Speech therapy (group session)
Facility: Centura St. Catherine-Dodge City
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $159
- Cash Discount Price: $97
- 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 |
|---|---|---|
| Aetna | $24 - $194 | 100% |
| Cigna | $24 | 100% |
| Kaiser | $24 | 100% |
| Blue Cross Blue Shield | $24 - $61 | 100% |
| Medicare (plans) | $24 | 100% |
| Kansas Health | $24 | 100% |
| Humana | $24 | 100% |
| Centura Employee Plan | $72 | 299% |
| UnitedHealthcare | $159 | 661% |
| Wpaa | $169 | 703% |
| Multiplan | $194 - $218 | 807% |
| Christian Health Aid | $194 | 807% |
| Health Partners Of Kansas | $218 | 906% |
Consumer Guidance & Cost Commentary
For this speech therapy session at Centura St. Catherine-Dodge City, the cash median price is $97.00, which is significantly lower than the facility's negotiated rates ranging from $24 to $218 depending on the insurance plan. While the facility's negotiated average of $159.00 exceeds the cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount surpasses the cash rate. It is important to note that Medicare, a federal benchmark representing the true cost of care, sets the rate at $24.05 for this procedure; commercial rates often exceed this baseline due to administrative overhead and contract dynamics. Patients should verify their specific plan's allowed amount before scheduling, as assuming in-network status guarantees the lowest price can lead to unexpected costs if the insurer's negotiated rate is higher than the cash option.
To minimize potential billing surprises, consumers should request an itemized bill before paying, as summary invoices often obscure individual charges or unbundled services. If a balance bill arises from an out-of-network provider, the No Surprises Act generally protects patients from paying the difference for emergency or non-emergency services at in-network facilities, though disputes require formal written communication rather than immediate payment. Additionally, patients should inquire about prompt-pay discounts, which can reduce the total cost by 20% to 50% when paid upfront, effectively bypassing the administrative fees associated with insurance claims processing. Always confirm whether the facility offers self-pay pricing before registration to ensure you are not inadvertently enrolled in a billing cycle that voids potential cash discounts.