CMS Price Transparency Data

Speech therapy (group session)

Facility: Lutheran Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $85
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.53x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Lutheran Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.53x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$24.05

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $24.05 (100%)

Insurance Median: $85 (353%)

Ins. Median: $85 (353% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $24.05 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 353% of the Medicare baseline (a markup of 253%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aarp	$24	100%
Kaiser Snp	$24	100%
Select Health	$24	100%
UnitedHealthcare	$24 - $113	100%
Kaiser Perm Hmo	$36 - $82	150%
Kaiser Perm Ppo/Pos	$45 - $84	187%
Kaiser Self Funded	$45 - $82	187%
Allegiance	$49	204%
Cigna	$49 - $194	204%
Denv Hlth Med Plan	$63	262%
Aetna	$72 - $174	299%
Blue Cross Blue Shield	$77 - $163	320%
Geha	$78 - $113	324%
Preferred One	$78	324%
Humana	$82	341%
Cofinity	$140	582%
First Health Network	$140	582%
Private Hlthcare Sys	$146	607%
Multiplan Inc	$163	678%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92508.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lutheran Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92508.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.