Digestive disorders treatment (inpatient stay)
Facility: Wesley Medical Center
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $6,989
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.23x 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.
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 |
|---|---|---|
| Usa Managed Care | $1,200 | 21% |
| United | $1,926 - $6,968 | 34% |
| Aetna | $2,379 - $12,400 | 42% |
| UnitedHealthcare | $4,259 | 75% |
| Amerigroup | $4,430 | 78% |
| Medicaid / KanCare | $4,992 | 88% |
| First Health | $5,338 | 94% |
| Multiplan | $5,563 | 98% |
| Wppa | $6,019 - $8,597 | 106% |
| Humana | $6,989 | 123% |
| Coventry Health Care | $6,989 | 123% |
| Devoted Health | $7,128 | 126% |
| Ambetter / Centene | $7,198 - $7,451 | 127% |
| Blue Cross Blue Shield | $8,043 | 142% |
| Correct Care Solutions | $10,483 | 185% |
Consumer Guidance & Cost Commentary
For the procedure code 392, "Digestive disorders treatment (inpatient stay)," at Wesley Medical Center in Wichita, KS, the facility's negotiated rates range from $1,200 to $12,400 across 15 different payers, with a median negotiated rate of $6,989. While specific cash or median paid amounts are not available in this report, patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if the insurance negotiated rate exceeds the cash price. The facility is a Proprietary Acute Care Hospital located at 550 N Hillside Street, and while the data does not provide direct comparisons to Kansas or Missouri state averages, it is important to verify that the facility's pricing aligns with local market standards before scheduling.
To ensure you are receiving fair pricing, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce bills by 20% to 50% when paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Since Medicare rates serve as a scientifically validated baseline for healthcare costs, comparing the facility's pricing to the Medicare amount of $5,675.87 can help identify if the commercial rates are appropriately marked up, ensuring you are not overpaying for your care.