Speech therapy (group session)
Facility: Stanton County Hospital
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $52
- Cash Discount Price: $54
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $49 - $52 | 204% |
| Healthy Blue Mcr Adv - All Other Plans | $52 | 216% |
| Healthy Blue Mcaid | $54 | 225% |
Consumer Guidance & Cost Commentary
For this speech therapy session at Stanton County Hospital in Johnson, KS, the cash price is $54.00, which matches the facility's negotiated rate with all three listed payers. While the median amount paid by insurers is $52.00, patients with high-deductible plans may find paying the full cash price of $54.00 more advantageous than relying on insurance, as the negotiated rate does not exceed the cash amount. It is important to note that while the facility is a Critical Access Hospital with government-local ownership, there are no specific self-pay or prompt-pay discounts listed in this data; however, patients should always inquire directly with the hospital before scheduling to confirm if additional fee reductions are available for upfront payment.
The billing structure for this service reflects standard negotiated pricing rather than balance billing risks, as the rates shown are the contracted amounts paid by Blue Cross Blue Shield, Healthy Blue Mcr Adv, and Healthy Blue Mcaid. Although the data does not provide specific county or state average comparisons for this code, the facility's rates are anchored to the Medicare benchmark of $24.05, indicating a markup typical of commercial contracts. Patients should be aware that while the No Surprises Act protects against unexpected balance billing for out-of-network providers at in-network facilities, verifying the exact allowed amount with the insurer prior to service is essential to avoid any potential discrepancies between the expected payment and the final bill.