Speech therapy (group session)
Facility: Kansas Medical Center Llc
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $23
- Cash Discount Price: $45
- 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% |
| Tricare | $20 | 83% |
| Indian Health | $20 | 83% |
| Humana | $23 | 96% |
| Ambetter / Centene | $23 | 96% |
| Blue Cross Blue Shield | $23 - $49 | 96% |
| Medadv_Wellcare | $23 | 96% |
| Aetna | $30 | 125% |
| Wppa | $30 | 125% |
| Three_Rivers | $45 | 187% |
| United | $76 | 316% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Kansas Medical Center Llc in Andover, KS, the cash price is $45.00, which matches the state average for this service. While commercial insurance plans like Humana and Ambetter / Centene have negotiated rates starting at $23.00, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. The facility's cash rate is also lower than the gross chargemaster of $76.00, and while the median negotiated rate across all payers is $23.00, some plans such as Blue Cross Blue Shield have a range of $23.00 to $49.00. Because insurance contracts can vary significantly by plan, it is crucial to verify your specific deductible status and allowed amount before scheduling to avoid unexpected costs.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still important to request a full itemized bill to ensure no unbundled codes or services not rendered are included. If you choose to pay directly, ask the hospital about prompt-pay discounts, which can reduce the $45.00 cash price further by paying upfront. Additionally, since the facility is a proprietary acute care hospital, you may want to confirm whether self-pay discounts are available before finalizing your payment. Always dispute any summary bills that do not show detailed line items, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.