CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $53
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Healthone Presbyterian St Luke's is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.20x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
$263

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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%)
Cash / Self-Pay: $263 (1094%)
Insurance Median: $53 (220%)
Cash: $263 (1094% of Medicare)
Ins. Median: $53 (220% 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 220% of the Medicare baseline (a markup of 120%). 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.

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
UnitedHealthcare $21 87%
Aetna $25 - $139 104%
Blue Cross Blue Shield $25 - $194 104%
Bright Health $25 - $79 104%
Cigna $25 - $168 104%
Devoted Health $25 104%
Humana $25 104%
Innovage Pace $25 104%
Kaiser $25 - $68 104%
Kaiser National Transplant $25 - $126 104%
Mutual Of Omaha $25 104%
Rocky Mountain Health $25 104%
Total Longterm Care $25 104%
Triwest Health Alliance $25 104%
United $25 - $118 104%
Delaware Life Insurance $26 108%
Wellcare $26 108%
Vail Health $40 166%
Emerging Therapy Solutions $126 - $168 524%
Colorado Program For Children With Special Needs $134 557%
Western Plains Community Health $171 711%
Multiplan $184 - $236 765%
Northcare $184 765%
Physician Health Partners $184 765%
Pinnacol Workers Comp $197 819%
Medical Development International $210 873%
Prime Health $236 981%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals