Emergency visit, highest (level 5) at Ascension Via Christi Hospital St. Teresa. CPT 99285.
What Ascension Via Christi Hospital St. Teresa publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$567–$3,197range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Default - 100 Percent Of Medicare Rates | 1016_default - 100 Percent O | $567 |
| Medicare Advantage Coventry | 1339_medicare Advantage Coventry Outpati | $567 |
| Medicare Advantage Humana | 1340_medicare Advantage Humana Outpatient | $567 |
| Medicare Advantage Other | 1341_medicare Advantage Other Outpatient 20 | $567 |
| Saint Lukes Health Systems | 1005_saint Luke Health System Outpatient | $567 |
| Va | 1015_veterans Outpatient 20230101 | $567 |
| Vc Hope | 1342_medicare Advantage Vc Hope Outpatient 20250101 | $567 |
| Via Christi Research | 1006_via Christi Research Outpatient 20230101 | $567 |
| Aarp Medicare Replacement | 1336_medicare Advantage Aarp Outpatient 20 | $573 |
| Allwell Medicare | 1337_medicare Advantage Allwell Outpatient 20250101 | $578 |
| Medicare Advantage Blue Cross Blue Shield | 1338_medicare Advantage Bl | $578 |
| Medicare Advantage UHC | 1344_stks, Vwks Medicare Advantage United Hea | $578 |
| Corizon | 1004_corizon Outpatient Stks, Vwks 20230101 | $709 |
| Smarthealth | 1083_smarthealth Outpatient 20230101 | $794 |
| Ambetter Sunflower | 1003_ambetter Sunflower Outpatient 20230101 | $964 |
| Aetna Ed Level 3 2017 | 275_aetna Ed Level 3 2017 | $1,573 |
| United Healthcare Exchange | 1477_stks, Vwks United Healthcare Exchang | $1,588 |
| Cigna | 1447_cigna Stks, Vwks 20250501 | $1,745 |
| Smarthealth | 1293_smarthealth Inpatient 20241001 | $1,915 |
| Coventry City Of Wichita | 318_stks, Vwks Coventry City Of Wichita 201 | $1,980 |
| Aetna Spirit Concierge Care | 1473_aetna Spirit Concierge Care Stks, V | $2,228 |
| Aetna Spirit Traditional | 1474_aetna Spirit Traditional Stks, Vwks 20 | $2,560 |
| Aetna: City Of Wichita | 643_aetna City Of Wichita Stks, Vwks 20200415 | $2,581 |
| Aetna | 1475_aetna Stks, Vwks 20250320 | $3,197 |
Inpatient
—cash price (self-pay)
—list price
$567–$1,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Default - 100 Percent Of Medicare Rates | 1490_default - 100 Percent O | $567 |
| Medicare Advantage Humana | 1499_medicare Advantage Humana Inpatient R | $567 |
| Medicare Advantage Other | 1501_medicare Advantage Other Inpatient Stk | $567 |
| Saint Lukes Health Systems | 1493_saint Lukes Health System Inpatient | $567 |
| Va | 1492_veterans Inpatient 20251001 | $567 |
| Vc Hope | 1502_medicare Advantage Vc Hope Inpatient 20251001 | $567 |
| Via Christi Research | 1495_via Christi Research Inpatient 20251001 | $567 |
| Aarp Medicare Replacement | 1507_medicare Advantage Aarp Inpatient 202 | $573 |
| Medicare Advantage Coventry | 1500_medicare Advantage Coventry Inpatie | $573 |
| Allwell Medicare | 1497_medicare Advantage Allwell Inpatient 20251001 | $578 |
| Medicare Advantage Blue Cross Blue Shield | 1498_medicare Advantage Bl | $578 |
| Medicare Advantage UHC | 1508_stks, Vwks Medicare Advantage United Hea | $578 |
| Corizon | 1494_corizon Inpatient Stks, Vwks 20251001 | $709 |
| Smarthealth | 1489_smarthealth Inpatient 20251001 | $794 |
| Ambetter Sunflower | 1491_ambetter Sunflower Inpatient 20251001 | $964 |
| United Healthcare Exchange | 1519_stks, Vwks United Healthcare Exchang | $1,588 |
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All common services at Ascension Via Christi Hospital St. Teresa