Speech therapy (group session)
Facility: Lindsborg Community Hospital
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $194
- Cash Discount Price: $183
- vs. Medicare Baseline: 8.07x 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 807% of the Medicare baseline (a markup of 707%). 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 |
|---|---|---|
| Coventry Mcr Adv | $31 - $247 | 129% |
| Tricare | $31 - $245 | 129% |
| Blue Cross Blue Shield | $51 | 212% |
| Cigna | $55 - $443 | 229% |
| UnitedHealthcare | $58 - $469 | 241% |
| Coventry Comm-All Other Plans | $58 - $469 | 241% |
| Phcs Preferred-All Plans | $60 - $485 | 249% |
| Multiplan-All Plans | $60 - $485 | 249% |
| Wppa-All Plans | $62 - $495 | 258% |
| Coventry Wc | $62 - $495 | 258% |
| Health Partners -All Plans | $62 - $495 | 258% |
| Century Health-All Plans | $62 - $495 | 258% |
Consumer Guidance & Cost Commentary
For the speech therapy group session (CPT 92508) at Lindsborg Community Hospital in Lindsborg, KS, the cash price is $183.00, while the median negotiated rate across 12 payers is $194.00. This cash price is notably lower than the facility's gross charge of $261.00 and represents a significant discount compared to the national average, which is 8.1% higher than Medicare. For patients with high-deductible plans, paying the cash price of $183.00 upfront may be more cost-effective than using insurance, as the negotiated rates often exceed the cash amount due to administrative overhead and contract structures. It is important to note that while the facility is a Critical Access Hospital with a voluntary non-profit ownership, patients should verify their specific plan details before scheduling, as some in-network contracts may still result in higher out-of-pocket costs depending on individual deductible status.
To ensure you are receiving the most accurate pricing, it is recommended to request an itemized billing audit before finalizing payment, as summary bills can obscure individual code costs and potential errors. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. Additionally, be aware that Medicare serves as a benchmark for fair pricing; commercial rates are often marked up significantly above the Medicare amount of $24.05 for this procedure, so comparing your final bill against the Medicare rate provides a clearer picture of the true cost of care. Always confirm whether any ancillary services, such as laboratory tests