New patient office visit (30-44 min)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $103
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.88x 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 $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.
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 new patient office visit (30-44 min) at Via Christi Hospital Wichita St Teresa, Inc in Wichita, KS, the negotiated rate of $103.00 aligns exactly with the lowest and highest reported prices from Early Detection Works. This specific rate is significantly lower than the Medicare benchmark of $117.57, reflecting a ratio of 0.9, which indicates pricing that is below the federal government's cost-based baseline. While commercial negotiated rates often average 200% to 300% of Medicare, this facility's rate falls well within the range of fair pricing, typically defined as 120% to 150% of the Medicare amount, suggesting a transparent pricing structure relative to the national standard.
Patients should be aware that cash-pay options may offer further savings, particularly for those with high-deductible plans where the insurance negotiated rate exceeds the cash price. Although cash and median paid figures are not listed for this service, the facility is a voluntary non-profit church-owned hospital located in the 67235 zip code, and patients are encouraged to inquire directly about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount. To avoid unexpected costs, it is advisable to request a waiver of insurance submission before check-in to secure these cash rates, and to always verify the itemized bill to ensure no errors or unbundled charges are included before finalizing payment.