Speech therapy (group session)
Facility: Bob Wilson Memorial Hospital
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $69
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.87x 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 287% of the Medicare baseline (a markup of 187%). 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 | $69 | 287% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Bob Wilson Memorial Hospital in Ulysses, Kansas, the facility's negotiated rate is $69.00, which aligns exactly with the lowest and highest reported rates for this service in the area. This facility, a voluntary non-profit Critical Access Hospital, has a single payer in its network, Blue Cross Blue Shield. When compared to the Medicare benchmark of $24.05, the negotiated rate represents a 2.9x markup, indicating a significant difference between the federal baseline and the commercial contract price. While the facility does not list a specific cash-pay or self-pay rate in the current data, patients with high-deductible plans should be aware that paying cash upfront could potentially result in lower out-of-pocket costs if the negotiated rate exceeds their personal cash price, though no specific cash median was reported for this code.
Patients should proactively contact the hospital before scheduling to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees. It is important to verify the exact allowed amount with your insurance carrier before the visit, as assuming that being in-network guarantees the lowest possible price can lead to higher costs than expected, given that different in-network providers charge varying rates for the same service. Additionally, if you receive an itemized bill, request a full line-by-line audit to ensure no errors, unbundled codes, or services not rendered are included, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written dispute.