Speech therapy (group session)
Facility: Kansas City Orthopaedic Institute
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $79
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.28x 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 328% of the Medicare baseline (a markup of 228%). 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 | $30 | 125% |
| Cigna | $30 | 125% |
| UnitedHealthcare | $30 | 125% |
| Blue Cross Blue Shield | $79 | 328% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Kansas City Orthopaedic Institute in Leawood, KS, the negotiated rate is $79.00, which aligns with the lowest and highest rates reported by Aetna, Cigna, and UnitedHealthcare. This facility is owned by a physician and is located in an acute care hospital setting. While the data does not provide specific cash or median paid figures for this service, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is highly recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final amount owed before any insurance claims are processed.
The Medicare benchmark for this procedure is $24.05, indicating that the commercial negotiated rate of $79.00 represents a significant markup compared to the federal baseline. This pricing structure reflects the administrative costs and contract dynamics inherent in commercial insurance billing, where rates often exceed the true cost of care delivery. To ensure you are receiving fair pricing, it is advisable to request an itemized billing audit if you receive a summary bill, as these often obscure individual charges and may contain errors or unbundled codes. Additionally, under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, so do not feel pressured to pay unexpected differences immediately without first disputing the claim with your insurer.