Office visit, established patient (30-39 min)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $227
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.67x 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 $135.6 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 |
|---|---|---|
| Aetna | $227 | 167% |
Consumer Guidance & Cost Commentary
For this office visit at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the negotiated rate for an established patient visit (30-39 minutes) is $227.00, which is significantly higher than the Medicare benchmark of $135.60. While this facility is a Part A hospital provider, the data indicates no specific cash or median paid amounts were reported for this service. Because commercial negotiated rates often include administrative overhead and contract premiums, patients with high-deductible plans should consider whether paying the full cash price directly might be more affordable than their insurance covering the negotiated rate, provided the cash price is lower than their out-of-pocket maximum.
To ensure you are not overcharged, it is crucial to request a detailed, itemized bill before finalizing payment, as summary bills can obscure errors or unbundled charges. If you receive a balance bill for the difference between the hospital's chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act, which bans such billing for emergency care and non-emergency services at in-network facilities. Additionally, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if you settle the account in full upfront, bypassing the costly insurance claims processing cycle.