CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Ascension Via Christi Hospitals Wichita, Inc.

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $103
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Ascension Via Christi Hospitals Wichita, Inc. is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.88x the Medicare baseline. Located in 929 North St Francis Street, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Insurance Median: $103 (88%)
Ins. Median: $103 (88% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Early Detection Works $103 88%

Consumer Guidance & Cost Commentary

For this office visit at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rate of $103.00 is significantly lower than the Medicare benchmark of $117.57, reflecting a ratio of 0.9. While cash prices are not listed for this service, patients with high-deductible plans should be aware that paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the insurer's allowed amount exceeds the cash price. To secure the best possible rate, it is essential to verify your specific plan's allowed amount before scheduling and to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window.

This facility operates as a voluntary non-profit acute care hospital in Wichita, Kansas, and currently has one payer, Early Detection Works, with a single plan offering a rate range of $103.00. Because the data indicates no cash or median paid values are available, patients should avoid assuming the negotiated rate is the lowest possible cost without confirming their out-of-pocket responsibility. If you receive a bill that appears higher than expected, you should request a full itemized CPT-coded statement to identify any errors, such as unbundled codes or services not rendered, as over 80% of hospital bills contain mistakes. Remember that federal protections like the No Surprises Act may prevent balance billing for out-of-network services at in-network facilities, so do not sign away your rights to dispute potential surprise charges without reviewing the contract terms carefully.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 929 North St Francis Street, Wichita, KS 67214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals