CMS Price Transparency Data

Speech therapy (group session)

Facility: Norton-King's Daughters' Health

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $85
Cash Discount Price: $22
vs. Medicare Baseline: 3.53x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Norton-King's Daughters' Health is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.53x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$22

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%)

Cash / Self-Pay: $22 (91%)

Insurance Median: $85 (353%)

Cash: $22 (91% of Medicare)

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
Aetna	$14 - $89	58%
Blue Cross Blue Shield	$14 - $75	58%
Humana	$14 - $22	58%
Managed Health Services Of Kentucky	$14	58%
Passport By Molina	$14	58%
UnitedHealthcare	$22 - $79	91%
Managed Health Services	$23 - $35	96%
Caresource Of Kentucky	$31	129%
Caresource Of Indiana	$34	141%
Custom Design Benefits	$45 - $50	187%
Cigna	$81 - $86	337%
Encore	$81 - $86	337%
Quality Care Partners	$85 - $90	353%
Bluegrass	$86 - $91	358%
First Health	$86 - $91	358%
Healthlink	$86 - $91	358%
Vha/Tristate	$86 - $91	358%
Multiplan/Phcs	$87 - $93	362%
Indiana Health Network	$90 - $96	374%
Siho	$90 - $96	374%

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 $22.
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 Norton-King's Daughters' Health 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.