Speech therapy (group session)
Facility: Wamego Health Center
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $18
- Cash Discount Price: $60
- vs. Medicare Baseline: 0.75x 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% |
| UnitedHealthcare | $11 | 46% |
| Medicaid / KanCare | $11 - $24 | 46% |
| Providrs Care | $28 | 116% |
| Blue Cross Blue Shield | $68 - $71 | 283% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Wamego Health Center in Wamego, KS, the cash price of $60.00 is significantly lower than the facility's negotiated rates with major payers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield. While the cash rate is also lower than the facility's gross charge of $150.00, it is important to note that commercial insurance contracts often result in higher allowed amounts than cash prices due to administrative overhead and contract dynamics. For patients with high-deductible plans, paying the $60.00 cash rate upfront may be more cost-effective than relying on insurance, which could result in a higher out-of-pocket expense once deductibles are met. Additionally, patients should verify if the facility offers self-pay or prompt-pay discounts, which can further reduce the final amount owed.
This service is provided by a Critical Access Hospital in a rural setting, and the facility's pricing structure is evaluated against federal benchmarks rather than local averages, as specific county or state average data for this exact CPT code was not available in the report. The Medicare amount for this procedure is $24.05, which serves as a baseline for understanding the facility's cost basis; commercial negotiated rates typically range from 200% to 300% of this amount, though the facility's specific negotiated rates vary by payer. To ensure you are receiving the most accurate pricing, always request an itemized bill before payment to identify any errors, unbundled codes, or services not rendered, as these are common sources of billing discrepancies.