Speech therapy (group session)
Facility: University Of Kansas Hospital
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $159
- Cash Discount Price: $53
- vs. Medicare Baseline: 6.61x 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 661% of the Medicare baseline (a markup of 561%). 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 |
|---|---|---|
| Humana | $22 - $23 | 91% |
| UnitedHealthcare | $22 - $265 | 91% |
| Devoted [503200068] | $22 | 91% |
| Ku Athletics [503200094] | $22 | 91% |
| Lasso Healthcare [503999926] | $22 | 91% |
| Aetna | $22 - $31 | 91% |
| Agency [50311255] | $22 | 91% |
| Medicare (plans) | $22 - $23 | 91% |
| Workers Comp [503999901] | $22 - $265 | 91% |
| Blue Cross Blue Shield | $23 - $203 | 96% |
| American Health Plans [503200968] | $23 | 96% |
| Allwell [503200078] | $23 | 96% |
| Oscar [503201609] | $27 | 112% |
| Centurion [5032000966] | $29 | 121% |
| Ambetter / Centene | $38 | 158% |
| Wellfit [503301514] | $42 | 175% |
| Centivo [5032000982] | $42 | 175% |
| 6 Degrees Health [503999050] | $43 - $56 | 179% |
| Alt Wppa [5032000964] | $45 - $161 | 187% |
| Occunet [503999930] | $47 | 195% |
| Fort Hays State Student Athletes [5032000960] | $47 | 195% |
| Claimdoc [503301509] | $60 | 249% |
| Multiplan [503200057] | $60 | 249% |
| Advanced Medical Pricing Solutions [503301513] | $67 | 279% |
| Larned State Hospital [503200090] | $78 | 324% |
| Health Plan Inc [503999941] | $125 | 520% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 541% |
| Alt Carelon Behavioral Health [503200905] | $132 | 549% |
| Accarent Health [503999034] | $132 | 549% |
| Php [503200005] | $159 - $196 | 661% |
| Allied National [503999937] | $159 | 661% |
| Med-Pay [503200040] | $161 | 669% |
| Geha [503200036] | $161 - $265 | 669% |
| Cerner [503200038] | $161 | 669% |
| Inter-Americas Insurance [503999032] | $161 | 669% |
| Healthlink [503200007] | $161 - $196 | 669% |
| Aha-Healthcare Preferred [503200050] | $175 | 728% |
| First Health [5032000110] | $175 | 728% |
| Correct Care Solutions [50311253] | $186 | 773% |
| Ascension Living Hope [503201517] | $186 | 773% |
| Coeur Plan Services [503301517] | $186 | 773% |
| Consolidated Billing [50311256] | $186 | 773% |
| Orscheln Industries [503201608] | $199 | 827% |
| Empire Plan/Nyship [503200705] | $203 | 844% |
| Alt Lineco [5032000976] | $203 | 844% |
| Alt Lucent Health Solutions [503202603] | $203 | 844% |
| Quiktrip [5032000412] | $212 | 881% |
| Point Comfort Underwriters [503200018] | $212 | 881% |
| Century Health Solutions [503200054] | $212 | 881% |
| Cigna | $212 - $338 | 881% |
| Wppa [503200056] | $223 | 927% |
| Meritain Health [503200039] | $223 | 927% |
| Sanford Health Plan [503999027] | $238 | 990% |
| Employers Health Network [503999025] | $238 | 990% |
| Plan Care America [503999026] | $238 | 990% |
| Usa Managed Care [503999030] | $238 | 990% |
| Three Rivers Provider Network [503999029] | $238 | 990% |
| Medica [503200074] | $265 | 1102% |
| National Assn Letter Carriers [503200019] | $338 | 1405% |
Consumer Guidance & Cost Commentary
For this speech therapy session at University Of Kansas Hospital, the cash price is $53.00, which is significantly lower than the facility's gross charge of $265.00. While many insurance plans have negotiated rates ranging from $22 to $265, the cash rate offers a substantial discount for those without coverage or with high-deductible plans. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; in this case, the cash price is roughly 20% of the gross charge and aligns closely with the facility's self-pay pricing. Patients should verify their specific plan's allowed amount, as some commercial payers may negotiate rates higher than the cash option, making upfront payment the most cost-effective choice.
The facility's pricing is benchmarked against Medicare, which sets a fixed rate of $24.05 for this procedure. The cash price of $53.00 represents a 119% markup over the Medicare rate, falling within the range of fair pricing typically defined as 120% to 150% of Medicare. This comparison highlights that the cash rate is reasonable relative to federal cost standards, even though it is higher than the Medicare amount itself. To ensure you receive the best possible rate, we recommend contacting the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs can further reduce the final amount owed before insurance claims are even processed.