Digestive disorders treatment (inpatient stay)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $11,576
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.04x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 204% of the Medicare baseline (a markup of 104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $1,275 - $1,342 | 22% |
| Healthchoice Of Ok | $7,619 | 134% |
| Smarthealth | $8,642 | 152% |
| Medica | $10,731 | 189% |
| Aetna | $12,420 - $18,538 | 219% |
| UnitedHealthcare | $21,783 - $22,150 | 384% |
| Humana | $25,665 | 452% |
Consumer Guidance & Cost Commentary
For this inpatient stay at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the negotiated rates vary significantly depending on your insurance carrier, ranging from $1,275 with Blue Cross Blue Shield to $25,665 with Humana. While your specific plan's negotiated amount is determined by your contract, it is important to note that cash-pay options can sometimes be more affordable for patients with high-deductible plans, as the cash median is often lower than the commercial negotiated rates. To secure the best possible price, we strongly recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer a fee reduction of up to 50% for upfront payment and bypass the administrative costs associated with insurance claims processing.
When evaluating the cost of this service, it is crucial to compare the facility's rates against objective benchmarks rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $5,675.87, which serves as a scientifically validated baseline for the true cost of care. Commercial negotiated rates often exceed this baseline, and while some commercial rates may appear higher than state or county averages, the most reliable way to assess fair pricing is to compare the facility's allowed amounts directly to the Medicare rate. We advise requesting a full itemized bill before paying to ensure no errors or unbundled charges are included, and to verify that any discounts applied are based on the Medicare benchmark rather than the hospital's gross charges.