that while insurance contracts set a ceiling on what payers will reimburse, these amounts often exceed what a patient could pay directly, particularly if their plan has a high deductible.
Patients should be aware that cash-pay rates are not listed for this specific service, but hospitals frequently offer prompt-pay discounts or self-pay reductions that can lower the final bill substantially. Since commercial negotiated rates can sometimes exceed cash prices, individuals with high-deductible plans may find it financially advantageous to pay out-of-pocket if they can secure a self-pay discount before the insurance claim is processed. To avoid unexpected balance billing or errors, consumers are encouraged to request a full itemized bill before payment and to explicitly ask for a "waiver of insurance submission" if they choose to pay cash directly. Always verify the facility's specific self-pay or prompt-pay policies prior to scheduling care to ensure you are receiving the most favorable rate available.