Speech therapy (group session)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $23
- Cash Discount Price: $70
- 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 |
|---|---|---|
| Aetna | $11 | 46% |
| Medicaid / KanCare | $11 - $24 | 46% |
| UnitedHealthcare | $11 - $62 | 46% |
| Va | $22 | 91% |
| Humana | $22 | 91% |
| Medicare (plans) | $22 - $23 | 91% |
| Providrs Care | $28 | 116% |
| Smarthealth | $31 | 129% |
| Ambetter / Centene | $38 | 158% |
| Blue Cross Blue Shield | $56 - $59 | 233% |
Consumer Guidance & Cost Commentary
For the CPT code 92508, representing a group speech therapy session at Ascension Via Christi Hospital Manhattan, the facility's cash median price is $70.00, which is significantly lower than the state average of $24.05 for Medicare benchmarking purposes. While the facility's negotiated rates with commercial payers range from $11 to $62, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket or utilizing a "prompt-pay" discount if available. It is important to note that the facility's cash rate is not a direct comparison to the state average but rather a standalone figure; however, the Medicare amount of $24.05 serves as the objective baseline for evaluating the facility's markup, revealing that commercial negotiated rates can average 200% to 300% of this federal rate.
When reviewing your specific plan, be aware that while Medicaid/KanCare plans show a low range of $11, other major payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated ceilings reaching up to $62, which is higher than the facility's cash price. This discrepancy highlights that being in-network does not guarantee the lowest possible cost, as administrative overhead and contract dynamics can inflate the baseline price by 20% to 40%. To ensure you are receiving the best rate, we recommend requesting a formal itemized billing audit to verify all charges and explicitly asking the hospital about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can bypass costly insurance billing cycles and reduce overall costs.