Speech therapy (group session)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $85
- Cash Discount Price: $327
- vs. Medicare Baseline: 3.53x 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 353% of the Medicare baseline (a markup of 253%). 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 |
|---|---|---|
| Aetna | $11 - $22 | 46% |
| United | $11 - $115 | 46% |
| Healthy Blue Kansas | $11 - $22 | 46% |
| Medicaid / KanCare | $11 - $81 | 46% |
| Home State Health Plan | $21 | 87% |
| Healthy Blue Missouri | $21 | 87% |
| United Community Of Missouri | $21 | 87% |
| Humana | $22 | 91% |
| Blue Cross Blue Shield | $22 - $196 | 91% |
| Ilumed Aco Reach | $22 | 91% |
| Velocity | $27 - $245 | 112% |
| Prime Health Services | $29 - $278 | 121% |
| Missouri Healthnet | $88 | 366% |
| Cigna | $104 | 432% |
| Providrs Care | $115 | 478% |
| Americas Choice Provider Network | $229 | 952% |
| Usa Managed Care Organization | $245 | 1019% |
| Quiktrip Corporation | $245 | 1019% |
| Provider Network Of America | $245 | 1019% |
| Multiplan-Phcs | $261 | 1085% |
| Medincrease | $294 | 1222% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at the Rehabilitation Hospital of Overland Park, the cash price is $327.00, which matches the facility's self-pay rate. This cash price is significantly higher than the state average for this service, which is $24.05, and also exceeds the Medicare benchmark of $24.05. While commercial insurance plans like Aetna, United, and Healthy Blue Kansas negotiate rates ranging from $11 to $22, these figures are often lower than the cash price. Patients with high-deductible plans may find paying the $327.00 cash rate more cost-effective if their insurance negotiated rate exceeds this amount, as they would avoid out-of-pocket costs until their deductible is met. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary widely across different carriers.
To minimize potential costs, patients should actively inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid in full upfront. These discounts bypass the administrative overhead associated with insurance claims processing and provide immediate liquidity to the facility. Additionally, since over 80% of hospital bills contain errors, requesting a detailed, itemized statement is crucial to identify any unbundled codes or services not rendered. If a balance bill arises from an out-of-network service, the No Surprises Act generally protects patients from paying the difference for emergency care or non-emergency services at in-network facilities. Always review your itemized bill carefully and dispute any errors in writing to ensure you are only paying for the correct services at fair