CMS Price Transparency Data

Speech therapy (group session)

Facility: Children's Hospital Colorado

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $184
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 7.65x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Children's Hospital Colorado is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.65x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $173 (719%)
Insurance Median: $184 (765%)
Cash: $173 (719% of Medicare)
Ins. Median: $184 (765% 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 765% of the Medicare baseline (a markup of 665%). 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
Ccha Behavioral Health $20 - $53 83%
Integrated Health Plan $30 - $80 125%
Denver Health Medical Plan $35 - $398 146%
Kaiser $68 - $388 283%
Rocky Mountain Health Plan Behavioral Health $80 - $212 333%
Carelon Behavioral Health $90 - $372 374%
Presbyterian Health Plan $96 - $303 399%
Colorado Access $98 - $260 407%
Colorado Access Behavioral Health $98 - $260 407%
Molina Healthcare Of Nebraska $109 - $292 453%
Molina Healthcare Of New Mexico $109 - $292 453%
Peak Health Alliance/Ebms $109 - $319 453%
Rocky Mountain Health Plan $109 - $345 453%
Healthy Blue Of Nebraska $115 - $308 478%
Blue Cross Blue Shield $118 - $398 491%
Humana $121 - $372 503%
UnitedHealthcare $124 - $356 516%
Evernorth Behavioral Health $129 - $345 536%
Interlink National $129 - $398 536%
Centivo $137 - $366 570%
Select Health $139 - $372 578%
Uchealth Plan Administrators $139 - $372 578%
Cigna $144 - $383 599%
Aetna $145 - $425 603%
Department Of Corrections $155 - $414 644%
Comppsych Behavioral Health $169 - $451 703%
First Choice Health $169 - $451 703%
Midlands Choice $169 - $451 703%
National Preferred Provider Network $169 - $451 703%
Multiplan $171 - $457 711%
Cofinity $179 - $478 744%
First Choice Of The Midwest $179 - $478 744%
Usa Managed Care Organization $179 - $478 744%
First Health Network $183 - $489 761%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13123 E 16Th Ave, Aurora, CO 80045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens