CMS Price Transparency Data

Speech therapy (group session)

Facility: Lutheran Hospital of Indiana

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $58
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 2.41x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Lutheran Hospital of Indiana is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.41x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $43 (179%)
Insurance Median: $58 (241%)
Cash: $43 (179% of Medicare)
Ins. Median: $58 (241% 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 241% of the Medicare baseline (a markup of 141%). 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 $20 - $186 83%
Tricare $21 87%
Department Of Veterans Affairs $22 91%
Veterans Eval Services $22 91%
Aetna $23 - $64 96%
Blue Cross Blue Shield $23 - $186 96%
Humana $23 - $186 96%
Iu Health Plan $23 96%
Managed Health Services $23 - $186 96%
Medicare (plans) $23 96%
Node Devoted Health Mcr Adv $23 96%
Node Hospice Non Par Agree $23 96%
Node Va $23 96%
One Call Care Diagnostics $23 96%
In Dept Of Correction $24 100%
Node Pphp Mcr Adv $24 100%
Physicians Health Plan Of Northern Indiana $31 - $53 129%
Ky Work Comp $32 - $34 133%
Lutheran Advanced Network $34 141%
Node Lutheran Network $34 - $40 141%
Node Lutheran Preferred Fixed 2 $34 141%
Us Department Of Labor $36 150%
Align Network $37 154%
Amish Aid $38 - $40 158%
Lutheran Preferred Network $38 - $80 158%
Self Pay $38 - $48 158%
Cigna $41 - $49 170%
Encore Work Comp In $41 170%
Prime Health Services $41 - $100 170%
Php Freedom Network $42 - $44 175%
Lutheran Network $46 - $67 191%
Lutheran Preferred $50 - $54 208%
Node Encore Kba Epo $55 229%
Sagamore $57 - $95 237%
Encore Ppo $62 - $66 258%
Node Encore Kba Ppo $69 287%
Multiplan $92 - $111 383%
Encore Health Network $103 - $121 428%
Advantage Health Solutions $105 - $111 437%
Allied Benefit Systems $113 - $121 470%
Evolutions $113 - $121 470%
Care Source $186 773%
Medicaid / KanCare $186 773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals