Speech therapy (group session)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $50
- Cash Discount Price: $37
- vs. Medicare Baseline: 2.08x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 208% of the Medicare baseline (a markup of 108%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Black Lung [6055] | $50 | 208% |
| Oncology Patient Assistance Programs [2295] | $50 | 208% |
| Hooray Health [8000] | $50 | 208% |
| Web Tpa [2115] | $50 | 208% |
| Healthcare Highways [2210] | $50 | 208% |
| Aetna | $50 | 208% |
| Lucent Health [6000] | $50 | 208% |
| Blue Cross Blue Shield | $50 | 208% |
| Enablecomp [1350] | $85 | 353% |
| Worker'S Comp [2125] | $85 | 353% |
| Ks Disability Determination [6090] | $122 | 507% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at the University Of Kansas Health System - St Francis Campus in Topeka, KS, the facility's cash median price is $37.00, which is significantly lower than the state average of $122.00. While the facility's negotiated rates with insurance payers average $50.00, this amount remains below the gross charge of $122.00 but exceeds the cash price. For patients with high-deductible plans, paying the $37.00 cash rate may be more cost-effective than relying on insurance, as the negotiated rate of $50.00 could result in higher out-of-pocket costs if the patient's deductible has not yet been met. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs often provide further reductions for upfront payments.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $24.05 for this service. The commercial negotiated rate of $50.00 represents a markup relative to the Medicare baseline, illustrating how commercial contracts often exceed the federal cost basis. To ensure you are receiving the most accurate pricing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice, as this helps identify any unbundled charges or services not rendered. Additionally, if you receive a balance bill for out-of-network ancillary services, you may be entitled to protections under the No Surprises Act, which prevents providers from charging you the difference between their full rate and the insurance allowed amount for emergency and non