Speech therapy (group session)
Facility: Kingman Healthcare Center
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $23
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Triwest | $22 | 91% |
| Healthy Blue | $23 | 96% |
| Medicaid / KanCare | $23 | 96% |
| Aetna | $30 | 125% |
| Humana | $142 | 590% |
Consumer Guidance & Cost Commentary
For the CPT code 92508, representing a group speech therapy session at Kingman Healthcare Center in Kansas, the facility's negotiated rates range from $22 to $30 depending on the payer. These amounts are significantly higher than the state average for this service, which is approximately $24.05, the Medicare benchmark rate. While commercial payers like Triwest and Healthy Blue negotiate rates of $22 and $23 respectively, other plans such as Humana pay $142, reflecting the wide variance in commercial contracts. It is important to note that cash-pay options are not listed for this specific code, meaning patients without insurance coverage may need to contact the facility directly to inquire about self-pay or prompt-pay discounts before scheduling.
Patients should be aware that commercial negotiated rates often exceed the true cost of care, which is best represented by the Medicare benchmark of $24.05. Although the facility is a voluntary non-profit Critical Access Hospital, the administrative costs associated with processing insurance claims can inflate the baseline price by 20% to 40%. If you have a high-deductible plan, you might find that paying out-of-pocket for a service with a cash price lower than your deductible threshold could save you money compared to the negotiated rate your insurer would allow. Always request a full itemized bill before paying, as summary invoices can obscure individual charges, and verify your deductible status to ensure you are not paying the full negotiated amount before your plan has accumulated sufficient coverage.