Office visit, established patient (20-29 min)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $70
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.74x 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 $95.19 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.
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 | $70 | 74% |
Consumer Guidance & Cost Commentary
For this office visit with an established patient lasting 20 to 29 minutes at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rate is $70.00, which matches the lowest and highest reported amount for this service. This facility is located in Wichita, Kansas, and operates as a voluntary non-profit acute care hospital. While the data does not provide specific cash or median paid figures for this code, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if your insurance negotiated rate exceeds the cash price. It is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling your appointment.
The Medicare benchmark for this procedure is $95.19, which serves as a standardized baseline for evaluating pricing fairness. Although the report does not list specific state or county average rates for comparison, the Medicare amount provides a reliable reference point to understand the facility's pricing structure. Under the No Surprises Act, patients are protected from balance billing for out-of-network providers at in-network facilities, and they should never sign away their rights to dispute unexpected bills. If you receive an itemized bill, you have the right to request a detailed audit to identify any errors, unbundled codes, or services that were not rendered, as over 80% of hospital bills contain inaccuracies.