Speech therapy (group session)
Facility: Wesley Medical Center
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $23
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.96x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $11 | 46% |
| UnitedHealthcare | $11 | 46% |
| Aetna | $11 - $200 | 46% |
| Amerigroup | $11 | 46% |
| Triwest Health Alliance | $22 | 91% |
| Humana | $23 | 96% |
| Coventry Health Care | $23 | 96% |
| Devoted Health | $23 | 96% |
| United | $23 | 96% |
| Ambetter / Centene | $24 | 100% |
| Correct Care Solutions | $34 | 141% |
| Blue Cross Blue Shield | $43 | 179% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Wesley Medical Center in Wichita, KS, the facility's negotiated rates range from $11 to $43 depending on the insurance plan, with a median negotiated payment of $23.00. This facility is in-network for twelve payers, including Medicaid/KanCare, UnitedHealthcare, and Blue Cross Blue Shield. The data indicates that the facility's pricing aligns closely with the Medicare benchmark of $24.05, showing a ratio of 1.0, which suggests the facility is charging at or near the federal cost baseline for this service. While commercial negotiated rates typically average 200% to 300% of Medicare, this specific code reflects a rate structure that is consistent with the Medicare amount, indicating no significant markup above the federal standard for this procedure.
Patients should be aware that while insurance covers the negotiated rate, paying cash upfront may still be more cost-effective if the patient has a high deductible or no active coverage. The data shows no specific cash or median paid values listed for this code, but hospitals often offer prompt-pay discounts of 20% to 50% for upfront payments to bypass administrative claim processing costs. To secure the best possible price, patients are encouraged to contact the billing department directly to request a self-pay or prompt-pay rate before scheduling, as these discounts are not automatically applied to insurance claims. Additionally, since the facility is an acute care hospital in Wichita, patients should verify if any ancillary services, such as lab work or emergency care, might trigger balance billing, though the No Surprises Act generally protects against such unexpected charges for out-of-network providers at in-network