Office visit, established patient (20-29 min)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $108
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.13x 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% |
| Aetna | $147 | 154% |
Consumer Guidance & Cost Commentary
For this office visit with an established patient lasting 20 to 29 minutes at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates for Early Detection Works and Aetna are $70 and $147, respectively. These commercial rates are notably higher than the Medicare benchmark of $95.19, with the Aetna rate exceeding the Medicare amount by 1.1 times. While the facility does not list a specific cash or median paid amount in this report, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as the negotiated rates often exceed the theoretical cash value. It is important to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.
When reviewing your final invoice, ensure you are comparing rates against the Medicare benchmark rather than the hospital's inflated chargemaster list, as commercial contracts often include administrative markups that do not reflect the true cost of care. If you receive a bill that includes charges for services not rendered or unbundled components, request a formal itemized audit to identify errors, as over 80% of hospital bills contain discrepancies that can be corrected. Additionally, be aware of federal protections under the No Surprises Act, which may prevent balance billing for out-of-network services at in-network facilities, but always confirm your plan's deductible status before scheduling to avoid unexpected out-of-pocket expenses.