Digestive disorders treatment (inpatient stay)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $5,615
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.99x 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 |
|---|---|---|
| Humana | $4,492 - $25,665 | 79% |
| Vc Hope | $4,492 | 79% |
| Va | $4,492 | 79% |
| Saint Lukes Health Systems | $4,492 | 79% |
| Via Christi Research | $4,492 | 79% |
| Medicare (plans) | $4,492 - $4,582 | 79% |
| UnitedHealthcare | $4,582 - $21,783 | 81% |
| Blue Cross Blue Shield | $4,582 | 81% |
| Corizon | $5,615 | 99% |
| Smarthealth | $6,289 - $8,642 | 111% |
| Healthchoice Of Ok | $7,619 | 134% |
| Medicaid / KanCare | $7,637 | 135% |
| Medica | $10,731 | 189% |
| Aetna | $12,420 - $18,538 | 219% |
Consumer Guidance & Cost Commentary
For this inpatient stay at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $4,492 to $21,783 depending on your specific insurance plan, with a median negotiated amount of $5,615. This facility is a voluntary non-profit church-owned hospital in Wichita, Kansas, and its pricing is benchmarked against the federal Medicare rate of $5,675.87 for this procedure. While commercial insurance contracts often cap costs, they frequently exceed the true cost of care represented by Medicare; for instance, UnitedHealthcare plans may see rates as high as $21,783, whereas Medicare and several other payers like Vc Hope and Va are locked into the $4,492 rate. Because commercial rates can sometimes be higher than the cash price, patients with high-deductible plans should verify if paying cash directly offers a lower total cost, though the facility does not list a specific cash price in this dataset.
To minimize unexpected costs, it is essential to request a "prompt-pay" discount before scheduling your visit, as hospitals often offer 20% to 50% reductions for upfront payment to bypass administrative billing fees. Additionally, since this is an in-network facility, the No Surprises Act protects you from balance billing for out-of-network emergency services or ancillary care provided at the hospital. Before finalizing any payment, you should always ask for a full itemized bill rather than accepting a summary statement, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit. Always confirm your deductible status and ensure you sign a waiver